Edguider Online Blog on ED, viagra, cialis and levitra

EDGuider Tests a 3 step Program to help Erectile Dysfunction in Young Men

Last month we blogged about an interesting new concept of treating erectile dysfunction through an online consultation with a doctor. While this is not substituted for a face to face consultation, it can provide some insight and help for men who are too embarrassed to face a doctor personally.

The EDGuider staff organized a test with one of our EDGuider forum members (wants to remain anonymous, but let’s call him “Steve”) who has “performance anxiety”. This particular test focuses on Erectile Dysfunction in young men, which is mostly due to hypertension, performance anxiety or another related psychological problem.

“Steve” says his case is not extreme and he takes 20mg Cialis 2 times a month to be able to have intercourse with his wife. Although the Cialis is effective he wants to know if he can lean off it and try to get erections back naturally.

We set “Steve” up with Dr. Rynne from Ireland, who is known for treating ED in younger men. We did a report about him last month; you can read up on it here:

Treating ED Caused By Performance Anxiety In Young Men

Now, Dr. Rynne offers several different consolations for sexual dysfunctions, they are:

* Erectile Problems in Older Men
* Erectile Problems in Young Men
* Excessive Pre-Ejaculation Help
* Premature Ejaculation Treatment
* Delayed Ejaculation Treatment
* Retrograde Ejaculation Treatment
* Propecia Erectile Problems
* Testosterone Replacement Therapy

More helpfull resources:

Erectile Problems in Young Men
Viagra vs Cialis
Ask Men Performance Anxiety
Psychological Erectile Dysfunction and Performance Anxiety

“Steve” is only 29 and would be considered a young man so he went with “Erectile Problems in Young Men”. The below information is the step-by-step procedure Steve underwent with Dr. Rynne:

STEP 1 download the eBook (3 pages)

1. Steve ordered the consolation from Dr. Rynne and received a PDF guide “introduction” on “Erectile Dysfunction in Men under 50”. It consisted of an overview of its incidence, causes, consequences, management, and potential treatment. This eBook provided a 3 step guide on:
1. Incidence, Causes, and Consequences of Erectile Dysfunction
2. Medical Management of Erectile Dysfunction
3. Your Online Consultation

STEP 2 the Questionnaire:

1. Questionnaire. Once finished with the eBook, Steve proceeded to the questionnaire where he was presented with these questions:

Your First name:	Steve
What country do you live in?	South America
Age?	29
Occupation?	Sales and marketing
Are you taking any prescription Medication?	YES
Please provide details of medication	I take Xanax for anxiety sometimes, max 2 1mg pills every weekend. I also take Cialis sometimes on weekends and it helps me get an erection. If I do not take Cialis or Viagra it I cannot get one because I always worry about not getting it.
Are You Taking Any Herbal or over the counter Medications?	NO
Are you taking any illicit drugs? cannabis, cocaine, speed, opiates etc	NO
Are you now seeing a doctor for any medical problems?	YES
Please provide details of medical problems	I have before seen a UROLOGIST and got a Doppler test. The doctor said I was fine and just gave me the prescription for Cialis. I have also seen a doctor for muscle spasms in my back that I got from lifting weights in College.
Have you had any surgery in the past?	NO
Weight ?	72 kilos
What is your average blood pressure?	Not sure?
Have you had any PSA in the past?	NO
Have you been checked for diabetes and with what result?	YES – Came back ok. But my father has type 2 diabetes.
Do you have a family history of diabetes?	YES FATHER
Do you have a family history of early coronary artery disease?	NO
Do you smoke tobacco?	YES
How many cigarettes cigars a day	3 a week
Do you consume alcohol?	YES
How many units of alcohol per week	2
Questions regarding your Sexual Dysfunction
In not more than about 100 words, describe your sexual dysfunction.	I have a psychological issue. I am always worried that I cannot get an erection and it affects my relationship with my wife. We have sex about once a month and this is thanks to Cialis. I take half a 20mg Cialis and can start to feel it in about 4 hours. But I can get erections by myself when I watch porn.
For about how long have you been having difficulty with this problem?	8 years
Can you describe the first time it happened?	When I was 18 I had sex a few times. The first I was too nervous and could not get an erection for a beautiful girl that was going to give me oral sex. The next times we tried it I was able to get one then no problem. Then when I had a steady girlfriend I could not get an erection to save my life. I was always scared I would not be able to please her. She is a model type looking girl. Very beautiful. I am also not bad looking but insecure, so no erections when I want them
What have you done to try and solve the problem? How successful was this? ( 10 being excellent)	7
How do you rate your libido or sex drive?	9
If your problem is erectile dysfunction how do you rate your morning or sleeping erections in terms of frequency and strength?	3
Please rate your stress levels at home with wife/ partner. (0 = no stress.)	6
Please rate your stress levels at work. (0 = no stress.)	9
To what extent does your Sexual Dysfunction threaten this relationship?	7
What is your explanation as to why you have this problem?	Anxiety, stress and fear of not pleasing. I have been suffering with this for years. I also watch porn a few times a week and think I might have a small addiction to it. I can always get an erection with porn. But when it comes down to having real sex it is hard. Even if I go to a strip club it is hard getting an erection watching beautiful girls get naked. I believe my fear of failing, stress and anxiety are the main problems.
Are you currently in a stead stable relationship?	YES

