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Urology/ERECTILE DYSFUNCTION

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Question
IM 50 IN GOOD SHAPE(WORK OUT)NOT SEXUALLY ACTIVE UNTIL RECENTLY WHEN I MET SOME ONE. MY ERECTIONS AND DRIVE WHERE JUST NOT THERE.TOOK NATURAL SUPPLEMENTS AND THEY USE TO WORK, MAYBE I WAS YOUNGER? STARTED TAKING CIALIS 5MG DAILY.MY DOCTOR SAID MIGHT NEED MY HORMONES CHECKED.EVERYTHING WAS BETTER UNTIL PAST 30 DAYS OF TAKING CIALIS.THE ORIGINAL PROBLEM PLUS DISCOMFORT/SLIGHT PAIN IN THE RIGHT UPPER RIB CAGE AND RIGHT REAR SHOULDER BLADE.COULD THIS BE A SIDE EFFECT(GALLBLADDER/KIDNEY) OR ????

Answer
JC:

I suspect the cause of your pain has nothing to do with the cialis.  Such discomfort would not be considered a common side effect of cialis.  You should discuss this with your local physician.

Checking hormones (testosterone) level is reasonable.  

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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