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Long term depression and Erectile dysfunction.

Hello Doctors.

Please some body helpme,I am suffering from long term depression and erectile dysfunction, Low Semen Volume and urine drops after urination. I have used using Kali phos and agnus castas for 15 days, my errection improved but again it is getting worst now a days i am using Yohimbinuim and keli phos and Passifloura for better sleep. the quantity of sperm is very low. Less than a spoon. No sexual desire. I also
need medicine for my depression which can improve my neurotransmitter cycle. I
want alternate of sertraline for my serotonin and dopamine. I think keliphos
is not enough for me.
My sleep is very disturbed by meaningless dreams. Please help me
answers of all the quastions are as follows.
1. Age,sex,weight,body and face appearance, country, occupation.
Age 33, weight 73kg, athletic fair color but dull skin. Pakistan. Business.
2. Main complaints and other associated troubles.
a)Where is the trouble; The exact locality of the complaint like
hands,legs etc; duration of trouble.
ANS. Depression and erectile dysfunction, urine drops after urination. Numbness in arms and legs. Muscle pain while working. Even while office work.
b)What exactly do you feel, Sensation as pain, how pain feels or burn etc.
ANS. I feel pain on muscle which I use.
c)What are the factors that causes this trouble according to you.
ANS.I think becz of depression.
d)Condition under which the complaint is reduced or you feel better
like,cold or hot application,cold or hot weather,position as
standing,walking,rest etc.
ANS. Condition improves little bit only when I use sert 100mg.
e)Condition under which the complaint is increased like,cold or hot
application,cold or hot weather,position as standing,walking,rest etc.
f)Any other complaint any where in the body.
ANS. Week memory. And unconsciousness.
g)Onset time of troubles in detail, i.e which came first, after
that what problem and so on.
ANS. Weak erection. Wet dreams almost daily. Stomach disturbed. Then unconsciousness then weakness. And then lost sexual desire. Before that I used to have lot of sexual desire. I use to have phone sex with my gf daily.
h)Treatment method adopted and its result.
Unani herbal treatment and situation got worst.
3. History of diseases in family.
Mother also has depression
4. Personal History.
a)About childhood.
ANS. Used to be a sharp student and funny
b)Academic performance.
ANS. Till 7th class I was good student then started got bad.
c)Any major incidents in life and the effect of it on life.
d)How you are satisfied with your sex life, friends, family
members, company etc.
ANS. My marriage life is good my wife supports me.

5. Habits/Addiction.
a)Smoking, Alcohol,Sleeping pills, Laxative etc.
ANS. Nothing
b)Masturbation and frequency.
With one day gap.
6. How is your Appetite and Thirst.
ANS. Normal

7. Likes and Dislikes.
a)Alcohol Bread Butter Bitter Salt Sweet Sour Fats Milk Mud Chalk
Egg Spicy food Meat Fish Fruits Fried Food
Warm food-drink Cold food-drink Ice Ice cream Chocolates Tea Coffee.
ANS. I never used alcohol I like sweet egg fruits fish and spicy foods. I don't lime ice cream and chocolate. I take 2 cups of tea daily.
b)Anything else about like and dislike of any activity with you or
ANS. I love to watch movies and enjoy frnds gathering.

8. Bowel movements.
a)Nature of stool, frequency, satisfactory or not.
ANS. Mostly diarhea type.
b)Any discomforts associated with stool.
ANS. Nothing

9. Urine.
a)Frequency, nature, volume.
ANS. Normal. Some time I go frequently for urination
b)Any discomfort before, during or after urination/odour
ANS. Urine drops after completing urination

10. For men.
a)Any difference in erection/want of erection/weak
erection/Ejaculation early/late.
ANS. Very low erection. Early ejaculation.
b)Any other trouble in sex.
No sexual desire
11. For Females.
a)Menses, Regular, Irregular,Early, Late.
b)Duration of menses.
c)Nature of flow, Scanty, Blood colour, Consistency, Odour,
Staining, itching/ when and what makes it worse/better.

12. Sleep.
a)The quality of sleep, the quietness or restlessness of sleep,
position of sleep, times of waking and reasons for waking,
need for cover over various parts of the body,
whether the window must be open or closed etc.
common dreams, peculiar sounds or gestures during sleep, etc.
Ans . more than 9 hours sleep . disturbed sleep with unpattern dreams. Late sleep and late wakeup.
[message edited by ahsan_kazmi on Sat, 20 Dec 2014 21:52:54 GMT]
  ahsan_kazmi on 2014-12-20
This is just a forum. Assume posts are not from medical professionals.

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