new girlfriend complaing doc... - ctscanmri

[ArchivalUser]

a 42 year old man comes to u with request to give him sildenafil..
his wife of 12 years died 11 years back and now he s met a 25 year old girl with whom he s sexually active
he a marathon runner and a sportsman and has no other medical condition

with his wife he used to have intercourse 2 times a week and his girlfrined who is more demnading wants it 5 to 6 times and he snot able to keep up to it so he wants sildenafil

ros nl rest of work up nl

next step

a) give sildenafil
b) reassure
c) refer to psychiatrist

[ArchivalUser]

d) do the erectile dysfn work up
e) call the gf and arrange meeting

[ArchivalUser]

a.

[ArchivalUser]

I will pick d.

Because sildenafil only works for ED. You should do ED work up first and then decide what to do next.

[ArchivalUser]

he is marathon runner may be he is using some steroids
i will go with DDDD

[ArchivalUser]

He is a marathon runner this will result in low GnRH.....>low LH and FSH!!!!
So I will advice him to slow down in his running thingi and sure advice and counsil

[ArchivalUser]

aa

[ArchivalUser]

;D

[ArchivalUser]

If you are thinking that becoming an ultra marathon runner or a triathlete will take your sexual encounters to the stratosphere, you will be disappointed. Extreme exercise can actually decrease testosterone level, leading to less robust sex

[ArchivalUser]

work up first
diagnose first and than treat