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Premature ejaculation, Erectile Dysfunction - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Average Posted in: Premature Ejaculation
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   I feel the problem of premature ejeculation and erectile dysfunction
Doctor :   Hi
Doctor :  
Sure I shall help you
Doctor :  
May I know your age, gender and marital status?
Doctor :   Are you there?

User :   28
User :   M
User :   Single
Doctor :   Ok

Doctor :  
Are you sexually active?
User :   not regular... but sometimes...
Doctor :   Ok

Doctor :  
Do you have problem at that time?
User :   yeah
Doctor :  
Premature is termed if it happens within 1 minute
Doctor :  
Is that the case with you?
User :   yes
Doctor :  
Ok
Doctor :  
if it happens infrequently, it's not cause for concern
Doctor :  
but if it happens everytime, then you will need to improvise
User :   its frequent
Doctor :   Ok

Doctor :   The main cause is psychological tension

Doctor :  
be it life related like work, stress
Doctor :  
or sex related to performance
Doctor :  
any tension with these aspects shall cause it
Doctor :  
You will need to combat that first
Doctor :  
with a regular exercise like Walking, jogging
User :   i dont think its with me... i have a nice life.. nice work and work culture around,..
Doctor :  
how about performance anxiety wrt sex
User :   it never came ...
Doctor :  
Ok
User :   i mean its not like that i remains tensed bcoz of this
Doctor :  
Anyway I shall provide you some tips
User :   ok
Doctor :  
which will improve the performance
Doctor :   whatever is the cause, treatment guidelines remain the same
User :   ok
Doctor :  
but more sexual in your case rather than psychological
Doctor :  
Exercise is good
Doctor :  
as it improves circulation in all parts
User :   hmmm
Doctor :   next is the sexual techniques
Doctor :  
Technique involves masturbatory stimulation of the penis till the sensation of heightened arousal is met but prior to the onset of ejaculation
Doctor :  
The stimulation is then withheld until the sensation fades
Doctor :  
This is repeated again and again
Doctor :  
till you can hold
User :   I have tried this... already gone through lot of material available on internet and tried....
Doctor :  
Ok
Doctor :  
Has it helped you?
User :   one thing something called as kegel i suppose...
User :   that also i had tried
User :   well i m not sure... how much it helped
Doctor :   that is for urinary incontinence

User :   right
Doctor :  
this is for premature ejaculation
Doctor :  
this is stimulating and stopping
Doctor :  
and doing the same
User :   yeah i have done that
Doctor :  
so you will improve your erection time
Doctor :   the next comes medication
Doctor :  
but do follow the technique
User :   and i should tell... that i donot get enough erection too...
Doctor :  
it will defenitely help
User :   earlier it was good enough... some 2-3 years back
User :   but now its less
Doctor :   do you smoke?

User :   not much... may be 1 or 2
User :   for the day
Doctor :  
Ok
Doctor :  
Check your blood pressure and blood sugars(both fasting and after food)
Doctor :  
also lipid profile
User :   i had got that done... some time back... doc said they r normal
Doctor :   consult a urologist with those reports
Doctor :  
and he shall examine your penis
Doctor :  
and order for a doppler scan
Doctor :  
to see the blood vessels in the area
User :   hmmm
Doctor :   and also the nerve senstion in area can be assessed clincally
User :   hmmm
Doctor :   Do you use a condom while having sex?

User :   yeah
Doctor :  
Ok
Doctor :  
because that helps in premature ejaculation
User :   yeah i use every time
Doctor :  
Meanwhile, have you taken any vitamin and zinc supplements?
User :   nope
Doctor :   Ok

User :   well i should tell u
Doctor :  
I would suggest you to take one
User :   some times... to avoid PME
User :   i have taken capsules...
Doctor :  
Ok
User :   303 and soem times manforce
User :   neither were too good.... but to some extent they helped... but with manforce i had high headhache
Doctor :  
It does not have any side effects
Doctor :   meaning not much of side effects
Doctor :  
it dilates the blood vessels
Doctor :  
and there will be more blood flow into the head
Doctor :  
hence headache
Doctor :  
not of concern
Doctor :  
but avoid it taking without prescription
User :   Ok...
User :   you were saying about some vitamin supplement
Doctor :   Yes, Supractiv

Doctor :  
They are not for immediate results
Doctor :  
but for gradual improvement
Doctor :  
Supractiv tablet 1 daily after lunch
User :   hmmm
User :   is it enough
User :   or some thing else too?
Doctor :   Right now that is enough

Doctor :  
Since you are not married, you can wait for a consultation
Doctor :  
and then go on with the advice you gain from the Urologist as well
User :   ok
User :   can u prescribe me something like 303 if i need it some time?
Doctor :   It is not a OTC drug

Doctor :  
and I cannot do it here as it against medical ethics
Doctor :  
For premature ejaculation
Doctor :  
I can suggest you a cream
Doctor :  
if you have not used it yet
User :   sure
Doctor :   Prilox cream

User :   i have never used any cream
Doctor :  
Apply it over your penis
Doctor :  
about half an hour before sex
Doctor :  
and later wear a condom and have sex
Doctor :  
if you are not using condom, then you should wash it
User :   hmmm
Doctor :   Is there any thing else I can help you with?

User :   yes doc ...
Doctor :   Proceed
User :   u said 303 do not have too much of side effect
Doctor :  
Yes,
User :   right?
Doctor :   But I cannot encourage you on that practice
Doctor :  
I have also mentioned that you will need a valid prescription
Doctor :  
before taking it
User :   hmm ok
Doctor :   Proceed with your query, if any
User :   None for now... will see u again if i feel to...
User :   thanks
Doctor :  
Sure
Doctor :  
Please fill the feedback form say done when done.
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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