Brief Answer:
TSH is high.

Detailed Answer:
Hi,
Welcome to HCM.

I have read your query and reviewed all the reports.

A) TSH 20 iu/ml is very high which is suggestive of very low thyroid hormones in blood known as hypothyrodism.

You will need to start thyroid tablet (thyronorm 100 mcg in my opinion) once daily on empty stomach to get maximum absorption.

Means,it should be taken after 2 hours of having meal or before 45 minutes of meal.

Check TSH level again after one month and titrate the dose of thyronorm accordingly as per your physician's opinion and your serum TSH level.

So,I would suggest you to see physician for the appropriate dose and prescription of thyronorm.

B) Secondly,I would like to say that your total cholesterol is 193, LDL (131) and 41 HDL (good cholesterol) but TC/HDL ratio is slightly high with high triglycerides.

However,there is no need of any medications at present and it is NOT risky but it is better to be concerned than being ignorant.

In general to reduce your Cholesterol (Total cholesterol/HDL ratio) and triglycerides follow these dietary guidelines along with regular exercises.

1) Avoid direct sugars and avoid fried snacks, bakery items,

2) Take plenty of vegetable salads- at least 1 bowlful cut raw vegetables like cucumber, tomato, carrot and vegetables which you can eat raw.

3) Snacks should contain healthy nuts like almonds or walnuts and a few dry fruits but no fruit juices,

4) Avoid soft drinks as they are only for taste having NO nutritional values.
.
5) Skimmed milk and milk items made up of skimmed milk are good to check on cholesterol,

6) Egg white is fine but avoid egg yellow means yolk.

You should do regular exercises at gym or at home as per your convenience for about 30 to 45 minutes to get maximum response.

C) Urine emergency could be due to anxiety but there is no need to worry much as your blood sugar is normal with nil urine sugar.

Rest of all other reports are completely normal.

Hope this helps.

Regards,

Dr.Sandip Kabra

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Brief Answer:
Related to anxiety or increased excitation.

Detailed Answer:
Hi,
Welcome again,

Thanks for the follow-up,

The commonest cause of premature ejaculation is the anxiety of performance or lack of sexual experience or increased excitation during for-play.

This is a very common problem and unfortunately, there’s no particular medication available for the same.

Here I am giving you some tips which will help you to prevent premature ejaculation.

1. Daily half an hour of exercises (like running, swimming, etc.) Exercise will reduce your stress and improve your health.

Talking to your partner about your tensions can also calm you down and strengthens your relationship.

2. Quit smoking or other drugs if you use. These can narrow blood vessels of penis and have been linked to premature ejaculation.

3. Sunlight exposure inhibits the body’s natural production of melatonin, a hormone that helps us to sleep and also reduces our sexual urges.

Means lesser the melatonin, more sexual desire.

So have adequate sunlight exposure in daytime which reduce your melatonin level.

4. Paying attention to your partner’s desires and talking about this beforehand can make sex pleasurable for both of you.

5. Engaging more in foreplay can also help.

6. A behavioral technique such as,

I) Squeeze-pause technique,
II) Desensitizing creams,

You can also use condom (like manforce) during sexual intercourse.

Above precautionary tips from 1 to 6 would certainly help you and will see improvement within 3 to 4 weeks.

Hope this detailed information will be helpful.

Regards,

Dr.Sandip Kabra

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