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Premature ejaculation, on BP and uric acid medicines - 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 : 2005
Answered : 2568 Questions
User :   I am a 46 year married man having 2 kids.I take one tablet everyday for BP.
Now a days early discharge is a problem for me,I even can not continue for 1 minutes.Heardly I do sex twice in a week.Please help me .
Doctor :   Hi
User :   good evening
Doctor :   I am Dr. XXX
User :   from?
Doctor :   May I know what tablet are you using now for high blood pressure?
User :   startel 20
Doctor :   Do you have proper erection to penetrate or even the erection is not hard?
User :   of course hard
Doctor :   Are you able to penetrate well?
User :   yes
Doctor :   How often is the intercourse?
User :   twice in a week
Doctor :   Since when is the above problem?
User :   two to three years
Doctor :   Is the problem you face for the first time during your sexual life?
User :   no
Doctor :   Is your partner complaining or co operating?
User :   one more thing Dr. I am taking medicine for high uric acid
Doctor :   Since when did you start it?
User :   two years back
Doctor :   Your problem is called premature ejaculation.
User :   ok
Doctor :   There are different reasons for it
Doctor :   Do you smoke or take alcohol?
User :   I was a heavy smoker but left it five month back.I too left alcohol
Doctor :   The reasons for premature ejaculation for you can be attributed
Doctor :   1) Medications 2) Anxiety , not able to perform
Doctor :   3) After quit smoking, this increases
User :   left smoking 5 months back but no improvement
Doctor :   so I suggest you to review your medications with the Doctor
Doctor :   Yes it takes more time
Doctor :   Try one technique that I say to you here
User :   should I change BP medicine?
Doctor :   The night you are ready for sex, you need co operation from yoru partner absolutely
User :   ok
Doctor :   You should masturbate for yourself for the first time without proper intercourse
Doctor :   without your partner
Doctor :   Then get into bedroom and increase the time of foreplay
Doctor :   Do not get into proper intercourse
Doctor :   Foreplay should happen for atleast 20 to 30 minutes
Doctor :   be it oral or touch or stimulating the organs
Doctor :   each other
Doctor :   Once you have good erection you should penetrate
Doctor :   Remember the communication is the key with the partner
Doctor :   Foreplay plays nother vital role
Doctor :   Masturbating yourself in the other room before actual session is good to start
Doctor :   Try this, it may sound cumbersome, but you should start enjoying it
User :   But I think.after musterbite,it is impossible for me to go for sex
Doctor :   Try it out for week days
Doctor :   If not leave it, then proceed with other steps
Doctor :   Are you following me?
User :   ok
Doctor :   Do not do any activity continously if you are not interested
Doctor :   You need change if after trial
User :   ok
Doctor :   Do these things, see the Doctor if these medications are the reason
Doctor :   Do you not be embarassed to discuss these with the Doctor who is prescribing the medication
User :   The BP medicine containing Telmisartan having any side effect for this?
Doctor :   It is relatively free of side effects
User :   than is there any medicine for this?
Doctor :   Yes, there are certain medications that help.
User :   please tell
Doctor :   They are only prescription based and importantly they should be tried only after these sexual modifications
Doctor :   Prescription based cause high side effects and the BP medicine may not work
Doctor :   leading to more problems
Doctor :   So good titration of dose is important
Doctor :   You also should know, that these modifications are far better than the pills that you ask
Doctor :   The give good satisfaction without any side effects
User :   ok
User :   tell me one more thing,I have seen so many ads about increase the length of penis,is it really works?
Doctor :   No
Doctor :   They do not work
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