<s>[INST] I suffer erectile dysfunction. Occasionally I awake with an erection and feel pain at the base of my penis. It goes away. When I lose my erection. I use testosterone gel on my shoulders and use cialis 1-2 times a week .what specialty Doctor should see. BK [/INST] Hello,You can consult with a sex expert for erectile dysfunction. As common causes of erectile dysfunction are:-1) Psychological2) Stress3) Fatigue4) Diabetes5) Other chronic illness.6) Spinal cord injury.You can tablet sildenafil, one hour before intercourse after consultation. Treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with sex expert.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Michelle Gibson James </s>