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Loss of sexual desire, erectile dysfunction after mental taruma.

Resolved Question:

Hello Doctor,

Am suffering from erectile dysfunction form last 1.5 year. Well before that I was going through a very good sex life. But from the day when I and my wife planned to have a child, I don’t know where all that desire have gone. Well only in that period I was looking for a job change and have gone through a mental trauma, I guess which existed for 2-3 month. I was diagnosed with Varicose in my Testis, I got it operated in BLK in May 2014. Now everything related to that part is fine.

Well now from last 6-7 months everything is settled, am having a good job and my wife has conceived to. But the biggest tension in my life as of now is erectile dysfunction and that desire part, I don’t understand where have that been vanished.

From last 1 year am going through a treatment from urologist, I am told that it’s something related to my Testosterone levels. Please find details of dates and related tests of mine for your ready reference. In last you can see my Free Testosterone levels are really very low 2.28 pg/ml.

08 December 2014 Dr Path Lab
Testing Testosterone Total 378.04 ng/dL
Testing FSH (Follicle Stimulating Hormone) 5.4 mIU/ml
Testing LH: Luteining Hormone, Serum 3.38 mIU/ml
Testing Prolactin Serum 14.28 ng/mL

17 February 2015 Pro Health Diagnostic
Testing T3 1.68 nmol/i
Testing T4 77.61 nmol/i
Testing TSH 1.92 uIU/ ml
Testing Testosterone Total 465 ng/dL
Testing HbA1c(Glycosylated Haemoglobin) 5.30 %
Testing Estimated average plasma glucose 111.38 mg/dl

02 July 2015 Dr Path Lab
Testing Testosterone Total 487.41 ng/dL

18 August 2015 Thyrocare
Testing Testosterone Total 523.5 ng/dL
Testing Testosterone Free 2.28 pg/ml

In the period please find below the tablet/ injections/ Sachet (medicines), I have been taking in the past as guided by my doctor (urologist):


11 December 2014 Doctor
Injection testofil 1 Amp I/M Stat 1 Injection 15 Days
Enlarge Forte - 1 Sachet 1 Day& Night
Cap Andriol 2 Day& Night
Tab Turvey 1 Day
11 Februry 2014 Doctor
Enlarge Forte - 1 Sachet 1 Day& Night 15 Days
Cap Andriol 2 Day& Night
Tab Andro Young 2 Day& Night
26 March 2015 Doctor
Injection testofil 1 Amp I/M Stat 1 Injection 15 Days
Enlarge Forte - 1 Sachet 1 Night
Tab Andro Young 1 Day
Tab Vitalis 2 Day & Night
09 July 2015 Doctor
Ignitor Ed - 1 Sachet 1 Night 15 Days
Tab Andro Young 1 Day
Tab Nano Leo 2 Night
27 July 2015 Doctor
Ignitor Ed - 1 Sachet 2 Day & Night 15 Days
Tab Andro Young 1 Day
Tab Nano Leo 1 Night

Request you to guide me forward, so this desire part can be made good

Category: Urologist

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Dr. Rajiv Goel
Category: Sexually Transmitted Diseases(STD)Specialist
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 21 Doctors Online

Expert:  Dr. Rajiv Goel
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Dear Sir,
Thanks for your consult at DoctorSpring.com
I have reviewed your history in detail. Kindly let me know your height and weight. Whether you are smoker or not. What are your sleeping hours. Whether you do any exercise or not and if yes for how long. You are vegetarian or non vegetarian.
In addition get serum testosterone- total and free, serum estradiol, Vit D assay and Vit B 12 assay.
Take care.
Sincerely

Dr Rajiv Goel
MS (AIIMS), MCh (AIIMS), DNB ( Uro)


Patient replied :

Thanks for your prompt reply. As required by you please find my replies below:
1. Height : 5.9 Inch
2. Weight : 80 kg
3. Non Smoker and non alcoholic (very occasional once in a month)
4. I sleep at 12 AM at night and woke up around 8AM
5. Travel to my office takes 1 hour and working hours are from 10.30 till 7.30.(sat and sun off)
6. From last 3-4 months I have been going to gym on every weekend (saturday and sunday), I exercise for 1.5 hours each day.
7. vitamin b12 levels measures 351 pg/ml and vitamin D level measure 106.8 ng/ml on 16 Feb 2015.
8. Am a non vegetarian, i used to eat non veg in every 15 days.
8. Day back i got Total and free testestrone test done you can check in the sheet attached (free testosterone 2.28 pg/ml, its below normal male levels- 4.25 to 30.37) and total testestrone level of 523 pg/ml. Please find sheet attached for the history of test done, test include: FSH (Follicile Stimulating Harmone), LH: Luteining Hormone, Serum, Prolactin Serm, Thyroid, sugar, etc.
Further I would like to highlight, that like before am not having early morning erections. which I used to have before in the morning and any time in day.Now there are no such erections in a day, which I used to get earlier every alternative day.
Now days I feeling acute wekness in body, after 5.30 in office my vision just starts blurring up. Request your help.
Should you require any further information/ clarification please contact.
Thanks and Regards


Expert:  Dr. Rajiv Goel
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Dear sir
Start yourself on t. Vigomax forte twice daily for 4 weeks. T. Riconia g once daily for 4 weeks and use viberect daily for 7-10 minutes under the guidance of your doctor and get back to me after 4 weeks.

Sincerely
Rajiv Goel

Dr. Rajiv Goel
Category: Sexually Transmitted Diseases(STD)Specialist
Experience: 
MCh(urology) Medical Council of India
Fellow, Laparoscopic urology, Germany
Fellow, Urooncology and Robotic urology, Australia
DNB - NBE
Felloship - MCH, Urology/Genito-Urinary Surgery, AIIMS, 2004
Residency - MS, Master of Surgery, AIIMS, 2001
Medical School - MBBS, Bachelor of Medicine and Bachelor of Surgery, AIIMS, 1998
Dr. Rajiv Goel and 4 other Medical Specialists are ready to help you

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