Brief Answer:
Hi
Detailed Answer:
Hello again,
Thanks for follow up.
There is need for urgent consultation from urosurgeon as your penis size has reduced to 9-10 cm in erected stage (in past query you mention size upto 13-14 cms). For that investigation like penile doppler may be needed to find out cause. Let me know about urosurgeon advice and doppler result in follow up.
Penis size between 4 inch and 10 inch usually considered normal in erected stage. Size in non erected stage do not matter for sexual performance.
You can discus about
oral contraceptive pills and intra-uterine device (IUD) from nearby gynecologist. Or you can ask specialist query from some gynecologist in healthcaremagic platform.
Q. What are the treatments available to increase the ejaculation time and let me know the test those needs to be taken to check it.
Ans: Method already explained in previous reply and use them at-least for 1 month. Following test needed to understand your case better:
-FBS (fasting blood sugar),
Complete blood count, Lipid profile
-Serum TSH/Prolactin and free
testosterone level
-Urine routine and microscopy,
Semen analysis test
Let me review with reports.
Q. Please let me know some methods to make the wife to prepare for intercourse quickly.
Ans: In my opinion it is not needed.
Q. I tried Stop start technique, near ejaculation stopped all movements, relax and thought about something else. Then waited for 1 minute before starting movements. I did not get erection after that stoppage. little bit (droplets) of sperm had ejected. After that that entire night I couldn't able to get required ejection to have sex. Please advise. Apart from the start /stop technique, squeeze past technique and using condoms with desensitizing creams is there any other techniques that are available to increase the ejaculation time.
Ans: Atleast follow these techniques for 1 month to see response. There is no short cut to treatment. Other methods I already explained in form of medical management (like Dapoxetine). Let me review with reports (as mentioned above with Urosurgeon opinion) to understand problem better specially related to poor erection.
Q.You had advised me to take medicines like Dapoxetine, paroxetine or
fluoxetine to increase ejaculation time and to decrease panic after consultation with doctor, Will this have any side effects or future effects like having bone weakness or nervous weakness in future. Please suggest on this.
Ans: These medicine do not cause bone or nervous weakness. Even these medicine reduce
nervousness. But medicines need to be taken under
psychiatrist supervision.
Q. During my earlier days of marriage I used to to have sex for several times in a session. Now a days if I do intercourse Once, then I am not able to do the next time for the entire night. Neither I am getting erection nor I am having the energy to involve in it, Please suggest.
Ans: Please review with lab reports as mentioned above to understand this issue better.
Wish you good health.
Regards
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