Maarten Vasbinder lives in Isaan. His profession is general practitioner, a profession that he mainly practiced in Spain. On Thailandblog he answers questions from readers who live in Thailand.

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Dear Martin,

I am 68 years old, have taken Viagra and Kamagra on my own in recent years, but now I no longer get a really hard erection. The strange thing is that I regularly wake up at night and in the morning with a hard and even prolonged erection that is sometimes even a bit painful.

Does that have to do with a fluctuating testosterone level or do you know another explanation? And can I somehow fix it so that I have an erection at the right time?

Regards,

R.

*****

Dear R,

You can try it with Cialis (Tadalafil) 20mg. If that doesn't work either, I advise you to concentrate on other things. Sometimes that helps too.

Testosterone won't help much in this case.

My teacher always said: "There is a time before and a time after erections". The art is to deal with that.

Sincerely,

Dr. Maarten

Do you have a question for Maarten and do you live in Thailand? Send this to the editor: www.thailandblog.nl/contact/ It is important that you provide the correct information (see list at the top of the page).

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