Resolved question:
Low Libido
Hello,
I currently reside in Denmark, Europe. I have decided to pen this letter to you primarily because of a problem that has plagued me for almost 4 years old patientand secondary because the Danish medical system has not cured my ailment.
I woke up one morning and immediately felt different. My body seemed to be in a state of slumber. It felt as if all the power and energy had been sapped out of my penis. Over the next months I became lethargic, depressed and to my horror discovered a complete loss of sex drive. For someone whose sex drive bordered on manic most of my life, this dramatic loss of libido caused immense emotional distress. I accepted this was probably a temporary dip that would level off back to normal, but 4 years old patienton and my sex drive is still almost non-existent. There are moments albeit fleeting where there is some semblance of what I was before. I had some extensive testing done including, T-levels, cholesterol, general health and the perplexing thing is they all came back negative or normal. They showed good natural T-levels and ok cholesterol levels indicating good health. These tests found no abnormalities and I am non-smoker and drink 4 times a month. However, something changed 4 years old patientago and having read through countless blogs, and sites all recommending various libido enhancement formulas. I sought out our family physician in Belgium a while back and he prescribed a solution containing
valeriaan dry extract 100 mg
yohimbine hydrochloride 2,5 mg
testosterone propionaat 2,5 mg
in tablet form. These actually briefly restored my sexual desire to the levels they were before. My doctor advised me to stop taking them for 6 weeks as prolonged use would depress my body’s natural hormone production. I waited around 8 weeks and restarted a cycle but this time it had very little effect nor does Viagra or other products on the market containing sildenafil. I have tried Yohimbine, yocoral for periods with some reasonable results but really I’m back to square one. Are there any of these specialist formulas aptly named Mr. Happy (http://www.angelnexus.com/o/web/81459?r=1), Passionrx, VukaVuka (http://www.insidershealth.com/article/vuka_vuka_the_1_natural_sexual_health_formula_for_men_and_women/2380), Potensan (http://www.potensan.net/) that you can endorse. Perhaps a product less well known out there that has yielded good results or any other libido formula that I can have the pharmacy prepare. I am happy to pay you for an online consultation and advice.
Warm regards,
Peter
37 yrs old
004540884103
Submitted:
4 Days
Category:
Sexologist
Hello
Thanks for using DoctorSpring.com for posting your query.
I have gone through your question in detail and I can understand what you are going through.
Firstly we need to differentiate whether the erectile dysfunction is organic (physical) or psychological. From the description that you have given it appears more to be psychological. Abrupt onset of dysfunction with occasional improvement in functioning and the age you are in suggests that physical causes are not very important. However still to ascertain, it would be wise to do a penile dopler study to look for the penile vascularity. This can be done with artificial penile stimulation through phentolamine ( Pharmacological induced penile erection). If there is a good erection by PIPE then probably the cause is psychological. Mostly psychological causes are not treated with medicines. ormally the patients who visit my clinic have had past traumatic experiences with sexuality or they feel that sex is a bad thing in life or have unexplored subconscious emotional conflicts with their partner which manifests as sexual dysfunction . Occasioanlly even work stress can also lead to this problem. Manytimes the cause cannot be unfolded. Now this illness cannot be helped with medicine and will require psychological help. This is done by a sexologist or a psychiatrist who would like to explore your thoughts about sex and correct them where they are wrong with the cognitive behavioural therapy. Also a therapy called sensate focus therapy is also useful in such cases. In this therapy person should not make insertion as a part of sex and instead have only foreplay with no compulsion for sex for 1-2 weeks so that the patient becomes comfortable with the sex. During this phase the female partner should not touch the genitals of the patient. Now that the compulsion to have sex is solved and hence the confidence improves. I suggest some of my patients to even use aromatic oils for increasing the pleasure. After 2 weeks, you may begin with permission to touch the genitals but still not the actual intercourse. Then after 2 weeks, intercourse may be initiated.
This will take time but things will settle down with time...
Kind regards
Dr. Srikanth Reddy MD