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. have a deep concern. A 24 year old walks into my clinic 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!

Right now, Uro Surgeons who have been practising Microscopic Varicoclelectomy swear that surgery helps in terms of improving pregnancy rates. With Microscopy, complications are kept to a minimum. However, others are not that enthusiastic. Well, to me, being a reproductive micro surgeon, the choice is simple. I operate.

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.