Hi Doc P,
London Guy again, well I am now away from my wife on a work assignment and I am experiencing the same problems again - problems in getting and maintaining an erection. I am thinking maybe I should go to my doctor to get a full check up. Read a lot about it in the internet and most likely it is stres related. But I just want to be 100%. I have taken Cialis 20mg once and it was reallly goood,,,,, but if I have to take Cialis everytime than its kinda worrying, Not sure what I should do really, Any ideas plz!!!!!!!!!
Hi London Guy
sorry for the delay in getting back to you.
I would definitely say go to your doc and get a check up. If you're not happy with your doc then contact your PCT and ask for a list of GPs in your area who are accepting patients and switch practices.
If you think it's stress related you could refer yourself to a psychosexual therapist, or you could ask your doctor for this. Some people have said practising meditation can help, although this isn't a proven 'treatment' as yet. Worth a try though.
I wouldn't worry too much about the drug situation at present. The good news is the drug did work for you, as it means if you do need medical assistance this is an option (for many guys the drugs don't work, which can be devastating).
A general check up is worth it just to make sure the problem isn't physical, but that doesn't stop you getting help for you and you plus your wife. Although it may be stress related the fact that it's still a problem while you're on your own could indicate a physical problem - so a GP check is essential. That said, if the psychological problems are deep seated that could cause the same sort of reaction.
Perhaps while you've some time to think about this you could try and work out if there are any particular things that make you feel more stressed/anxious around getting/keeping an erection or sex. I don't mean try and pinpoint the first time the problem happened, but just to see if there are any specific things that seem to be making this a problem (or making it worse).
Finally, this may seem like a daft question, but do you feel like having sex? That's another important thing to share with the doc or counsellor. Some men want sex but can't get/keep an erection, while others don't particularly want sex and have erectile problems as a result. What's the situation with you? (btw you don't have to say here, just need to be aware of this issue to share with the practitioner).
The fact that you can work out what the problem is and want to do something about it, plus that you respond to treatment bodes very well for you being able to improve this situation. Feel free to keep us posted on how you're doing.
Dr P
