What can I do for ERCTILE DYSFUNCTION and difficulty orgasming?

Resolved question:
Hello,
For years I have been struggling with erectile dysfunction and difficulty orgasming. The urologist hasn't said what the cause is but cialis helped a little at first (with erections only) but now I am not responding. Masturbation has become difficult and not very pleasurable. More frustrating than anything. I am desperate for a solution. Could this be related to adult circumcision which i had at 18.(I am now 26) I definitely feel less of a sensation and sensitivity. And if this is the cause, is there a solution? 

Submitted: 4 Days
Category: Urologist

Expert:  Dr. Rajiv Goel replied 4 Days.

Thank you for your query at DoctorSpring.com.
Dear Sir,
It is very difficult to pinpoint the exact cause of your erectile dysfunction without a detailed evaluation with history and investigations. However, it is surely not related to adult circumcision.
You can consider low intensity shockwave therapy for the treatment of your erectile dysfunction. People can get cured of erectile dysfunction or can start responding to Cialis after this treatment.
Let me know if you have further queries.
Take care.
Sincerely,
Dr Rajiv Goel, MS (AIIMS), MCh (AIIMS), DNB (Uro), Fellow, Urooncology and Robotic urology, Australia, Fellow, Laparoscopic urology, Germany, Consultant Urologist.

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Patient replied :

I have heard about this. Is this available in the U.S?


Expert:  Dr. Rajiv Goel replied 3 Days.

Dear Sir,
It is not USFDA approved at this point of time but it is available in the US. It is also available in Canada.
Sincerely,
Dr. Rajiv Goel.

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