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We're answering your medical questions Health concerns? Ask Dr. Majd By Dr. Sanaz MajdPublished: March, 2010

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Q: I’m a 38-year-old happily married man for the previous six years, with three beautiful kids. However, I have been experiencing difficulty maintaining my erections in the last several months. I am too scared to see the doctor. What could be causing this problem so early in my life? A:  There are many reasons for sexual dysfunction in men. Among the top causes, however, are stress, depression and anxiety. This is very common among young men with busy lifestyles and stressors at work and/or home. However, there are various other health problems that can affect normal blood flow into the male genital system and cause “erectile dysfunction.” You should seek medical care and be tested for possible high blood pressure, diabetes, kidney disease, liver disease, thyroid disease, or vascular disease. Many of the above can be checked through a fasting blood test. Also, make sure you abstain from any alcohol, smoking, and illicit drug use, which can interfere with normal sexual function as well, as can certain medications. Q:  My 13 month old little boy is still not walking, and I am getting worried about autism after hearing about it from TV. My doctor says to be patient. How can I tell if my child is autistic? A:  Autism is developmental disorder that often reveals itself before the child is 3 years old, with impairments specifically in communication and social interaction. For example, many have a delay in speech development, or they may lose previously acquired skills (called “regression”). For instance, a one year old child may have been able to say “ma” and “dada” prior, and now they no longer are able to. Kids may also display certain repetitive, stereotypical patterns of behaviors and interests, such as “hand flapping” or “spinning” when they are emotionally stimulated. They may lack interest in playing with other kids or with toys. They may lack eye contact, or they may not like to be touched. Males are often more affected with autism than females. If you think your child may be affected with autism, please consult with your physician, and keep close follow up appointments to track your child’s development for a more accurate and speedy diagnosis.   Previous columns Women's Health

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