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Suffering from Baldness, Premature ejaculation, erectile dysfunction. How to cure it? - Online Doctor Chats

Date : 03-Jul-2013
User rating for this question
Very Good Posted in: Premature Ejaculation
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1548 Questions
Doctor:How can I help you?
User:Hi Gud Eve...
User:I have some personal health issues to highlight here... Can i
User:r u there
Doctor:I am here.
Doctor:Please proceed with your concerns.
User:Im suffering in Baldness, Premature ejaculation, erectile dysfunction... Can i have solution for that, plz help me out....
Doctor:May I know your age?
Doctor:Since when are you suffering with this problem?
User:past 6 months
Doctor:Have you seen any doctor for the same?
Doctor:have you tried any treatments?
Doctor:When you said baldness are you losing hairs in patches or have you lost hair in the front?
User:ya i consulted, they advice to take Biotin for Baldness and Duralast of sexual disorders
User:seems no improvement in both...
User:yes, im losing hairs in front and center of head
Doctor:Approximately how many strands of hair are you losing in a day?
User:more than 40
Doctor:Let me brief you.
User:and also seems big gaps in the scalp
Doctor:Hair as a process of normal cycle get shed every day and new hair starts to arise. We do not call it significant if the hair fall is not more than 100.
Doctor:However since you mention that you have baldness especially in the front - what we describe as male pattern baldness
Doctor:it is likely that male hormones could be influencing the hair fall.
Doctor:Such kind of situations respond well to minoxidil solution. Note that this solution can worsen sexual problem in a few.
Doctor:Therefore a visit to a dermatologist and identifying the severity of problem is important before starting minoxidil.
Doctor:Are you following?
User:I already used minoxidil...
User:yes, im following u
Doctor:Minoxidil works the best for male pattern baldness, however in view of sexual side effects it needs to be taken under guidance.
Doctor:Alternatives to these are antiandrogen drugs. They too have the problem of sexual side effects.
Doctor:These medications need to be taken under supervision.
Doctor:if none of the drugs are applicable, then the next option would be to undergo hair transplant.
Doctor:You can discuss about these options when you consult a dermatologist.
Doctor:If you do not have any doubts here, I shall proceed with your next concern.
User:please advice the non problematic medicines
User:please go ahead with next concern
Doctor:Other drugs given for hair fall are nutritional supplements such as biotin. These you are already on.
Doctor:Nutritional supplements, minoxidil, antiandrogens and hair transplants are the options available to you.
User:okay, i go with Biotin...
Doctor:Erectile dysfunction where there is inability to sustain erection is usually associated with psychological cause than organic medical causes.
Doctor:I say this because, effective treatment of erectile dysfunction lies at identifying the cause.
User:hmmm.. understood...
Doctor:Controlling the mind with behavioral modifications often treats erectile dysfunction in many men.
Doctor:Some drugs such as sildenafil / tadafil are given transiently while behavioral modifications shows its effects.
User:Im trying the same.... but internally im looking for advicable pills to enhance my time...
Doctor:This kind of the therapy needs to be governed by a doctor as the pills have cardiac effects. A sexologist / psychiatrist can guide through the process.
Doctor:That being said, since you say you also have premature ejaculation
Doctor:where you ejaculate before ideal time of 2-3 minutes, I wonder if you really have erectile dysfunction.
Doctor:The reason being, erection is lost within few minutes of ejaculation. So if you are able to ejaculate with sustained erection, what you have isn't related to erectile problem.
Doctor:I hope you understand.
User:I gotch u
Doctor:Considering what you have is only premature ejaculation, I suggest Master and Johnson's techniques such as start and stop method / squeeze technique.
Doctor:You can try using a condom for desensitization or any desensitization cream during intercourse to delay ejaculation.
User:which is advicable, sildenafil/tadafil, if so, is it available in local medical shops...
Doctor:If these measures do not help, then drugs like dapoxetine can be taken under guidance of a psychiatrist.
Doctor:All the pills sildenafil/tadafil / dapoxetine are prescription only medications.
User: XXXXXXX not even a min, only few secs i have ejaculated.. thats my only worry
Doctor:As they are known for serious side effects, you can take this only after a physical examination.
Doctor:I understand your concern, but without getting yourself physically examined, I would not recommend you take pills over the counter.
Doctor:The symptoms would definitely resolve, however treatment without monitoring can lead to other problems which can have dire consequences.
User:ok... but I didnt find the exact one to examine phycially...
Doctor:A qualified sexologist / pschiatrist are the best specialist to treat the problem.
Doctor:They will also be able to prescribe these drugs to you.
User:ok XXXXXXX thanks for your valubale advice for my issues, one more question plz...
User:what type of foods will help me to promote hair growth... and where can i get the knowledge about master and johnson's techinue
Doctor:Root vegetables and fruits are helpful for hair problems.
Doctor:Carrot, beetroot, potato, radish, ginger and all root vegetables have good source of vitamins and minerals which are healthy and helps hair growth.
Doctor:Master and XXXXXXX exercise in brief is stopping sexual intercourse while you feel the urge to ejaculate. You could just pause for few minutes or squeeze the base of penis. Once you get over the urge, you can restart intercourse.
Doctor:The technique has better results, if you spend more time in foreplay
Doctor:Time spent on foreplay will relax and ease your mind. This will clear all apprehensions about sexual failure.
User:Yes, i understood Dr...
Doctor:Increased foreplay, master and johnson's technique along with desensitization will prevent premature ejaculation.
Doctor:you can learn more about master and johnson's technique by googling it.
Doctor:Do you have any other questions?
User:yes i reading now... thanks for showing the right techinue
Doctor:You are welocme.
Doctor:Do you have any more questions?
User:no other questions now... will ping you for questions later
User:Thanks again Dr. XXXXXXX feel confident...
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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