NetWellness Erectile Dysfunction (ED)

Viagra

Ahmad Hamidinia MD — Sun, 01 Nov 2009 09:11:00 EST

Question: I am now 58 and would like to know if I can safely follow my doctor`s advice to start on viagra. I am apprehensive of the possible side effects of viagra, especially aobut the possibility of becoming blind with this medicines use.

Answer: It seems to me that you are not that interested in having normal sexual life. If you are, then remote side effects of any medication should not bother you. There are millions of people use the drug and there are of course few with side effects. If your heart is not strong enough for vigoro . . .

Ask an Expert: Ahmad Hamidinia MD, Erectile Dysfunction (ED)

Male Sex

Ahmad Hamidinia MD — Sat, 24 Oct 2009 04:10:00 EST

Question: Is it good for a 65 year old man to have sex 3 times a week? Could this create any problems?

Answer: There is no adverse health issues while having regular sex. The only issue is if heavy exercise, such as vigorous sex activities which requires a healthy heart, may affect the cardiac status while under strain. If you still get a normal erection it means your coronary arteries are also healthy. Enjo . . .

Ask an Expert: Ahmad Hamidinia MD, Erectile Dysfunction (ED)

My Penis is Very Small - Treatments

Ahmad Hamidinia MD — Sat, 10 Oct 2009 02:10:00 EST

Question: I am 22 years old and my penis size while flaccid is 5 cm and while erect it is 12 cm (same from my age of 16).

During normal conditions it gets totally shrunk and I came to know that by this age my inner part should come out of the outer skin, but I don`t have so. Also when I tr . . .

Answer: The size of the penis is what you have been given but as long as it is functional i.e., urination and sexual satisfaction, it is fine. The outer skin called foreskin is retractable and glans penis or the head should be exposed after erection. If tender to retract and or does not retract you have a c . . .

Ask an Expert: Ahmad Hamidinia MD, Erectile Dysfunction (ED)

Premature Ejaculation and Paxil/Paroxetine

Ahmad Hamidinia MD — Mon, 28 Sep 2009 12:09:00 EST

Question: Hello! I know there are two ways to take paxil/paroxetine for PME, daily and on-demand. I was wondering, if taken daily, is spontaneous sex rather than scheduled sex possible? What other differences are there between daily and on-demand?

Answer: Of course, any medication taken for long term may have side effects as well as economical burden. I addition the effect may be reduced due to resistant to the side effect of this drug, namely retardation of the ejaculation. Serotonin reuptake inhibitors, such as Paxil, have their highest effect (her . . .

Ask an Expert: Ahmad Hamidinia MD, Erectile Dysfunction (ED)

Penial Retraction

Ahmad Hamidinia MD — Fri, 25 Sep 2009 18:09:00 EST

Question: I am a healthy active 63 year old man and within the last 6-12 months noticed that my penis has nearly inverted. I`ve gone from a normal 5-6 inches to maybe 1". I can still have erections but obviously they are much reduced in size. What can I do to restore some or all of what`s missing? Please . . .

Answer: Size of the genital does not change. The portion exposed is an ever changing situation and it has to do with increase in pubic fat pad causing concealed penis. Weight loss can restore the original size and sometimes surgical reduction of public fat pad may assist in exposing the genital.

Ask an Expert: Ahmad Hamidinia MD, Erectile Dysfunction (ED)

Uroxatral and Morning Erections

Ahmad Hamidinia MD — Wed, 02 Sep 2009 21:09:00 EST

Question: I started taking uroxatral for a slightly enlarged prostate about 10 days ago which was causing UTIs. Now I am having very rigid morning erections every day which last for up to an hour. Don`t every remember getting them like this. Is this normal?

Answer: Erection during the REM while sleeping is very natural and sign of healthy blood supply of sexual organs. Uroxatral is alpha adrenergic inhibitor and is not known for improving vascularity of the sexual organ but promotes improvement of urine flow and hence, better urine flow.

Ask an Expert: Ahmad Hamidinia MD, Erectile Dysfunction (ED)

Lack of Being Able to Ejaculate

NetWellness Staff . — Sat, 15 Aug 2009 13:08:00 EST

Question: I am 79 years old and have to take Muse and Cialis to complete intercourse. When we have intercourse it is very pleasant and successful but on a limited schedule of no more than two times per month. When I try to ejaculate more frequently during sex or masturbation I have no ejacultate or climax. My . . .

Answer: Thank you for visiting NetWellness. On this site, NetWellness experts try to answer general questions about health. Only a health professional performing a thorough clinical exam is able to evaluate your symptoms. However, NetWellness may have some general information available that you can acc . . .

Ask an Expert: NetWellness Staff ., Erectile Dysfunction (ED)

Diminished Sensation in the Penis

Ahmad Hamidinia MD — Sat, 01 Aug 2009 14:08:00 EST

Question: I am a 40 year old male and have little to no feeling in my penis (shaft or head) during sex. I can orgasm with no problem, but the sensations are just no there while having sex (oral or intercourse). At times (not all the time) there is even a numb feeling in the groin area. I even had my wife touc . . .

Answer: What you are describing is lack of dermal skin sensation. This could be related to a neurological problem that can be either central or peripheral neuropathy. This should be explored by a neurologist familiar with your condition. An MRI of the spine may also be helpful to detect the proble . . .

Ask an Expert: Ahmad Hamidinia MD, Erectile Dysfunction (ED)

Peyronies Syndrome and Shrinkage

Ahmad Hamidinia MD — Tue, 21 Jul 2009 07:07:00 EST

Question: I have been told I have peyronies syndrome, and that my only option is an implant, however I am wondering if there may also be something else wong, too. I have never had any pain associated with it, but I do have extreme curvature, along with a very significant loss of size, so much so that sex is n . . .

Answer: Peyronie's disease affects 5% of men with different manifestations. 25% of the cases are self limiting and majority others have minimal symptoms. When curvature affects penetration, girth and or length, medical or surgical treatment may help. Not all treatments are satisfying to every individual. So . . .

Ask an Expert: Ahmad Hamidinia MD, Erectile Dysfunction (ED)

My Problem with ED

Ahmad Hamidinia MD — Sat, 11 Jul 2009 08:07:00 EST

Question: While having intrcouse I have a soft erection, no matter what she is doing. Only until I have an orgasm will I get hard as a rock. This has been going on for the past 4 or 5 years. I maintain my blood sugar levels around 70 to 150. Yes I am diabetic. I would like to know what is . . .

Answer: I at a disadvantage of not having enough information about your condition. Certainly, diabetes has a major role in erectile dysfunction, but not all diabetics suffer from this condition. Diabetes can cause multi system deficiency as it applies your erection. It causes vascular and neurogenic ab . . .

Ask an Expert: Ahmad Hamidinia MD, Erectile Dysfunction (ED)