Hello Doctors;
I am a 26 y.o. male (6’2", 200lbs, +5 years resistance training) who has more recently been experiencing erectile dysfunction. In addition this, I have experienced low libido, difficulty sleeping, daytime fatigue/inability to focus. After discussing this with my physician, we scheduled a blood test (CMP, CBC, lipid panel, testosterone), and he prescribed a trial of sildenafil (viagra). In short, there were no red flags from the blood test, and I have not experienced significant differences when using the sildenafil. I rarely get spontaneous erections anymore throughout the day, which leads me to believe that the problem is not purely psychological/anxiety related.
I have heard that there is a relationship between ED and sleep disorders, so I was wondering if it would be worthwhile to look into a sleep study. As far as sleep apnea goes, I sleep on my side and have never had anyone report me snoring/choking in my sleep. According to the STOP-BANG questionnaire, I might be at risk due to the following factors:
-Tired/Sleepy: (subjective, but something I have experienced, especially now that I am catastrophizing about ED).
-Blood Pressure: Said yes, although mine is only slightly elevated, (when measured with a cuff at home, my systolic is usually between 120-135mmHg. Diastolic is well within normal).
-Being male
As always, I appreciate any insight or advice that you could offer.
Thanks for the post and I hope you’re doing otherwise well. Just a note, posts like these with very specific medical questions, medical tests, etc. are firmly within the scope of professional consultation and I would advise others in the future to consider a consultation with us or their physician. We will be unable to answer most of these types of questions specifically due to lack of information and medicolegal concerns.That said, a few thoughts:
I would agree that a referral to a psychiatrist is warranted in these situations
The IIEF may be useful for detecting clinically relevant changes
blood pressure is elevated if it’s > 120, which would likely respond well to lifestyle changes
Sleep studies should be driven by clinical evaluation and relevant instruments. the STOP BANG questionnaire can be useful in addition to other tools regarding parasomnias.
I think the first two items here would be highest on my priority list.
Have you been able to adjust your libido? No matter how many times I try to take tests for vitamins or hormones, everything is always fine, but for some reason it does not solve my problem with an erection.
Have you been able to adjust your libido? No matter how many times I try to take tests for vitamins or hormones, everything is always fine, but for some reason it does not solve my problem with an erection.
Some men have lifelong conditions that have never been treated; others have symptoms that come back periodically or first appear and take a long time to go away.
Hey, Wields. It’s been a while since your last appearance here. I hope you’re doing fine now. I appreciate your approach to the issue. People are mostly too lazy to visit a doctor or take tests. That’s great you’ve done it. Good job.
Hey, Wields. It’s been a while since your last appearance here. I hope you’re doing fine now. I appreciate your approach to the issue. People are mostly too lazy to visit a doctor or take tests. That’s great you’ve done it. Good job.
Hey, Wields. It’s been a while since your last appearance here. I hope you’re doing fine now. I appreciate your approach to the issue. People are mostly too lazy to visit a doctor or take tests. That’s great you’ve done it. Good job.
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