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Dr.Anil
Dr.Anil, Doctor
Category: Medical
Satisfied Customers: 8529
Experience:  M.B.B.S.M.D with over 30 years of experience in this medical field.
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I cannot achieve any kind of erection, even with

Customer Question

I cannot achieve any kind of erection, even with masturbation. Very scared. Age 63 white male. Very low T, in the 300's, and free testosterone is for a 100 year old man per chart and my blood work. What can I do and who should I see as a specialist?
JA: In general, how has your health been lately?
Customer: So, so. I feel very tired much of the time and don't sleep well. Annual physical scheduled next month. Blood work in May looked good with exception of issues above.
JA: Anything else in your medical history you think the doctor should know?
Customer: Can't think of any.
Submitted: 4 months ago.
Category: Medical
Expert:  Dr.Anil replied 4 months ago.

Hello and thanks for trusting me to help you. I am a board certified consultant with over 30 years of experience.
I understand your concern.

Well as you are suffering from Erectile dysfunction with low testosterone levels so now line of treatment may include

Testosterone replacement therapy
Sildenafil (Viagra), vardenafil (Levitra) and tadalafil (Cialis).
Use of intraurethral suppositories,the vacuum device, and intracavernous injection.
Placement of a penile prosthesis. This is a surgical option.
Combination therapies like
Sildenafil Plus Intraurethral Prostaglandin E1
Oral PDE-5 Inhibitors Plus Intracavernous Injection of Prostaglandin E1
Sildenafil Combined with an Oral Alpha-Antagonist
Intracavernous Prostaglandin E1 Combined with Oral Alpha-Antagonist
Vacuum device and intracavernous injection therapy
Testosterone Plus Sildenafil
For treatment you need to see a Urologist for further evaluation and management.
I hope this helps.
Let me know if you have any further query so we can discuss it thoroughly in every aspect.
Please use the REPLY/SEND BUTTON to reply back to me. It's request to avoid poor/bad rating.
It’s my pleasure to continue this conversation until you satisfy.
Waiting for your response.
Thanks.

Expert:  Dr.Anil replied 4 months ago.

It's my privilege to help you if you have any further query regarding your this health issue.
May I help you further?
Waiting for your response.