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Erection problem

Hello sir. My friend. 29yrs old. 85 kg. He is married. But sexual not satisfied. Problem is smaller organ and Trouble getting an erection and keeping the erection for long. So he is hesitate to consult a doctor. Plz hlp. wt u say him.
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Doctor Answers (1) on Erection problem

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Harisha N L Bangalore | General Physician
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Hi Erectile dysfunction(ED) usually has a multifactorial etiology. Organic, physiologic, endocrine, and psychogenic factors are involved in the ability to obtain and maintain erections. In general, ED is divided into 2 broad categories, organic and psychogenic. Although most ED was once attributed to psychological factors, pure psychogenic ED is in fact uncommon; however, many men with organic etiologies may also have an associated psychogenic component. Conditions that may be associated with ED include diabetes,hypertension and CAD, as well as neurologic disorders, endocrinopathies, benign prostatic hyperplasia,and depression....In fact, almost any disease may affect erectile function by altering the nervous, vascular, or hormonal systems. Various diseases may produce changes in the smooth muscle tissue of the corpora cavernosa or influence the patient’s psychological mood and behavior. Treatment options for ED include the following: Sexual counseling, if no organic causes can be found for the dysfunction Oral medications Injected, implanted, or topically applied medications External vacuum and constriction devices Surgery kindly consult urologist or psychiatriststhey will do the needful.... regards
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