I am 45 yrs old. It's been a month, I have ED problem. I've married for 15 yrs now. My wife is so eager to have sex all the time. I have a arousal problem even if does sometimes, does not last too long. I talked to my doctor. He gave me Viagra but did not help. He did not even did any tests why am I having this kind of problem. I have also startrd doing the workout since last week. Maybe this helps.

I am thinking of changing my doctor. Also if anybody knows any speciality doctor to go to for this ED problem (what kind of doctor?? )

Thanks

You need to find a new doctor. Odds are 99% at only 45 years old there is a medical condition that's causing this that needs treated. Diabetis, heart disease... there are a number of possible conditions that could be at play here. The human body is a complex organism... and everything has to work correctly in order for THAT to work as well.

Was this a general practitioner?

Did he even talk about the things that can cause ED? Medications? Blood pressure issues? Other vascular issues? An imbalance in hormone levels? Smoking? Stress? Illness? Mental blocks? A lack of exercise? And on and on and on..?

Did he check your blood pressure, check hormone levels? Ask about nocturnal erections?

ED can be caused by one "big thing"... like when meds mess with a person, or vascular issues are advanced... or it can be the summation of many things... a little hardening of the arteries with age (note this Isn't plaque buildup... its just the potential for elasticity loss in the vessels over time)... a little less exercise... throw in some mental blocks from previous ED issues and maybe some desensitization toward sex in general and a loss of some mystery with your partner... same thing.

Go to a urologist that does a lot of ED work, or see if a fertility clinic offers ED help. Find someone who is willing to address this issue as a potentially multifaceted issue.

The first thing that should be done is your overall health should be evaluated. Including hormone levels. Is your testosterone level off? Are you on meds that complicate this? Can you make lifestyle changes that can help inch you toward better sexual response? I find it hard to believe that a person is doing "all the right things" right out of the gate... I can tell you there's probably three things id have to personally address immediately if I had ED issues... most of us don't live "perfectly"...

Couple of questions...

Do you get nocturnal erections? Wake up in the middle of the night with a quality erection? Most men have more of these than they are aware of... but have you recently had occasions where you have woken up at night with a quality erection? A doctor can test for this... and a lack of quality nocturnal erections can show physiological cause... where getting them might show you have mental blocks (in addition to potential physical issues) that might need to be addressed.

Do you get regular exercise or are you cleared for exercise from your doctor? Exercise alone has been shown to help nearly half the men who were both obese and having ED issues. The ED issues could be tied to self image or/and real improvements in fitness.

Likewise, you are likely very much dealing with anxiety about ED, which can cause ED... such an ugly cycle.

Have you a history of depression? Stess?

Does your wife respond well to oral on her first to completion or near it, or is she willing to self stim while you are inside her? With her finger? With a small clitoral vibe? All I'm trying to do is make you two have some "wins"... find ways to get her there and then perhaps let you focus on yourself... it isn't a long term solution, but it can help remove some of the frustration you have about lasting for her.

And I would definitely include her in your talking to a specialist who is willing to work you through this. She needs to know you are doing what you can do, you are being active about this, and you are interested in trying to find ways to satiate her as well.

I would absolutely make sure you have a physician, preferably a specialist, who is willing to work as hard as you are to find where problems might be.

[edit in caps, underlined,]
And... you might find a change in ED drugs can help... men who used a LONGER acting ED drug versus a SHORTER acting drug tended to show better response with a bigger window... not feeling "rushed"...

Remember that additive effect... a lot of little things can add up to an ED problem... and sometimes removing a few things can solve the problem. No guarantee, of course.

Glad you are taking this issue on. Ask your doctor for local specialists, or seek them out yourself. Shop around a little until you find someone... ask to meet with the specialist and specifically ask them about their course of treatment/evaluation.

If its just another "pop a pill" doc, walk out.

Saw an important error in my first post... I stated that a shorter acting ED drugs was favored in a test versus longer acting... this is completely the wrong statement and has been corrected.

In the study men were first given viagra and used it for a period. Then they switched to cialis, which can be taken farther in advance and remain concentrated enough in the body to be effective throughout a broader window... why some call it the "weekend pill"... more time to find the right time to make time.

So... important correction made.

Haven't read enough or heard enough feedback about the newer "daily" cialis versus the "36 hour" version...

Anyway, there's the correction. I know the OP'er didn't have success with viagra, but that doesn't mean ED drugs couldn't help if all other avenues have first been addressed.