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What Causes Lack Of Arousal During Intercourse Except While Watching Pornography?

Posted on Mon, 27 Feb 2017

Question: Hi Sir,
Goodmorning
Thanks for your support
i am taking medicines regularly
Steps i undergo for intercourse
1.I view prono 2. i get feeling 3.call my wife 4.i get erection 5.after forepaly erection goes down 6.again i am trying and getting erection 7.i try to insert 8.But the semen come out completely did not go inside wife vagina .the reasons i feel is a)i have fat belly / Big stomach (my weight 110 KG). b)my wife is slim but has big stomach / belly. c) i am suffering from High BP and under medication d)can u Hi Sir,
Goodmorning
Thanks for your support
i am taking medicines regularly
Steps i undergo
1.I view prono 2. i get feeling 3.call my wife 4.i get erection 5.after forepaly erection goes down 6.again i am getting erection 7.i try to insert 8.But the semen come out completely did not go in wife vagina .the reasons i feel is a)i have fat belly / Big stomach (my weight 110 KG). b)my wife is slim but has big stomach / belly. c) i am suffering from High BP and under medication d)can u suggest a comfortable position for fat belly couples - Please suggest a comfortable position proper penis insertion for fat belly couples - XXXX

Answered by Dr. Chintan Solanki (2 hours later)

Brief Answer:
you need treatment for premature ejaculation

Detailed Answer:
Hi,

Thanks for contacting me directly.

As per our previous discussion I suggested to start treatment for premature ejaculation.

There is no specific position for sex for this purpose however if you both are comfortable I think you are down and she is on top will be good position as it will help in avoiding your belly disturbance as well as in early ejaculation.

I think you should start confido and clomipramine. Confido is to be taken 2 tablets before going to bed with a cup of milk. Clomipramine 10 mg should be started. Take one tablet after dinner, if you not satisfied in 15 days with improvement, you can increase dose to 2 tablets (20 mg) after dinner. After one month you can take only on day of sex. Please ask local doctor to provide prescription.

Happy to help further.

All the best.

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Chintan Solanki (1 hour later)

Hi Doctor,
currently i am consuming
tetrafol plus and tentex forte
do i need to continue that
please advice
Regards,
XXXX

Answered by Dr. Chintan Solanki (16 hours later)

Brief Answer:
yes add clomipramine to it

Detailed Answer:
Hi,

Sorry for late response as I was busy in one marriage.

You can add clomipramine to tetrafol and tentex.

Tetrafol plus should be taken for 3 months and tentex or 2 months.

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar