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Premature ejaculation and erectile dysfunction - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Erectile Dysfunction
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3622 Questions
Doctor :   hi
Doctor :   how can i help u
User :   Hii
Doctor :   please proceed with your query
User :   actually I m suffring from PE n PD
Doctor :   PE, PD?

User :   My age is 35
Doctor :   ok
User :   Premature ejeculation and erectile dysfunction
Doctor :   its PE and ED
Doctor :   ok
Doctor :   i will help u in this
User :   Premature ejeculation since long and ED since 3-4 months

Doctor :   ok
User :   wronly typed
User :   sorry
Doctor :   ok
Doctor :   not a problem
User :   My blood pressure is on higher side i.e. 95/140
Doctor :   can i ask few Q
User :   sure
Doctor :   Marital status
Doctor :   ok
User :   married in 2000
Doctor :   kids
User :   one healthy baby girl July-02 borm
Doctor :   ok
Doctor :   since when is the BP high
User :   facing secondary infertility too (trying since last two years)
Doctor :   ok
Doctor :   do yu have a family history of BP
User :   plz carry on
Doctor :   since when is the BP high
User :   my father was a cardiac patient

Doctor :   ok
Doctor :   wats your ht and wt
User :   his pumping was poor (abt 25%)
User :   hight is 5-8 n wt is 76 kgs
Doctor :   oh i am sorry for that
Doctor :   ok
Doctor :   let me ask few q regarding sexual life
User :   plz
Doctor :   coming to Erectile dysfunction
Doctor :   was your erection normal before
User :   yes
User :   b4 4-5 months it was normal
Doctor :   is your partner satisified with sexual life
User :   no

User :   some of times yes n some of times no
Doctor :   are yu stressed because of family issue or office issues
Doctor :   ok
User :   a bit
Doctor :   ok
Doctor :   how many times in a week do yu have sex
Doctor :   is it a protected one
User :   depands upon mood (avg twice a week)
Doctor :   ok
Doctor :   do yu smoke
Doctor :   or consume alcohol
User :   neither alcohol nor smoke

Doctor :   thats good
Doctor :   are yu on any medications
User :   no
Doctor :   did yu under go any surgery
User :   no
Doctor :   are the erections hard enough to penetrate vagina

Doctor :   how many min is it in fully erected state
User :   b4 5 months erection was absolutly okay now some of times okay and some of times loose
Doctor :   how many strokes after yu ejaculate
User :   most of times with in 2 mins
Doctor :   are u able to maintain the erection after insertion
User :   some times with in one mins
Doctor :   do yu practising unprotected inter course
User :   after insertion erection is ok
Doctor :   ok
User :   yes
User :   we dont use any protection
Doctor :   is it a condom or pills
Doctor :   ok
Doctor :   ok
User :   no pills or condoms
Doctor :   since how many days is your BP high
User :   since last 3 years
Doctor :   are yu on any treatment for hypertension?
User :   no

User :   started morning walk n taking less oily dites
Doctor :   ok
Doctor :   are you controling salt in your diet also?
User :   yes

User :   less sodium n more potessium diets m takin
Doctor :   ok
Doctor :   in last month how many times you attempted sexual intercourse?
User :   abt 8 to 10 times
Doctor :   ok

Doctor :   you had gone for any other investigations?
Doctor :   like lipid profile etc.
Doctor :   blood sugar?
User :   yes b4 an year
User :   colestrol was little more
User :   no blood sugar
User :   gone thru renal dopler taste
User :   it was also ok
Doctor :   why you were advised renal doppler?
User :   coz of hypertension

Doctor :   ok
Doctor :   as you had family history of hypertension, you are diagnosed with hypertension and also your blood cholesterol levels are high
User :   no
Doctor :   these all are risk factors and may be the cause of erectile dysfunction
User :   what should i do now?
Doctor :   a good control over the blood pressure and blood cholesterol levels are must and if controlled then over a period of time the ED will decrease

Doctor :   and you will be able to get normal erection states
Doctor :   i will give you some good tips for PE first
Doctor :   you told that you will ejaculate after two minutes
User :   less thn two mins

Doctor :   ok

Doctor :   but is it always more than one minute?
User :   some time with in a min (8-10 strock)
Doctor :   ok
Doctor :   so on a general you have normal ejaculations but sometimes you face premature ejaculation
Doctor :   PE is a common problem and can be overcome by simple precautions
User :   less thn one or two minuts is not normal naa?

