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Sexual concerns in young men – PDE5’s are not the answer!

LEO ( libido, erection, orgasm ) is what men crave for. For most men, it happens automatically. For others it is a Himalayan task if you are on this side of the world.

I have a deep concern. A 24 year old walks into my office and says he is not happy with his erections . “A little premature with the ejaculation doc”! “My penis appears to have shrunken in the last 6 months”. He is in a state of acute depression . Now that’s not even half my concern . I see a prescription that he has and my heart does a somersault. He is put on 100 tablets of Viagra or an equivalent!

No matter how much I try, I am unable to fathom this . When you take a pill at 24 yrs you are bound to take them for the rest of your life as these pills have great addiction potential purely for psychological reasons . After this you are hooked and cannot perform without them! And realistically what are the chances that you have a problem which is physical and not psychological?

Most young unmarried men especially in India , do not need pills like Viagra ! They need reassurance and positive feedback saying that they are normal . It is important to query the physicians about possible side effects before commencing treatment!

To sum up, most young men do not need PDE5 inhibitors ! It is essential to get evaluated before commencing treatment ! It is imperative that the lowest possible dose is started first ! Finally, I would put these men on micronutrients and antioxidants which go a long way in maintaining general well being without the potential side effects of other pills.

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