I am 64 years old. I am currently taking Repilif tablet due to the possibility of prostate. I have a lot of sex problems. Please tell me the treatment

Hello Anurag ji,

Aapne स्तंभन दोष (Erectile Dysfunction) aur वेरीकोसल (Varicocele) ke baare mein poocha hai — dono hi conditions treatable hain, lekin dono ke liye alag-alag diagnosis aur treatment approach hoti hai.

1. स्तंभन दोष (Erectile Dysfunction - ED):

Yeh condition tab hoti hai jab penis mein erection sahi tarike se nahi hota ya sustain nahi hota.

मुमकिन कारण:

• मानसिक तनाव, anxiety, depression

• कम testosterone levels

• ब्लड फ्लो में कमी (जैसे diabetes, BP ke patients mein)

• धूम्रपान, शराब, poor lifestyle

इलाज:

• तनाव कम करना, lifestyle sudharna

• डॉक्टर द्वारा बताई गई दवाएं लेना (जैसे sildenafil) – बिना डॉक्टर सलाह नहीं लें

• Hormone tests aur Doppler test ki zarurat ho sakti hai

2. वेरीकोसल (Varicocele):

Yeh testicles ke aas-paas ki naso ka फूल जाना hota hai — aksar left side mein hota hai.

लक्षण:

• अंडकोष में भारीपन ya dull pain

• सूजन या नसें उभरी हुई लगती हैं

• कुछ पुरुषों में fertility par bhi asar padta hai

इलाज:

• Agar symptoms mild hain toh observation

• Agar dard zyada hai ya fertility issue hai to Varicocelectomy surgery ki ja sakti hai

HexaHealth Aapki Madad Kar Sakta Hai:

• Urologist ya andrologist ke paas consultation fix karne mein

• Diagnostic tests arrange karne mein (hormone test, ultrasound)

• Ayushman ya insurance ke under treatment karwane mein

• Surgery options aur EMI facility bhi available hai

Swasth aur sashakt jeevan ke liye shubhkamnayein, Anurag ji!

Hello Prabhat ji,

Thank you for sharing your concern — it takes strength to speak up, and you are not alone. Many men face issues like erectile dysfunction (ED), premature ejaculation, low sexual desire, and fatigue, and these problems are often treatable with the right guidance.

Possible Causes of Erectile Dysfunction

The symptoms you're facing may be due to:

• Stress, anxiety, or relationship worries

• Hormonal imbalance, especially low testosterone

• Poor sleep, diabetes, or high blood pressure

• Lack of exercise or poor diet

• Side effects of medication or smoking/alcohol

What You Should Do?

1. Consult a qualified andrologist or urologist for proper evaluation.

   • They may advise a few tests: blood sugar, hormone levels (like testosterone), or an ultrasound.

2. Lifestyle Changes that may help:

   • Get 7–8 hours of sleep

   • Exercise regularly (brisk walking, yoga)

   • Avoid alcohol, smoking, and junk food

   • Reduce stress with breathing techniques or meditation

3. Medications or therapy may be prescribed based on your condition — please take them only under medical supervision.

Wishing you good health always!

Hello Dhananjay ji,

Thank you for sharing your concern. Based on your symptoms — tight foreskin, swelling, redness, and itching for 2 years — it sounds like you may be experiencing a condition called phimosis, possibly combined with balanitis (inflammation or infection of the foreskin and glans).

Why Tight Foreskin Issues Needs Attention?

• Tight foreskin that doesn’t retract can trap moisture and lead to chronic infections.

• Swelling and itching may indicate fungal or bacterial issues.

• Leaving it untreated may cause complications in urination, hygiene, and sexual function.

What You Should Do?

1. Consult a urologist at the earliest. They will evaluate and suggest the best treatment.

2. Initial treatment may include:

   • Topical steroid or antifungal creams

   • Oral medications for infection

   • Improved hygiene practices

3. If the foreskin doesn't respond to medication, circumcision or preputioplasty may be required.

Benefits of Circumcision (Especially with Modern Techniques)

If recommended, laser or stapler circumcision offers several advantages:

• Quick procedure (10-15 minutes)

• Minimal bleeding and less pain

• Faster healing

• Lower risk of future infections

• Better personal hygiene and reduced chances of UTIs

• May improve sexual comfort and confidence

These advanced methods are safer, more precise, and help you return to normal life much quicker than traditional surgery.

How HexaHealth Can Help You?

• Book a trusted urologist consultation in Thane or online

• Assist with cost-effective laser or stapler circumcision

• Support with insurance, Ayushman Bharat, or EMI options

You're taking the right step toward better health, Dhananjay ji. Let us know if you’d like help scheduling a consultation.
Wishing you a smooth and speedy recovery!