Expert: Dr. Prasad R. Chandragiri - 10/12/2009

Question
dear doctor,
          i have already interacted with you in recent times.but i coudnt start the medications right away.just to remind you,iam 40, married 9 yrs.no issues.normal b.p & normal blood sugar,cholestrol little on a higher side 256.lack of libido,severe ED(especially maintaining the erection).i dont derive pleasure upon touching my wife.but i manage to get erection by diverting my mind esle where.but could not sustain the erection for long.even penegra is not much of a help.though i get rock hard erection at foreplay,but again it become soft at the time of penetration.occasional mild dizziness & occasional double vision,which lasts for 2 to 4 minutes.anxiety,restlessness,getting deppressed & sad without any reason,nervousness,sweating ,social phobia,poor memory & concentration,learning difficulties off late.heaviness in head & eyes followed by headache.complete lack of interest in work.had suffered panic attacks of anxiety in the past.harmone profile(3 yrs back) like L.H,F.S.H.PROLACTIN & TESTOSTERONE was normal.thyroid profile(recent) is normal.my prob could be OM since childhood.done hand practice like a pervert.
        since last 4 months,i had noticed that my mind goes completely blank or is it altered awareness.the onset is sudden & lasts for 2 to 4 seconds.this is very rare & happens in a  conscious state.i have to shake my head to come to a normal state.i fear riding or going out for some time.i think what if it recur & i may fall with a stroke.and this has given rise to my anxiety.all these(double vision,dizziness & altered awareness may be interconnected with one another.there is confusion in the mind body chemistry.i was forced to see a nerologists who conducted a thorough physical exam & said everything is normal.but for the double vision he suggested me to take an MRI of the head(limited study).both the optic nerves & rest of the things are normal.final impression:mormal MRI of the head.he prescribed a simple vitamin tabs for 1 month(1 tab a day).and if this doesnt work,he will further ask me to get EEG done to rule out any fits in it.
        i had severe setbacks as far as my business is concerned for some time.i think this could be anxiety.anxiety arising out of the ill effects of OM.AS YOU BELIEVE ENYTHING DONE IN EXCESS IS DEETEROUS to health.earlier you had suggested me to take acidum phosphoricum 30 c, 4 pills twice daily/1 month & ferrum phos 6x, 4 pills thrice daily/1 month.one month of medication is enough for me?. do i need to take it for more?.would you like to add something as my condition is not just ED.is it appoprate to take your pills along side with the vitamin tab which the neuro suggested.
       i have oligospermia with poor motility & mild bilateral varicicele with reflux present.i had taken lots of all forms of medicines in the past for ED & sperm count without much results.
       kindly brief me accordingly.thankyou very much.  

Answer
Dear Arif,
         Considering your problems, I suggest that you now stop taking Acidum phosphoricum. Instead of this, take Acidum fluoricum 30C, 4 pills twice daily for a month. Continue with Ferrum phosphoricum as recommended earlier. You can certainly take the vitamin tablets prescribed by the neurologist. I don't think they will harm you if taken only for a short time period. Alternatively, you can eat a lot of fruits and vegetables so as to get vitamins naturally. Thank you.