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Dr. Stan
Dr. Stan, Medical Physician and Surgeon
Category: Medical
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Experience:  Johns Hopkins Fellowship Trained, Certified and Licensed Medical Physician and Surgeon
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Cold feet and hands and erectile disfunction

Resolved Question:

cold feet and hands and erectile disfunction
Submitted: 6 years ago.
Category: Medical
Expert:  Dr. Stan replied 6 years ago.

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It is likely that you are experiencing the neuropathic symptoms of peripheral vascular disease - specifically arteriosclerosis (narrowing of small blood vessels) of the hands, feet, as well as in the penile blood vessels. This is often due to increase blood bad cholesterol accumulation. Other causes of such symptoms include deficiencies in Vitamin B6 and/or B12, or connective tissue/collagen vascular condition. The best means to determine the specific cause, and hence better design treatment is for him to follow-up with his doctor for closer evaluation with blood tests including complete blood count, fasting lipid profile, ANA, ESR, C-reactive protein, TSH, and ankle-brachial index. If this is due to increased blood cholesterol, he would need treatment with cholesterol lowering medication depending of the level and other associated coronary artery disease risk factors. If this is related to an underlying connective tissue or collagen vascular condition, then specific treatment would be used. In the meantime, I suggest that he use over the counter B-complex vitamins, especially B12 and B6. Also, he doctor can temporarily prescribe Viagra, Levitra or Cialis to help relief the symptoms and distress of erectile dysfunction by improving blood flow into the penile blood vessels to facilitate prolonged erection.

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