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38 Year Old Libido and Sex Life Has Been Literally Non-Existent

ERECTILE DYSFUNCTION QUESTION:

For the last year, my libido and sex life has been literally non-existent. I’m a 38 yr old male weighing 154lbs in relatively good health working out (calisthenics and weights) 3 times a week.

I’ve got my blood tests done and everything looks normal including my testosterone levels. I noticed that the start of this issue coincided with when I started actively working out and losing weight which is odd since it should have had the opposite effect.

The doctor prescribed a short course of Cialis and Viagra, but that did not help.

Please advise.

DOCTOR ALSAYES ANSWER:

First, yes, any physical activity training in your daily routine, such as exercise, or running can help with underlying conditions that play a role in erectile dysfunction in a number of ways, because exercising help to reduce the stress, and help you to lose any extra weight, additionally, it helps to increase your blood flow. All these effects together improve erectile dysfunction.

That being said, you should know that the vast majority of cases of ED problems we see in our clinics are due to psychological problems and what makes them harder to treat is that many of these patients refuse to believe it’s just a psychological issue.

Also, watching too much pornography can lead to ED

The key to dealing with this situation is to identify the cause and to treat it accordingly, in your case, I advise you first to visit your doctor again and make some evaluation tests to exclude any medical/physical causes, and if all tests came up negative then maybe you need to see a psychotherapist to advise you on how to deal with any stress and/or performance anxiety, if any.

Oral ED medications like Viagra and Cialis can correct some of the mechanical reasons for erectile dysfunction, along with a healthy lifestyle of course (healthy diet and exercising), but these medications don’t work well for every case, thus 2nd choice we may try is injections (such as Bi-Mix and Tri-Mix).

If these 2 options didn’t provide much improvement, we consider penile implants.

I hope this answers your question.

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