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Urology/Weight loss and sexual problems

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Question
I am using following medicines for Blood pressure, Diabetis and  cholesterol: Atenolol 50 mg, telmisartan 40mg(one tablet daily), Onglyza,Metformin 500mg(one tablet daily),Atorvastatin  10 mg(one tablet on  alternative days). My weight was 76 kgs until some years ago, now it has come down to 61 Kgs. Also, I do not feel any pleasure during ejaculation and for the past some months the volume of semen is also very less. I do not want to lose weight to such a low level.  I stopped using Atorvastatin for two months and found some improvement in my sexual functions but as my LDL level rose to  more than 100, the treating  doctor advised me to restart using atorvastatin and to discontinue using Onglyza and instead use one tablet of Actos(pioglitazone)daily.Please let me know which medicine causes my drastic weight loss and sexual problems and discontinuing Atorvastatin will cause problems for me?

Answer
Govindan:

I cannot address your weight loss issue as that is out of my field.  With blood pressure and diabetes issues, it is very likely that you would have some erection trouble.  Once your weight and other issues are settled, it will be easier to deal with the ED.  You can discuss possible side effects with your other physicians as they will need to decide which ones can be adjusted for you.

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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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