Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
126 Doctors are Online

Premature ejaculation , obesity - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Premature Ejaculation
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   I m suffering from premature ejaculation since for 4 years now since my marraige and its really killing my relation i went to see a urologist and he adviced me to take prozac and after 3 months of having prozac 60mg per day it didnt work at all with me .. so it there any medication i can take... by the way i tried alll the exercise and no use
Doctor :   hi
User :   hi doc
Doctor :   Dr. XXXXXXXX here. let me read what you have typed.
Doctor :   i will need to ask you few more questions to understand your problem better and help you
Doctor :   shat I proceed?
Doctor :   *Shall
User :   yes please
Doctor :   is there any problems in achieving erection?
User :   no at all
Doctor :   once you achieve an erection how long can you sustain it?
User :   never calculated it but its a long time ...
Doctor :   erection time of 6 and half minutes is considered to be normal
Doctor :   were you masturbating before marriage?
Doctor :   if yes , since how long?
User :   yes
Doctor :   and what was the frequency of masturbation per week?
User :   since 16 yrs old
User :   5-6 times per week
Doctor :   do you masturbate now? after marriage?
User :   no
Doctor :   sometimes the problem of premature ejaculation happens due to masturbation
Doctor :   and the problem is most of the times due to psychological blocks
Doctor :   and can be treated with counselling. couple therapy combined with medications
Doctor :   please provide your age, location, occupation, details of past medical illness if any
Doctor :   please provide your height and current weight
User :   i32 , XXX , investment no medical illness before my height is 178 cm and my weight is 103 KG
Doctor :   your BMI is 32.5 and is considered to be obese, which is one of the cause for your problem
Doctor :   your ideal weight should be between 60 - 79 kgs
User :   i ve seen a urolgist for this matter and he presecribed prozac for me and i used it for 3 months but no use
Doctor :   i recommend you these folowing things to be done
User :   so obesity can be a factor ?
Doctor :   1) go for weight reduction along with a well balanced diet and fitness program, as more overweight patients suffer from this problem than compared to people with weight in ideal weight range
Doctor :   2) get these folowing tests done: DHEA levels, testosterone levels, FSH, LH, Thyroid profile, liver function tests, kidney funtion tests, lipid profile along with a complete blood counts
Doctor :   3) semen analysis to look for any factors in semen like infection and abnormalities that could cause yo such problems
Doctor :   once the investigations are done, you can take consult from a sexologist or andrologist
Doctor :   or send us the reports to interpret for you
Doctor :   you can also take benefit of our panel specialists to solve your problem
Doctor :   WWW.WWWW.WW User :   but i have done all of that before ... and the doctor examined it and told me i have no problem except that i have a very low sperm count
Doctor :   WWW.WWWW.WW Doctor :   then the above tests will help to identify th ecause for low sperm count too
Doctor :   which could probably be obesity, high cholesterol, thyroid problems, or problems with testosterone levels
User :   yes i ve done them ..... and he said there is no hormonal imbalances or anything and he cant find a reason for this except this is god will for the low sperm count
Doctor :   do you have the semen analysis reports with you?
User :   and for the Premature ejaculation he told me u have nothing just take the prozac and it will fix it
Doctor :   if yes, please type the values of the parameters
User :   i beleive i have it
Doctor :   Prozac does help in premature ejaculation
Doctor :   if it has not helped you in these 3 months time
Doctor :   then consider getting a doppler ultrasound and a possible testicular biopsy done to see if the problem is due to less primitive cells
User :   here are the test results count less than 1 million
Doctor :   and I would suggest you to take help form our panel specialists for second opinion regarding your problem
Doctor :   ok
User :   well i had before varcosis and i made a surgery to remove it
User :   and when i made ultra sound on it lateley it was ok
Doctor :   ok, how long back was the surgery done? have you had follow up check up done?
User :   2 years back and i ve followed up last month and the doctr said it ok
Doctor :   ok. was it a microscope assisted laproscopy surgery?
User :   yes
Doctor :   ok
Doctor :   then You should consider discussing change of medication and see if that helps
User :   what other medication i can trry ?
Doctor :   coupled with the counselling
Doctor :   the medications come under the group of the Serotonergic medications which are similar to the SSRI medication (Prozac) that you are taking now.
Doctor :   and follow the Masters and Johnson's start and stop technique to increase the time until ejaculation.
Doctor :   and Kegel exercises, that help you to get control over the PC muscle and get more control over ejaculation.
Doctor :   have you followed what I have said?
User :   yes
Doctor :   is there anything else i can help you with?
User :   but can u give me a namefor the medecine
Doctor :   Those are prescription medications, and since I have not examined you personally, it would be unethical to give you prescription medication. You will need to discuss the option of change of medication with your treating doctor
User :   yes i know about that i need the name to discuss it with him so he can prescribe it to me and i buy it from the pharmacy
Doctor :   as i told earlier they belong to the Serotonergic group of medications
Doctor :   you can discuss the same with your doctor
Doctor :   right now the prozac that you are taking belongs to SSRI group of medications
Doctor :   is there anything else you would like to ask me?
Question is related to
Diseases and Conditions
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor