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Suffering from pe post marriage. Herbal medicines ineffective. Recommendations? - Online Doctor Chats

Date : 01-Mar-2013
User rating for this question
Very Good Posted in: Men's Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Doctor:Are you there?
User:Hello Doctor
Doctor:How are you doing?
User:I am doing good, thanks.
User:This is my first time having live chat with a DOC...thanks for your time and interest.
Doctor:Go ahead
User:I am inquiring about a very common problem which I am facing now, post my marriage.
Doctor:go ahead
User:I am married for a year now and have P.E
User:have tried lot of medication all Herbal but I see no improvement still and am worried
Doctor:There are certain drugs which have been found to be useful
Doctor:They are called selective serotonin reuptake inhibitors
User:so would you recommend I try those drugs? any side effect
Doctor:They have certain side effects like mild nausea , loss of libido and weight gain
Doctor:But they are not major
Doctor:But before that, its a problem that you need to sort out with your partner
Doctor:There should be no misunderstandings
Doctor:You would need to work on your relationship
User:what should I be doing, we have spoken about it but I always run into this problem. It is terrible feeling but she is very co-operative and understands the situation
Doctor:I understand
Doctor:You will then to need to look into yourself
Doctor:Do you fear something? like failure to perform?
User:In most situations I don't fear but at times if am nervous or get anxious I fail
Doctor:You would need to control the anxiety
Doctor:and let it come natrally
User:my anxiety and excitement leads to this problem I think
User:I am done in 5 seconds at times and XXXXXXX can delay it for a 1 minute or so
Doctor:Its possible
Doctor:Try yoga and meditation
Doctor:They will help
User:we are planning to start a family and am not sure if this is causing the problem
Doctor:You would need to reduce the stress
User:I recently got my semen analysis done and the doctor who recommended for herbal medications told me that the sperm count is not good
Doctor:Its important both of you really understand and connect with each other before you start a family
Doctor:It would be great if you can send me the report
Doctor:We can then discuss it better
User:it is few months old now, is that ok?
Doctor:If a repeat is required, I'll tell you to get it done
User:sure, which id do i have to send the report?
Doctor:Send it to YYYY@YYYY
User:I guess it is with the herbal doctor, I need to check with hime.
Doctor:In the subject, write attention to doctor XXXXXXX
User:Ok sounds good. I will send it
Doctor:Till then, reduce the anxiety levels
User:so shall I start with this drug now or later?
Doctor:First reduce the anxiety levels
Doctor:It is the most effective intervention
User:I have tried but have always failed, will keep trying
User:Thanks for your time Doctor
Doctor:try pranayam first
Doctor:Look up the videos on youtube
User:I am not into yoga....
Doctor:Particularly the brahmi pranayam
Doctor:Its not yoga
Doctor:Its a bretahing exercise
User:sure I will do that... is Diet also a solution?
Doctor:not really
Doctor:Sorry, breathing
Doctor:You should just be having a nutrtitious, well balanced diet
Doctor:All 3 meals on time
User:I have stopped working out due to work pressure, I plan to start the same
Doctor:Atleast 50 minutes daily
Doctor:5 times a week
Doctor:This much of exercise is needed
User:I use to but due to work timings was not possible
Doctor:try at home
User:any tips for my wife so she understands
Doctor:Walk around your house
Doctor:Just try talking patiently to her
Doctor:And put the spice back in your relationship
User:first 6 months of marriage was very difficult and I thought we'll end up separating
Doctor:Thats what most people think
User:things are getting better now after a year and she understands me well but my problem of PE has not improved at all
User:I feel terrible and sorry for her and that am not able to satisfy
Doctor:I think you need to give your relationship some more time
Doctor:thats more important before looking at a family
User:I completely agree... and am doing all that I can to cure this problem and be normal
Doctor:The problem will go away once both of you connect
Doctor:I can assure you that
Doctor:Its like erectile dysfunction
User:I hope so too
Doctor:With most people, its due to a misunderstanding
User:Is there a standard rule or time needed for climax in love making? I get variety of answers while researching online
Doctor:It usually varies between 15-20 minutes
Doctor:But it is highly variable
Doctor:Depends on too many things
User:I can't even last for a minute
User:that's terrible
Doctor:No its not
Doctor:Stop punishing yourself
Doctor:As I said its variable
Doctor:It can vary from 5 -6 minutes to anything
User:so for now to get started.... I need to work out, do pranayam and reduce my anxiety levels
Doctor:and make your wife feel special
User:anything else that I need to focus on? how many times a week should we meet?
User:sure, I will do that
Doctor:as many times as you want
User:really??? I was under impression that only twice or thrice a week
Doctor:There is no limit as such
User:and moreover I can't as I feel completely tiered and dead
Doctor:Pranayam will make you really energetic
Doctor:You'll feel an instant difference
User:ok will get started with that ASAP
Doctor:Do you have any more concerns that I can answer?
User:Thanks much Doctor, it great chatting with you and to learn so much which I was not aware of
User:i hope he has my report to send you over
Doctor:Thanks for consulting me
User:if not will get a new one done
Doctor:Please send it across
User:Thanks and have a great day... much appreciate your help
Doctor:Bye for now
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