Hi Doctor,
I am 45 years male completely teetotaler, vegan and keeping sound overall health but from last few months I've been apparently unable to get and/or keep an erection. However my Libido is still good.
This is actually affecting my personal and professional life. Need your help
Doctor answers
I understand that you are distressed about your erection problem. Erection problems can be due to various causes, for example, hormonal problems, problems in blood flow to the penis, high cholesterol, side effects of medication, vitamin deficiencies, etc. Also, in many cases of erectile dysfunction, psychological factors also play a major role in aggravating the problem. Stress, anxiety, depression, relationship problems, etc. can all influence sexual functioning in a negative way.
In your case, high cholesterol and vitamin deficiencies could be potential aggravating factors for your erectile dysfunction. To be certain what is the primary cause for your problem, I would advise you to have a few investigations done. I would recommend that you have a Penile Doppler, which is a very useful test to detect any blood flow problems to the penis. High cholesterol can often result in narrowing of the blood vessels supplying the genital organs, thereby causing erectile dysfunction. So, you also need to have your cholesterol and vitamin B12 and D levels rechecked. Checking your blood pressure and blood sugar levels is also essential (if not done within the last 6 months). You also need to have a neurological examination to rule out any nerve-related problems which could also sometimes cause erection problems.
Treatment is targeted according to the findings on evaluation. If there are any underlying medical problems resulting in the erectile dysfunction, then those problems have to be first corrected or controlled. If there are psychological factors as well, then addressing them and improving the person's self-confidence levels will also be helpful in improving sexual performance.
There is also the option of using medication which improve the blood flow to the penis and promote better erection, such as Sildenafil and Tadalafil. But I would advise you to have a proper evaluation done before you start any medication.
Wish you all the best.
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