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Penis eraction

I am unmarried, doing masturbation since last 5 yrs. But there is a problem in erection and strength of penis since past 4.5 yrs. Also problem of early discharge. Please help me.
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Doctor Answers (1) on Penis eraction

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Harisha N L Bangalore | General Physician
Answered
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, 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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