Doctor :   less than one minute in more than 70 % of incidents is not normal
User :   mostly it is less thn a minut

User :   u can say more thn 70%
Doctor :   ok
User :   n some of times with in few seconds
Doctor :   ok
Doctor :   look all of the men at some point of time in their life will suffer PE
Doctor :   and it is the tension due to
User :   ok

Doctor :   which PE will further increase
Doctor :   so be patient
Doctor :   and dont be worried
Doctor :   dont think that you are suffering from some serious disease
User :   i dont think much

Doctor :   ok

User :   but want remedies
Doctor :   take a complete 8 hours sleep per day
Doctor :   and dont break the routine
Doctor :   how many hours do you sleep per day?
User :   7 to 8 hrs

Doctor :   ok
User :   sd i go for any medication for PE n ED?

Doctor :   yes
Doctor :   first i wil tell you precautions and home remedies and then will prescribe you medications
Doctor :   for PE
Doctor :   take at least 8 hrs sleep per day for another 2 months
User :   please tell me

Doctor :   take plenty of green leafy vegetables if possible all three times per day for another 2 months
Doctor :   take the tablet

Doctor :   COBADEX-CZS one per day after meal for 15 days
User :   I tryed Sildenafil-50 but i faced severe headache after taking this medicine
Doctor :   then take a break for another 15 days
User :   Cobadex is B-xomplex combination ?
Doctor :   as you have BP so you should not take Sildenafil
User :   ok

Doctor :   it will worsen the condition
Doctor :   Cobadex is B complex
User :   ok
Doctor :   so i have given you four precautions and tips for PE
Doctor :   and you will need to folow them
Doctor :   to overcome the problem
User :   plz tell me
Doctor :   i told you
Doctor :   diet
User :   okk
Doctor :   control of BP
Doctor :   and cholesterol
Doctor :   vitamin tablet
User :   any investigations i sd go for
Doctor :   and 8 hrs sleep
Doctor :   you will need good monitoring of blood pressure and blood cholesterol
Doctor :   and no other investigations
Doctor :   now regarding
Doctor :   ED
User :   okay
User :   ur specilization?
Doctor :   Family Medicine
User :   great!!
Doctor :   for ED
Doctor :   you will need to go for some investigations
User :   ease tell me
Doctor :   hormone profile
User :   total hormone included or specific?
Doctor :   which includes, Testosterone, LH, FSH, DHEA, Androstenidione
User :   ok
User :   I sd go for lipid profile n hormone profile
User :   right?
Doctor :   get back to me with all these reports
Doctor :   by that time you can use
User :   what we can use?

Doctor :   PRILOX cream
Doctor :   its in gel form or cream form
User :   ok

Doctor :   its applied to overcome premature ejaculation
Doctor :   so the ejaculation is delayed
User :   it is local anasthetic cream naa?
Doctor :   to be applied on the erected penis
Doctor :   yes its the local anasthetic cream
User :   is thr any harm affect to vegina?

Doctor :   no harm full effects on vagina
User :   ok

Doctor :   thanks for consulting
Doctor :   health care magic
User :   we are also passing thru secondary infertility
Doctor :   Dear AAAAAAA I can see that you have a lot of queries
Doctor :   But we have been chatting for a long time
Doctor :   and atleast 3 more patients are waiting for my assistance
Doctor :   please do understand
User :   whn i can contact u back... n i want ur mail id

Doctor :   You can come back in 2-3 hours time and we can chat again
User :   so that i can send u my reports
Doctor :   Thanks for consulting

Doctor :   Bye
User :   okay

Doctor :   please send reports to YYYY@YYYY
Doctor :   thanks
User :   thanks a lot
User :   bye
User :   tc
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