I am sixty years of age. For the last two years I face erectile dysfunction problem. And upon erection it discharges so soon. embarrassing me. The urge to enjoy sex is there but time period is too short. I am a diabetic type I for more than 16 years taking regular medicine gal us 50 plus 1 gm meteor in with sprig lim 1 mg and voglibose 0.3 mg daily. Taking visored SF twice daily for many years. Size of penis has grown smaller than earlier. Please help. General physical condition is good.

Dr. Lalit Kumar TripathyGeneral Physician40yrs exp

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Erectile Dysfunction occurs due to 1.Fatigue, stress, depression, 2.Relationship issues, performance anxiety, 3.Alcohol consumption, Smoking, consumption of tobacco, 4.Obesity, Diabetes, Hypertension, Heart disease, 5.Thyroid,Kidney problem, ,enlarged prostate, parkinsonism etc 6.Consult doctor to rule out these diseases. 7.Go for regular exercise, reduce your weight if over weight 8.stop smoking, tobacco and alcohol consumption9.Take good nourishing diet ,plenty of green leafy vegetables, fruits. Take water melon, pomegranate, dark chocaolate 10. Avoid stress, anxiety, physical and mental exertion. Take adequate rest 11. Do yoga, Meditation and deep breathing exercise to calm your mind, control your emotion and relieve stress12. Topical Androgel/Testosterone replacement/ Zinc supplement can help. 13. Do serum testosterone examination and if low take testosterone injection after consulting physician 14. If no relief consult sex therapist/ sexologist. 

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