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| hos
- Fri Oct 16, 2009 10:29 am |
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Dear Dr.
I'm 37 y Guy, slim , normal, having some high uric acid,facing byrouny problem since i was 14,and not doing any exercises.
i suddenly discover that the erection getting less in time, and less hard at erection time. it's really annoying. can u help?
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| Dr.M.jagesh kamath
- Sun Oct 18, 2009 9:27 am |
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 Hello,A study of literature does not show any relationship between gout,or medication like colchcine to erectile prolems.There are drugs like some antihypertensives,antidepressants associted with erectile dysfunction.But then the question is are you able to sustain erection enough for penetration?ED is a common codition associated with conditions like diabetes,vascular disease,alcohol,and cigarette smoking.While psycological factors are commonest medical conditions need to be ruled out.This problem could be minimal,moderate,or complete.Performance anxiety is common psychological cause.Nerve distrubances like neuropathies,blood vessel problems like atherosclerosis and endocrine problems need to be ruled out.As to whether it is psychological or organic could be found by as to whether erections occur when sleeping.This test is known as noturnal penile tumescence test NPT.Also doppler studies would give idea about blood supply problems.Do get invesigated and therapy would depend on the condition.Best wishes.
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