Hello Doctor,
I have had persistent sexual function problems for the past 6 years, including difficulty getting and maintaining erections, reduced morning erections (about once a week), and reduced spontaneous arousal.
Around the time my symptoms started, I had a minor accident. During an erection, I heard a "pop" sound followed by a sudden loss of erection. There was no pain, swelling, bruising, or deformity. A flaccid penile ultrasound was reported as normal.
I also have depression and am currently taking Venlafaxine. I have consulted two urologists, and both felt my symptoms were mainly psychological. They did not recommend a dynamic penile Doppler, stating it would not change the treatment plan.
My sexual function is still significantly different from before and is affecting my quality of life. Should I consult a urologist or a psychiatrist first? Would you recommend any further evaluation, including whether a dynamic penile Doppler is appropriate?
Answers (2)
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Kidney
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