Once Steve completed the questionnaire he waited for Dr. Rynnes evaluation. Within 24 hours Steve had a response to his questionnaire in his Inbox that read:

STEP 3 The Consultation:

Response Dr. Rynne

————email 1————
Hello "Steve".
March 10th 2011.

Thank you for completing your medical questionnaire and for committing to this online medical service. It made for interesting reading.

The really good thing about your situation is that you see it very clearly for what it is — classical performance anxiety erectile dysfunction. You are not in any way in denial as so often is the case. Being straight up, as you clearly are, makes complete recovery so much more likely.

I would just make these points as they occur to me – not in any particular order:

1. You have a lot of background stress for which you take the occasional Xanax. This is very understandable but you might consider dealing with your work-related issues in more practical ways. If its people, talk to them, have it out with them. If its sales pressures talk to the boss and ask that he back off a bit. You know, do any and all practical things that need doing. Stop putting these off and just hoping for the best. That is not going to work. You have a right to some peace and quite like all of us have.
2. Outside of work consider meditation or self-hypnosis or yoga or the music you love while walking or exercising. Take a siesta and have quiet moments. Phase out the Xanax because there is no future in whitewashing stress that needs to be confronted and dealt with now.
3. Your porn watching or whatever is not a problem and serves to demonstrate that you difficulties with erections are not physiological.
4. Taking the occasional Cialis is not a problem and will not do you any harm long or short term. If you wish though, you can do exercises that will bring about a situation where you will not need them any longer.
5. You will have read by short e-book on ED in younger men. Maybe your wife might read it too. Talk to her lots and make sure that her sexual needs are met and that she understands that your ED is your ED and has nothing to with anything that she is doing or not doing. Try taking intercourse off the menu a few times and just pleasure each other. Tell her you’re going on strike, have a laugh and ask her to do all the work. Its only sex. You will be fine. Feel free to revert if you have any questions. Thanks again.

————email 1————

————email 2————

Response Steve:

Hello Dr. Rynne
March 10th 2011.

Thanks that was very helpful. I read all your points and agree with you on them all.

I am glad that the porn watching is not a cause of the ED, which I initially thought it might be. The Xanax is very occasional and I only take it when I feel to much stress. This month I have only taken 1 1mg Xanax pill. I will however try to phase this out and replace it with relaxation or meditation.

I only have one question:

Will taking Cialis 2 times a month make me become dependent on it forever? Or will my body get use to it after so many years, resulting in it not working anymore?

Thanks again for your help and consultation.

Oh and I will forward this to Paul so he can keep track of it. I told him it was OK to document and blog about this.

Thanks
Steve

————email 2————

————email 3————

Dr. Rynnes final answer:

Hello "Steve"
March 11th 2011.

Steve. Glad I was of some help. The Cialis will do you no harm and you will not become "dependant" on then other than in the sense that you may say to yourself (in your subconscious mind of course) "Oh, I did not take my Cialis, oh now I will not be able to get an erection!" The placebo effect. You will be fine. Good luck.
Andrew Rynne. MD.

————email 3————

Video with Dr. Rynne:

EDGuider Conclusion:

For those of you suffering from performance anxiety and are less than 40 years of age. Getting some professional advice from a Dr. could be the start to recovery. He will be able to tell you why you have ED and what your options are. Medications such as Cialis or Viagra can help but not solve the problem. As mentioned by Dr. Rynne, you cannot become dependent on Viagra or Cialis but if you keep on taking it you will have the “Placebo effect”, which means your mind will only relate having erections with taking a pill