24 Comments

Javier

asked 1 year ago

Hello doctors, thank you in advance for your availability and courtesy. I am 42 years old and suffer from erectile dysfunction.

Blood tests: nitrogen, blood sugar, cholesterol etc. normal

Total Testosterone 5.39 was to be between 2.50 and 8.50

Basal penile Edoppler: no problem

Testicle ultrasound: left testicle modestly reduced in size due to previous twisting of the funiculus

Prostate ultrasound: inhomogeneous ecostructure with median calcifications, normal volume

Normal urine tests

I have been prescribed cialis 5mg every day for a month, but I have not had any appreciable results. Can you give me some advice as to how I get a higher dose of Cialis without a doctor prescription? I am figuring, if my doc approved of Cialis in the first place, it is safe for me to take it?

1 Answers

Dr Kaufman Staff

answered 1 year ago

Hello, Javier! I believe it is better to re-evaluate the reasons for his erectile dysfunction with a good andrologist… the tests you report are not enough and they are probably incomplete and not very centered on the factors involved. The hormonal profile must be assessed in full and not only in testosterone and the relationships between hormones must be assessed. The oxidative metabolic profile and vascular status (FMD test) should be evaluated. The prostate quadror must be kept in mind and evaluated with the pelvic-prostatic doppler phase. Once the situation is well framed, the therapeutic route can then be adequately decided on. More importantly, any dose adjustment should be discussed with a medical specialist.

This said, there are reliable telemedicine services that exempt you from the necessity to appear physically at the doctor’s office. Or at least the telemedicine specialist will be able to tell you if you can skip another examination when you answer their questions. A new prescription for a bigger dose of Cialis will be issued for you remotely if the specialist considers this as the best course of actions. Hope I have outlined your prospects comprehensibly!

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