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Prescription for ED meds ? (Page 1)

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April 16th, 2010
I started having ED problems in February 2009. I began taking a TCA about 3 months before. I noticed the problem when I entered a relationship with my girlfriend at the time. I assumed it was the amitriptyline. I d/c''d the drug in June of the same year...ED problems continued with gf. I could get an erection but not maintain it once intercourse began. I also had difficulty maintaining an erection during masterbation I saw a urologist in July. He did some blood tests and said everything was normal. He explained to me that at my age it would be extremely uncommon for this to result from a blood flow problem in the penis. He said this was probably due to the emotional interplay between my girlfriend (we were having relationship problems). I accepted that hypothesis as being probable. Said gf and I broke up September 2009. Fast forward to now...I''ve had 4 more sexual partners, and been with two of them on multiple occasions. I am healthy emotionally. Not only am I still having these problems, they are increasing in frequency. I am now orgasming about 1 in 5 to 1 in 6 times during sex. I usually lose the erection. Here''s the kicker...I bought some cialis and viagra online from India. When I take them, I am able to maintain an erection about 9 out of 10 times. These meds are expensive though. I can''t afford them all the time. I believe there is a physiological issue going on here and would like to see my urologist again for further evaluation, such as a duplex u/s and NPT...and maybe get a legit script for the meds so my insurance will cover them. I am afraid of the urologist blowing me off again. What is your advice?
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povshift
replied April 18th, 2010
One of the things you might try is having sex without an erection. My partner and I have started a blog about our own experiences - Moving Beyond Erection Dependent Sex. (Note we are NOT selling anything - just sharing our experiences and hoping others will share theirs!) We have found that with excellent communication and an openness to exploring options we have a terrific sex life. Note his ED was already in existence when we first met and has never been a problem for us.
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W0LF
replied April 18th, 2010
Extremely eHealthy
srleslie1, you mentioned age before. What is your age?
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srleslie1
replied April 20th, 2010
Come on, anyone? One of you doctors on here please provide some advice?
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srleslie1
replied April 20th, 2010
and I'm 27
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W0LF
replied April 20th, 2010
Extremely eHealthy
At 27 if your urologist has cleared you of any bloodflow issues, this isn't related to physiological issues. I'd talk to a psychiatrist about this.
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povshift
replied April 21st, 2010
Dear SRleslie1 - Hearing your pain - Personally it doesn't sound like all the possible causes have been explored. Your Urologist can't tell if its physical simply from a blood test and there are medications that affect erections while you are taking them AND after you have stopped taking them. I would suggest you go find another DR.
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srleslie1
replied April 21st, 2010
Wolf, all that has been done is a blood test. No further tests such as an ultrasound have been done.

I have an appointment with an academic urologist in May. Maybe they will take more time and be more thorough than the guy I saw in private practice.
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W0LF
replied April 22nd, 2010
Extremely eHealthy
You're welcome to a second opinion but your description doesn't sound like physiological causes. Your age doesn't point to natural degredation of function, you're not reliably able to function with medicaiotn. While you're waiting to see the other urologist there's no point in waiting to speak with a psychologist, make an appointment.
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srleslie1
replied April 22nd, 2010
Whatever dude. I do perform reliably with the medication, and it doesn''t make sense to seek a psychologist until medical causes have been ruled out.
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W0LF
replied April 23rd, 2010
Extremely eHealthy
You said that you were able to become erect 9 times out of 10 with Cialis? And you were reaching orgasm with a partner one time five tries. Was that an exaggeration?
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srleslie1
replied April 23rd, 2010
I became erect and reached an orgasm about 9 out of 10 times WITH the medication. Without the medication, I reach orgasm about 1 in 5.
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W0LF
replied April 24th, 2010
Extremely eHealthy
Likely the reason your Urologist didn't perform an ultrasound is that you're partially functional. It's possible that a second opinion will find something else in the blood or physical but what you're describing sounds like performance anxiety.
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srleslie1
replied April 24th, 2010
but it happens when i masterbate too...
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W0LF
replied April 24th, 2010
Extremely eHealthy
If it's affecting masturbation then Depression also becomes a possibility.

If you hadn't already talk to your GP and a urologist I'd suggest you talk to your GP and if he thinks it's necessary, a urologist. You've had two board certified doctors examine you for symptoms that form a clear pattern of dysfunction and they've found none of the causes that they'd expect to see in a medical ED case. If you're not confident in their prognosis get a second opinion, but before you do, it seems like it would be a good idea to get a first opinion from a doctor that evaluates the other side of the ED equation.
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srleslie1
replied April 25th, 2010
where did you get 2 doctors from? I've only seen one doctor - the previously mentioned urologist.
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srleslie1
replied April 25th, 2010
and as far as depression goes, amitriptyline is an anitdepressant...and yet I had the problem while on it. I took it for peripheral neuropathy pain, not for depression.
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W0LF
replied April 26th, 2010
Extremely eHealthy
You didn't get a referral to the Urologist from your General Practice M.D.?
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srleslie1
replied April 27th, 2010
Nope. I went to this urologist because I've used him before for something else. Didn't need a referral. My insurance doesn't require a physician referral. I made the appointment with the academic urologist without one. We will see what he says next month.
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artysony
replied May 4th, 2010
You should do some exercise, which will helps you in getting and maintaining better erection. Depression is one main cause of ED so you should also concerned with any good psychiatrist, it will helps you come out of depression if there is any...

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