I had psa 14 last year and consulted dr. hospital, jaipur gave silodal 8 mg and lion500 mg one daily after a month it came down to 8.7 ng/ml in july 2017 left this and was taking ayurvedic capsule saw palmetto for 9 months but now psa is 12.3 so left ayurvedic and taking only silodal 8 mg now since last three days I am better and urination is only once in night what should I do I am based at jaipur.

Dr. K V AnandPsychologist15yrs exp

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Dear lybrate user. Please don?t panic. You must understand ERECTILE DYSFUNCTION. There is nothing called erectile dysfunction while having masturbation. Loosing erection in the initial stages of sex or not having erection at all or having late erection or lack of sexual desire are called erectile dysfunction. Erectile dysfunction can be a sign of a physical or psychological condition. It can cause stress, relationship strain, and low self-confidence. The main symptom is a man's inability to get or keep an erection firm enough for sexual intercourse. Patients suffering from erectile dysfunction should first be evaluated for any underlying physical and psychological conditions. If treatment of the underlying conditions doesn't help, medications and assistive devices, such as pumps, can be prescribed. Yoga, meditation and diet could be prescribed once we know the basic reasons for it. Two natural treatments for ED that have shown promise are red ginseng and pomegranate juice. Ginseng is thought to increase nitric oxide production, leading to improved blood flow. Pomegranate juice is a potent antioxidant and can help too. Watermelon could also help. Psychological reasons usually get cleared with sex therapy. I suggest online sex therapy. Take care. 

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