Please help - Can't get an errection and feel like a failure

[ScoobySnacks]

This is strange, I don't know what to think of this.

Anyway, you should see the Boston clinic or other specialised clinic as soon as possible. But before you do, I have two more suggestions:

a) L-Arginine aspartate
This a natural supplement that can do wonders for your sexual health. My doctor (urologist) prescribed it for me a couple of months ago and I'm very happy with the results. You'll have to take it everyday and you'll only see results after 4 or 5 weeks. For more on this: Prelox ®

b) Trazodone
Have you tried trazodone already? This is a sleeping pill / anxiety drug with a curious side effect: it improves erections. You could take 50 mg every night, before going to sleep to improve your night erections - and these are very important to maintain your sexual health

Haven't tried these yet Flavio. Can you buy them both in your local chemist?

Yeah its strange how I can't get morning erections or hard when I masturbate. Its given me alot of depression as a result. I really wish I knew the answer to whats causing it. Its dam frustrating that's for sure.

[Flavio]

Haven't tried these yet Flavio. Can you buy them both in your local chemist?

Yeah its strange how I can't get morning erections or hard when I masturbate. Its given me alot of depression as a result. I really wish I knew the answer to whats causing it. Its dam frustrating that's for sure.

Yes, you can. Trazodone (generic name) is a prescription drug and PRELOX is a natural supplement.

You asked me about clinical tests to assess the causes of ED. Here's something I found on the Internet (Guidelines on ED by the European Association of Urology):


«Although the majority of patients with ED can be managed within the sexual care setting, specific diagnostic tests may be needed in certain circumstances (Table 3) and are summarized in Table 4.

2.3.1 Nocturnal penile tumescence and rigidity (NPTR)
The nocturnal penile tumescence and rigidity (NPTR) assessment should take place for at least two nights. The presence of an erectile event of at least 60% rigidity recorded on the tip of the penis, which lasts for 10 minutes or more, should be considered as indicative of a functional erectile mechanism (24).

2.3.2 Intracavernous injection test
The intracavernous injection test offers limited information regarding vascular status. A positive test is defined as a rigid erectile response (unable to bend the penis) that appears within 10 minutes after the intracavernous injection and lasts for 30 minutes (25). Such a response may indicate a functional but not necessarily normal erection, since an erection may coexist with arterial insufficiency or veno-occlusive dysfunction (26). Its clinical
implication is that the patient will respond to the intracavernous injection programme. In all other cases, the test is inconclusive, and a duplex ultrasound of the penile arteries should be requested.

2.3.3 Duplex ultrasound of penile arteries
A peak systolic blood flow higher than 30 cm/sec and a resistance index higher than 0.8 are generally considered to be normal (25). There is no need to continue vascular investigation when the duplex examination is normal.

[...]

2.3.4 Arteriography and dynamic infusion cavernosometry or cavernosography
When it is abnormal, arteriography and dynamic infusion cavernosometry or cavernosography (DICC) should be performed only for patients who are considered potential candidates for vascular reconstructive surgery.

2.3.5 Psychiatric assessment
Patients with psychiatric disorders must be referred to a psychiatrist particularly interested in ED. For younger patients (< 40 years) with longstanding primary ED, psychiatric assessment may be helpful before any organic assessment is carried out.

2.3.6 Penile abnormalities
Patients with ED due to penile abnormalities, such as hypospadias, congenital curvature, or Peyronie’s disease with preserved rigidity, may require surgical correction with high success rates.»


I hope you'll find this helpful. You can read the whole text here:

http://www.uroweb.org/fileadmin/tx_e...ysfunction.pdf