Suresh sat in the waiting room of the urologist's office, his palms slick with sweat as he fidgeted with his engagement ring.
He had always been a healthy and active man and had never imagined that he would have any problems in the bedroom.
But lately, Suresh began to notice that something was off. He found himself struggling to maintain an erection, despite feeling extremely aroused and excited. He tried to ignore it, thinking that it was just nerves, but the problem persisted.
Suresh was filled with a sense of embarrassment and shame as he struggled to come to terms with the issue of erectile dysfunction. He tried to convince himself that it was just a temporary problem, perhaps caused by stress at his work place, but deep down he knew that it was something more. The thought of disappointing his wife on their wedding night weighed heavily on him. As the days passed, Suresh's problem persisted, and it began to take a toll on his confidence and self-esteem.
As Suresh was called into the exam room by the doctor, his heart pounded in his chest. The doctor greeted him with a smile and asked him to take a seat on the examination table.
"Good afternoon, Suresh. I understand you're here to discuss some concerns you have about erectile dysfunction," the doctor said.
Suresh nodded, feeling a lump form in his throat. "Yes, that's correct. I've been having trouble getting and maintaining an erection for a few months now," Suresh said, his voice barely above a whisper.
The doctor nodded understandingly. "I see. Well, let's take a look and see what might be causing the problem. We'll do a physical exam, a digital rectal exam, and some blood tests to check for any underlying medical conditions," the doctor said as he began the examination.
Suresh tried to relax as the doctor examined him, but it was difficult with the weight of his secret pressing down on him. He couldn't help but think about how disappointed Ilakiya would be if she knew the truth.
After the examination, the doctor got the results of the blood test. "Suresh, your blood test results indicate that you have high blood pressure levels. This means you're suffering from very high levels of stress. Probably, contributed by your lifestyle, work and eating habits. We have to control your blood pressure first and then we can proceed with the treatment for ED."
Suresh was shocked.
"Doctor, what are the treatments available for me?" Suresh asked, looking at the doctor anxiously.
The doctor smiled sympathetically. "There are several treatment options available for erectile dysfunction caused by stress. The first step is to properly manage your stress through therapy, exercise and stress management techniques. Once your stress is under control, we can proceed with other treatment options."
Suresh nodded, taking in the information. "What are the other treatment options?"
"We have several options, such as oral medications like sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra), which work by increasing blood flow to the penis. Another option is penile injections, which involve injecting a medication directly into the penis to produce an erection. We also have penile implants, which are devices that are surgically implanted into the penis to help achieve and maintain an erection." The doctor explained.
Suresh thought for a moment, considering his options. "What do you recommend, doctor?"
"It depends on your individual situation and preferences. I recommend that you discuss the options with your partner and decide which one is best for you. But before that, let's manage your stress first. Once that is done, we can proceed with the treatment of ED." The doctor replied.
"I understand this is difficult for you," the doctor said, noticing the distress on Suresh's face. "But you're not alone in this. Erectile dysfunction is a common condition and there are many men who have successfully treated it."
Suresh thanked the doctor and left the office feeling the weight of the world on his shoulders.
He felt a sense of hopelessness wash over him. He had always been confident in his ability to please a woman, but now that confidence was gone. He was filled with self-doubt and fear. He thought about calling off the wedding, but he couldn't bring himself to do it.
Suresh's struggles with erectile dysfunction caused him to spiral into a cycle of low self-esteem and possessiveness. He loved Ilakiya deeply and the thought of losing her was unbearable.
He became increasingly controlling, constantly worried that she would lose interest in him. He knew that his actions were causing tension in their relationship, but he couldn't help the way he felt.
Despite his efforts to hide his insecurities, Ilakiya noticed the changes in him and it began to take a toll on their relationship. He could tell she was losing interest in him. He wanted to fix the problem but didn't know how, the guilt of not being able to provide for his partner was becoming too much for him.
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