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Having issue with erection, and early ejaculation. After taking vigora erection is stronger but early ejaculation. Advise? - Online Doctor Chats

Date : 04-Jun-2013
User rating for this question
Very Good Posted in: Men's Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
Doctor:How can I help you?
User:hey Dr XXXXXXX i have something personal query
User:will u be able to help me
Doctor:I shall help you in the best way possible.
Doctor:Please explain your problem.
User:I m 34 yrs old
User:married with one kid,
User:recently i am facing issue with erection, and early ejaculation
User:but when i took vigora , erection bcom stronger, but i still faces early ejaculation
User:any medicine can u suggest
Doctor:Since when you having this issue?
User:say around last 6 months or so
User:maybe before that also
Doctor:Do you have any other medical problems such as Diabetes, high blood pressure?
Doctor:Any medications that you are on/
Doctor:And have you seen a doctor for this problem?
User:no medical problems
User:no diabetes, no bp
User:no i havent seen any doctor yet
Doctor:Ok, I presume you self medicated viagra then.
Doctor:I presume you are self medicating.
Let me explain a few basic things about erectile dysfunction and premature ejaculation before i answer your query.
Doctor:Are you there?
User:not viagra
Doctor:Both viagra and vigora seem to contain the same generic drug sildenafil.
Doctor:hence the actions, effects and duration of effects are the same.
Doctor:To make you understand this better, you need to know the following information.
Doctor:Sexual functions - both erection dysfunction and premature ejaculation are caused by wide variety of factors.
Doctor:Most often in men under 40 years of age in the absence of preexisting medications, drug and alcohol, the cause is most likely psychological.
User:but i dont drink
User:nor any pressure job
Doctor:Psychological factors such as fear of failure, rejection, stress and so on are the usual culprit we find in many young patient such as yours.
User:if i say no such case with me
Doctor:Saif, most often these psychological causes are very subtle and effects produced are not proportional to the stressors. May I know if you get early morning erections normally?
User:not sure thought but i think it is better than night
User:i get the erections but not hard though
User:in night
Doctor:Normal early morning erections indicate you are perfectly right - both hormonally, neurologically and vascularly.
Doctor:These are the three non psychological / organic medical cause which causes lack of proper erections.
Doctor:So let me suggest you a few tips/measures which you can try before starting on pills to improve sexual functions.
Doctor:1. Understand your problem better. Find out exactly what the problem is - is it early ejaculation or reduced erection.
Doctor:This is important because men lose erection very soon after ejaculation.
User:i will say early ejaculation
Doctor:So if you are losing erection after ejaculation and have not much issues with starting erection / maintaining erection, then we just need to treat early ejaculation.
Doctor:In such case viagra/vigora is not the treatment of choice.
User:oh k
User:then wht shd be
Doctor:2. As you identified the problem is early ejaculation, then what you have is termed premature ejaculation. The next step is to know how soon are you ejaculating.
Doctor:Average men ejaculate within 2 minutes of starting sexual intercourse.
Doctor:So if you are able to last for around 2 minutes, then you are perfectly alright.
User:sometimes it is just 1 min
User:sometimes before intercourse
Doctor:That is not very bad. The next few tips should help you improve this time.
Doctor:3. It is important that you spend good time in foreplay.
User:but sometimes during foreplay ejaculatesthen
Doctor:Foreplay helps in increasing the erogenous hormones essential for good sexual life in both the partners. So do spend lot of time during foreplay.
Doctor:If you feel the urge to ejaculate during the foreplay, then stop the activity for a while and squeeze the base of the penis.
Doctor:This will 99% of time stop the ejaculation.
Doctor:You can restart the process.
Doctor:3. There is a technique called start and stop method / squeeze technique advised by sexologist to patients who suffer with premature ejaculation.
User:base or tip
Doctor:Base of the penis produces better results.
Doctor:Start and stop method is stopping / pausing from sexual activity when you feel the urge to ejaculate and restarting the cycle.
Doctor:you can repeat this process for as long as you wish.
Doctor:Similarly squeeze technique involves asking your partner or you yourself can squeeze the base of penis before you feel like ejaculating.
Doctor:Both the techniques reduces the urge to ejaculate and many people find the next cycle longer.
Doctor:You can try one of the above method.
Doctor:4. Fourth tip is desensitization of penis.
Doctor:Reducing the sensitivity of glans increases ejaculation time.
Doctor:A condom, anaesthetic cream such as delay cream/spray are few products available in the market that reduces the sensation and
Doctor:increases time of ejaculation.
Doctor:You may use one of these products.
Doctor:Have you followed what I suggested till now.
User:but which product
User:any cream
User:no medicine u suggest
Doctor:You may use a regular condom or a cream called 'Delay Cream'.
Doctor:5. The last tip to treat premature ejaculation is trying sexual intercourse after you ejaculate.
Doctor:6. There are few drugs used in treating depression such as dapoxetine
User:Delay cream is availabe in market?
User:i dont have depression issue
Doctor:which are given to patients in whom none of the above measures improves premature ejaculation.
Doctor:You can consult a doctor for its prescription if none of the earlier mentioned tips work.
Doctor:yes, condom and delay cream are available at most chemist/pharmacy.
User:any specifice delay cream
Doctor:'Dlay' is the name of the cream available.
Doctor:You may check at your nearby chemist.
User:hope this chat is secretly maintain
Doctor:Do not worry, this is confidential.
Doctor:do you have any other query?
User:no thanks will chek on this
User:someone suggested my staminaid
Doctor:Staminaid are natural / herbal preparation.
Doctor:There are no much scientifically proven data available about this product and hence they are not regularly prescribed by us.
Doctor:Have you followed?
Doctor:Do you have any other query?
User:no thanks
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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