Conversation: The conversation between human and AI assistant.
[|Human|] My husband was diagnosed with several herniated disc in the lumbar regions of his back. He has become impotent as of recent months as well. He also has taken Paxil during the last few month. The back pain is severe. Could the disc be the problem with the impotence? He also has seen a urologist, but I dont know if he has mentioned his back problems. Urologist and Neurologist suggest surgery.
[|AI|]  Hi ..... Diagnosis : Erectile dysfunction The possible cause could be ....-Herniated disc means spinal cord lesion -Depression Here I am focusing this two cause mainly as you have spinal cord lesion which can lead ED. You are taking antidepressant Chat Doctor. ... Rule out other causes like diabetes, thyroid profile, prostate lesion, high blood pressure etc ..... And corrected accordingly ... You can consult psychiatrist for this .... For erectile dysfunction you can take sildenafil