How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Chip Your Own Question

Dr. Chip
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 22274
Experience:  Over 20 yrs of Family Practice
Type Your Health Question Here...
Dr. Chip is online now
A new question is answered every 9 seconds

FOR DR. CHIPHi doctor. I asked you a question on my old

Customer Question

FOR DR. CHIP

Hi doctor. I asked you a question on my old just answer account here is our chat: http://www.justanswer.com/health/7u7aj-hi-question-regarding-suppplements-medications.html
I told you I had libido problems, both not getting hard too often and also losing the erection suddenly. Other problems that I commented were getting all exhausted for a few days after doing sprints.
So here is the bloodwork on the link below I got done in January. Hopefully we find a solution : )
http://www.flickr.com/photos/96982319@N05/9275726570/
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Chip replied 1 year ago.
Sorry-- I was off when you posted. Let me know when you're back on
Customer: replied 1 year ago.

I will be on today after 6pm eastern time.


Let me know what time works for you : )

Expert:  Dr. Chip replied 1 year ago.
After 6 will be fine
Customer: replied 1 year ago.

Hi. I am online. Whenever you are ready

Expert:  Dr. Chip replied 1 year ago.
OK. For the most part I see nothing too specific in your blood work. And, sorry but we didn't discuss your erection problem on the other page so could you tell me more about it?
Customer: replied 1 year ago.


yes.. sure.. I don't get hard too often and when I do and I am inside a girl I lose erection easily. Also I come quickly.
That is sort of recent. It is been like 2 years

Expert:  Dr. Chip replied 1 year ago.
You lose the erection because you come too quickly? Are you saying that you get a full erection when you do but sometimes you don't get one at all?
Customer: replied 1 year ago.


I get erections 90% full and I lose them suddenly..I get soft.. in the middle of the intercourse.
The days I do physical exercise I don't have high sex drive.

Is this all related to testosterone levels?

Expert:  Dr. Chip replied 1 year ago.
No, it's not a testosterone problem, even for men with truly low testosterone levels and yours aren't that low. The libido part can be but testosterone isn't really involved with the erection mechanism. Have you talked to your doctor about this?
Customer: replied 1 year ago.


yes, he said it was a testosterone problem (before he saw the results of the exam) and he prescribed me Cialis (5mg a day). He said if I took it for a couple of months then I could stop taking it and I would be good!

Customer: replied 1 year ago.


so I took it for a month. still had the "getting soft" problem and didn't take it anymore

Expert:  Dr. Chip replied 1 year ago.
Sorry for the delay--just to be sure here, not only do you have the premature ejaculation problem but there are times when you just lose the erection without reaching climax and ejaculating?
Customer: replied 1 year ago.


yes!

Expert:  Dr. Chip replied 1 year ago.
OK. Are there any times when you have a full erection and can have, say, intercourse for better than five minutes and then ejaculate?
Customer: replied 1 year ago.


more than five minutes? rarely..
When it is more than five minutes it is because I got soft so I stopped then begun again

Expert:  Dr. Chip replied 1 year ago.
OK--just one more question--when you do achieve an erection does it matter whether you're on your back as opposed to being on top or kneeling from behind or standing up as to how soon you lose it?
Customer: replied 1 year ago.


I don't think it makes any difference

Expert:  Dr. Chip replied 1 year ago.
OK--and we can continue here if you need. The reason I asked about the positioning is that there's something called a venous leak where the blood drains out of the penis too quickly and it is much more obvious when lying down than when sitting, kneeling, or erect. I really don't think that's your problem, but a urologist could check it out. It sounds as though--and don't take this the wrong way--that your problem is basically from the neck up (mental) and not a physical condition. That's certainly true of premature ejaculation and it could also explain why you lose the erection without ejaculating. It's a matter of performance anxiety and it can be a self-fulfilling prophecy once your subconscious gets involved. The treatment for that is cognitive behavioral therapy with a skilled therapist.
Customer: replied 1 year ago.


what about the low libido? Not getting erections

Expert:  Dr. Chip replied 1 year ago.
The low libido could be anxiety or depression or both. Your testosterone level isn't low enough to cause the typical symptoms like low libido. And if you can achieve full erections some times and then there are times when you can't get one at all, that's entirely mental--there is no physical condition that can cause that.
Customer: replied 1 year ago.


One thing I didn't mention is that I have been taking sertraline (before 100mg and recently 50mg)

Expert:  Dr. Chip replied 1 year ago.
For how long now?
Customer: replied 1 year ago.


like 1 year or more

Expert:  Dr. Chip replied 1 year ago.
The sertraline could certainly be the cause of your low libido but it wouldn't be involved with the premature ejaculation.
Customer: replied 1 year ago.

I am going to stop taking it then.
I have recently been researching about how to naturally boost the libido/testosterone and these supplements/vitamins were the ones I found online info that theyd work for this:


SUPPLEMENTS


-zinc-


-Vitamin D-


-fish oil -


- Argenine


-MAGNESIUM


-HORNY GOAT WEED


-TRIBULUS

What do you think sir?

Thanks

Expert:  Dr. Chip replied 1 year ago.
All are fine but with any supplements I'm obligated to tell you to talk to your doctor first. And don't stop the sertarline without talking to him because that needs to be weaned and not stopped cold turkey
Customer: replied 1 year ago.


I am sorry. I didn't understand your last phrase "needs to be weaned and not stopped cold turkey"


 


And the reason I am asking here about the supplements is that I cant afford a doctor anymore : (

Expert:  Dr. Chip replied 1 year ago.
Well, in general an SSRI like that should be weaned--one every other day for two weeks, then every third day for two weeks, then stopped. There can be withdrawal symptoms if you just stop it suddenly. The supplements will be fine

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery