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Suggest Treatment For Erectile Dysfunction
Question: hi Doctor
i m a 40 years old married guy, from last 4-5 months i am not getting full erection and i m also having pr-mature ejaculation. i am having this problem from last few years but never had the situation like i am hving from last 4-5 months. some times i am not able to satisfy my partner and discharge very soon or some time i am not getting the erection to enter.
i m in a habbit of maturbation from long time and weekly frequency is about 2-3 time.
please advise some medicine so that i can come out of this situation.
waiting for a reply
i m a 40 years old married guy, from last 4-5 months i am not getting full erection and i m also having pr-mature ejaculation. i am having this problem from last few years but never had the situation like i am hving from last 4-5 months. some times i am not able to satisfy my partner and discharge very soon or some time i am not getting the erection to enter.
i m in a habbit of maturbation from long time and weekly frequency is about 2-3 time.
please advise some medicine so that i can come out of this situation.
waiting for a reply
Brief Answer:
please clarify a few points
Detailed Answer:
Hello
Thanks for choosing wwwhealthcaremagic
There are a few possibilities. First is that you had pre mature ejaculation for some time, leading to anxiety about satisfying your partner, leading to guilt and reduced desire and ED. This may be the primary cause , add vascular etiology . do you have morning erections? Do you smoke, have diabetes or hypertension or taking any other medicine ? any of these can contribute to ED. Secondly, please inform whether the hardness is XXXXXXX every time you have sex or sometimes you have normal rigidity. Actually the cause has to be understood and treatment planned accordingly?
Dr Saatiish Jhuntrraa
please clarify a few points
Detailed Answer:
Hello
Thanks for choosing wwwhealthcaremagic
There are a few possibilities. First is that you had pre mature ejaculation for some time, leading to anxiety about satisfying your partner, leading to guilt and reduced desire and ED. This may be the primary cause , add vascular etiology . do you have morning erections? Do you smoke, have diabetes or hypertension or taking any other medicine ? any of these can contribute to ED. Secondly, please inform whether the hardness is XXXXXXX every time you have sex or sometimes you have normal rigidity. Actually the cause has to be understood and treatment planned accordingly?
Dr Saatiish Jhuntrraa
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Thx for your reply.
I do not smoke. Last i checked for diabaties it was negative.
I am not taking any medicines.
Yes i hv morning hardness and even in the night also i hv hardness.
From last few months hardness is less then earlier.
Please advise
Thanks
I do not smoke. Last i checked for diabaties it was negative.
I am not taking any medicines.
Yes i hv morning hardness and even in the night also i hv hardness.
From last few months hardness is less then earlier.
Please advise
Thanks
Brief Answer:
Please try to follow the steps as given
Detailed Answer:
Hello
This seems to be of psychogenic origin. You can try to reduce your anxiety of performance by shifting the focus to pleasure, exploring your partner's body except genitals and breast , and let her do the same to you. Just don't think of sex, enjoy the feeling of togetherness, massage different areas of body and find what feels the best. Second stage touch the genitals in addition and do the same. Lastly have proper intercourse and try to appreciate when you are going to ejaculate. Stop for a few seconds till you lose this urge. repeat it many times. you will learn to control ejaculation slowly .If you need medications, SSRI like Paroxetine CR 12.5 to 25mg a day for 2 months can be helpful.
Dr Saatiish Jhuntrraa
Please try to follow the steps as given
Detailed Answer:
Hello
This seems to be of psychogenic origin. You can try to reduce your anxiety of performance by shifting the focus to pleasure, exploring your partner's body except genitals and breast , and let her do the same to you. Just don't think of sex, enjoy the feeling of togetherness, massage different areas of body and find what feels the best. Second stage touch the genitals in addition and do the same. Lastly have proper intercourse and try to appreciate when you are going to ejaculate. Stop for a few seconds till you lose this urge. repeat it many times. you will learn to control ejaculation slowly .If you need medications, SSRI like Paroxetine CR 12.5 to 25mg a day for 2 months can be helpful.
Dr Saatiish Jhuntrraa
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
thanks for the quick reply.
i have seen the usage of Paroxetine CR 12.5 to 25mg it is more for depression , do u think it will help in my case. i know you will only suggest something which is right for me.
would u be not suggesting something to increase the duration of time of sex with some medicine ?
thanks for your help
i have seen the usage of Paroxetine CR 12.5 to 25mg it is more for depression , do u think it will help in my case. i know you will only suggest something which is right for me.
would u be not suggesting something to increase the duration of time of sex with some medicine ?
thanks for your help
Brief Answer:
Paroxetine will ejaculation as well
Detailed Answer:
Hello
Yes, it is used for treating depression by increases level of a chemical in brain, serotonin but it's raised level in spinal cord delays ejaculation .
Dr Saatiish Jhuntrraa
Paroxetine will ejaculation as well
Detailed Answer:
Hello
Yes, it is used for treating depression by increases level of a chemical in brain, serotonin but it's raised level in spinal cord delays ejaculation .
Dr Saatiish Jhuntrraa
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Raju A.T
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