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Premature ejaculation , obesity - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Premature Ejaculation
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   I m suffering from premature ejaculation since for 4 years now since my marraige and its really killing my relation i went to see a urologist and he adviced me to take prozac and after 3 months of having prozac 60mg per day it didnt work at all with me .. so it there any medication i can take... by the way i tried alll the exercise and no use
Doctor :   hi
User :   hi doc
Doctor :   Dr. XXXXXXXX here. let me read what you have typed.
Doctor :   i will need to ask you few more questions to understand your problem better and help you
Doctor :   shat I proceed?
Doctor :   *Shall
User :   yes please
Doctor :   is there any problems in achieving erection?
User :   no at all
Doctor :   once you achieve an erection how long can you sustain it?
User :   never calculated it but its a long time ...
Doctor :   erection time of 6 and half minutes is considered to be normal
Doctor :   were you masturbating before marriage?
Doctor :   if yes , since how long?
User :   yes
Doctor :   and what was the frequency of masturbation per week?
User :   since 16 yrs old
User :   5-6 times per week
Doctor :   do you masturbate now? after marriage?
User :   no
Doctor :   sometimes the problem of premature ejaculation happens due to masturbation
Doctor :   and the problem is most of the times due to psychological blocks
Doctor :   and can be treated with counselling. couple therapy combined with medications
Doctor :   please provide your age, location, occupation, details of past medical illness if any
Doctor :   please provide your height and current weight
User :   i32 , XXX , investment no medical illness before my height is 178 cm and my weight is 103 KG
Doctor :   your BMI is 32.5 and is considered to be obese, which is one of the cause for your problem
Doctor :   your ideal weight should be between 60 - 79 kgs
User :   i ve seen a urolgist for this matter and he presecribed prozac for me and i used it for 3 months but no use
Doctor :   i recommend you these folowing things to be done
User :   so obesity can be a factor ?
Doctor :   1) go for weight reduction along with a well balanced diet and fitness program, as more overweight patients suffer from this problem than compared to people with weight in ideal weight range
Doctor :   2) get these folowing tests done: DHEA levels, testosterone levels, FSH, LH, Thyroid profile, liver function tests, kidney funtion tests, lipid profile along with a complete blood counts
Doctor :   3) semen analysis to look for any factors in semen like infection and abnormalities that could cause yo such problems
Doctor :   once the investigations are done, you can take consult from a sexologist or andrologist
Doctor :   or send us the reports to interpret for you
Doctor :   you can also take benefit of our panel specialists to solve your problem
Doctor :   WWW.WWWW.WW User :   but i have done all of that before ... and the doctor examined it and told me i have no problem except that i have a very low sperm count
Doctor :   WWW.WWWW.WW Doctor :   then the above tests will help to identify th ecause for low sperm count too
Doctor :   which could probably be obesity, high cholesterol, thyroid problems, or problems with testosterone levels
User :   yes i ve done them ..... and he said there is no hormonal imbalances or anything and he cant find a reason for this except this is god will for the low sperm count
Doctor :   do you have the semen analysis reports with you?
User :   and for the Premature ejaculation he told me u have nothing just take the prozac and it will fix it
Doctor :   if yes, please type the values of the parameters
User :   i beleive i have it
Doctor :   Prozac does help in premature ejaculation
Doctor :   if it has not helped you in these 3 months time
Doctor :   then consider getting a doppler ultrasound and a possible testicular biopsy done to see if the problem is due to less primitive cells
User :   here are the test results count less than 1 million
Doctor :   and I would suggest you to take help form our panel specialists for second opinion regarding your problem
Doctor :   ok
User :   well i had before varcosis and i made a surgery to remove it
User :   and when i made ultra sound on it lateley it was ok
Doctor :   ok, how long back was the surgery done? have you had follow up check up done?
User :   2 years back and i ve followed up last month and the doctr said it ok
Doctor :   ok. was it a microscope assisted laproscopy surgery?
User :   yes
Doctor :   ok
Doctor :   then You should consider discussing change of medication and see if that helps
User :   what other medication i can trry ?
Doctor :   coupled with the counselling
Doctor :   the medications come under the group of the Serotonergic medications which are similar to the SSRI medication (Prozac) that you are taking now.
Doctor :   and follow the Masters and Johnson's start and stop technique to increase the time until ejaculation.
Doctor :   and Kegel exercises, that help you to get control over the PC muscle and get more control over ejaculation.
Doctor :   have you followed what I have said?
User :   yes
Doctor :   is there anything else i can help you with?
User :   but can u give me a namefor the medecine
Doctor :   Those are prescription medications, and since I have not examined you personally, it would be unethical to give you prescription medication. You will need to discuss the option of change of medication with your treating doctor
User :   yes i know about that i need the name to discuss it with him so he can prescribe it to me and i buy it from the pharmacy
Doctor :   as i told earlier they belong to the Serotonergic group of medications
Doctor :   you can discuss the same with your doctor
Doctor :   right now the prozac that you are taking belongs to SSRI group of medications
Doctor :   is there anything else you would like to ask me?
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