Dear Patient: 1. Using the term ED [erectile dysfunction] makes it clear that other problems which interfere with sexual intercourse and reproduction, and problem with ejaculation/orgasm are not involved.\r\nB. ED can be a total inability to achieve erection,an inconsistent ability to do so,or a tendency to sustain only brief erection.\r\nC. ED usually is treatable at all ages, thus do let me know about: \r\ni. Psychological Factors: such as stress,anxiety, guilt,depression,low self esteem, and fear of sexual failure\r\nii. Anxiety performance [are you in any relation]?\r\niii. fear of rejection by wife [are you married]?\r\niv. feeling of guilt [any childhood impression that sex is bad]?\r\nv. any job pressure [over stress], addiction to alcohol, nicotine or opiates?\r\n\r\nD. Since diabetes causes ED thus check with your blood sugar\r\n\r\nPlease revert back with your concerns on: bit.ly/drmunishsood
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