Hi doctor I am facing some problem with erection. When I suddenly wake up in night I see i'm having erection but normally if I want to think about sexual things and masturbate I am not getting erection. Even sperm us coming out but without erection. I have low vitamin d (21 ng/dl) My testosterone level is 515. Please help.
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Your testosterone is normal your problem may be due to stress or anxiety so relax and unwind otherwise you will need to do blood tests Sugar Pp, TSH, Prolactin, if you are taking any medicine or nutritional supplement then it may be due to effect of that.
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Report appers normal, problem here could be ED which is more of psychic reason and nightfall. Night fall or wet dreams is a very common occurrence among men, especially among adolescents. 1. Should start jogging or brisk walking for at least 30 minutes every day. 2. Should avoid consumption of any liquid for at least 2 hours before going to sleep. 3. Should go for urination just before going to bed. 4. Should avoid watching porn or erotic chats etc. 5. Start listening to soothing music which gives peace of mind and gives soothing effects like the meditation gives. 6. Should start reading good books at the time to keep the brain relaxed for a sound sleep. For details consult in private.
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