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Impotence and ed
Normal testosterone 7.06 ng/dl and Prolactin, blood sugar levels also normal. But I have no libido and erectile dysfunction. Tried pd5 but not benefit
Answers (10)
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Based on the information you have shared, this presentation is not uncommon and does not indicate a hormone deficiency or serious organic disease.
Your testosterone level (7.06 ng/dL), prolactin, and blood sugar being normal means that the hormonal and metabolic causes of erectile dysfunction have been ruled out. When libido is low and PDE-5 inhibitors (like sildenafil/tadalafil) do not give benefit despite normal hormones, the most likely causes are psychogenic erectile dysfunction, performance anxiety, chronic stress, depression, excessive pornography/masturbation, sleep disturbance, or overactivation of the sympathetic nervous system. In such cases, the problem is not blood flow or testosterone, but impaired brain–sexual response coordination, which is why tablets alone do not work well.
Low libido with normal testosterone is very commonly seen in men with anxiety, mental fatigue, relationship stress, fear of failure, or long-standing stress, even if erections were previously normal.
PDE-5 inhibitors require proper sexual stimulation and mental readiness to work,without that, their effect is limited.
Next Steps
Management focuses on identifying and correcting the underlying cause, not increasing doses of erectile tablets. This may include stress management, sleep correction, reducing pornography/masturbation frequency, psychological counseling or sex therapy, and in selected cases, short-term use of low-dose anxiolytic or antidepressant medication under supervision. Lifestyle measures such as regular exercise, adequate sleep, and limiting alcohol are also important.
Health Tips
This condition is treatable and reversible, and with proper evaluation and targeted management, normal libido and erections can return. A consultation for a detailed sexual and psychological assessment is strongly recommended rather than continuing trial-and-error with ED medications.
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Need more details in your case..
Till then you can get Thyroid function Test
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a free detailed discussion*
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Go for Thyroid function test
If it's altered then consult with me
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Diabetes or anxiety or performance stress. Kindly consult with me on 94 two six eight six 78 nine six for proper guidance.
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Kindly consult
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Kindly do connect and consult
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Dr. Siddhi Saraf
General Practitioner
11 yrs exp
Nagpur
Since your routine evaluation is normal, the cause is possibly psychological.
You need to consult a psychologist or a sexologist.
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
6 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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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.