Mental Health
Sexual Dysfunction – Need Psychiatric Op
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 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. From a psychiatric perspective, could depression or Venlafaxine fully explain these symptoms, or do you think I should pursue further evaluation with a urologist?
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Respected doctor(s)
I'm diagnosed with ADD(Adhd) and undergoing treatment.
I have my CA finals exams to give next year and it's especially difficult for me to sit and study tho I'm conceptually brilliant.
I'm on methylphenidate which is helping slightly with bad crashes and inconsistency.
I tried various formulations of methylphenidate -(inspiral 20mg ir,sr), addwize od
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I believe I exhausted treatment options in india.
I want to get treated with vyvanse which is the gold standard treatment for ADHD worldwide.
I learned it's possible to avail this treatment in india with Indian psychiatrist prescription and justification along with Filing FORM 12B from my side for legal import.
I have seen proof of such imports in online forum hence I know it's possible.
Kindly assist me in this regard sir(s)/madam(s)
Thanking you
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