Q: I am 26 years old. I under went kidney transplant 2 years ago. I had numerous urinary tract infections last year. I am planning to get married soon, but my problem is that I don't get hard erections and my penis falls limp in seconds after an erection. What could be the problem? Will viagra help me to get hard erections? Is there any other remedy for this? My cyclosporin level in serum is about 70u/ng a month back. I have a lot of wet dreams. My current cyclosporin dosage is 75mg-0-75mg. Should I get married or wait some more time?

A:Surely you can plan to get married. I am sure your nephrologist must have looked for any specific cause for the numerous urinary tract infections you have had. I hope it is settled now. Kidney failure does produce erectile dysfunction and a successful transplant reverses this. However psychological factors do hamper its complete return to normalcy. Viagra would help in the sense that with good erections, on few occasions and an assurance that good erection is possible, the psychological barriers decrease or go away and a person is able to get good erections even without viagra. So go ahead to plan your marriage and use viagra for the short term.