A 32 year old obese man contacted me for sexual problem. He
reported to me “I have lost my erection what was I having two years back and
desire.” He also reported “actually day to day life main stress kuch jada hone
se neend bhe nahi aati, bahut kacchi neend hain, halki awaaz se bhee khul jaati
hai, aur acidity ki problem bhe bahut hai.” He also reported “thakawat bahut
jada lagti hai aur chidchidapan rahta hai.” He also reported “ejaculation bhee
bahut jaldi ho jata hai.”
Upon asking he also reported that he drinks alcohol
moderately and doing so for last 9 years.
He also reported that he smokes cigrates also moderately for about 10
years.
Upon asking about any history of back injury (spinal injury)
or trauma to testes and he replied no.
I also asked about any history of any kidney disease which
he replied negatively.
After reviewing above symptoms, I concluded that he is
having impotency, which is most likely due to prolonged anxiety, stress,
depression, alcoholism, cigrette smoking, and obesity.