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Treating premature ejaculation and erectile dysfunction in men - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Men Sexual Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   Hi..
User :   Good evening..!
User :   My name is XXXXXX
Doctor :   Good evening to you too.
Doctor :   Please proceed with the query.
User :   I have a query on sex, related with erection problem...
Doctor :   Please explain.
User :   I have very strong urge for sex, but somehow I can' enjoy to the fullest due to my erection problem.. or pre-ejaculation..
User :   weight 80kg, height 5.6", age 36
Doctor :   The treatment or solution for erectile dysfunction is different from that of premature ejaculation.
Doctor :   So can you be specific of what your symptom is.
Doctor :   Is it both or
Doctor :   one of those?
User :   Disease.. type 2 diabetes.. since last 4years.. (Poorly controlled- Normally between 140-200)
Doctor :   Are you there?
User :   initially - urge to have sex very high, erection happens very strong, starts for oral or 4 play.. erection reach its peak and before penetration it difuse
Doctor :   Do you lose erection before you ejaculate?
User :   some time after penetration.. I do for some 30-60 sec and then again defuse.... I want to have sex untill my desire ends.. atleast 10-15min... with strong penetration..
Doctor :   Ok
Doctor :   Do you lose erection before you ejaculate?
User :   actually if I can't ejaculate then it will get defuse.. so to avoid that I have to ejaculate fast to have atleast some fun,..
Doctor :   Since when are you having this problem?
User :   Ever since I started having actual sex with a woman.... I found this problem with me..
User :   When I am doing masterbation.. it is normal.. I can have more then 3-4hrs.. erection..
User :   5-6 times a day .. i can do masterbation...
Doctor :   Do you find any problem while you are masturbating now?
Doctor :   I mean do you feel, that you are losing erection soon during masturbation?
User :   some times yes.. but all the time.. during masterbation... I can control myself..
User :   so the excitment extends..
User :   I do masterbation by watching porn movies or by reading erotic stories...
Doctor :   Ok
Doctor :   Let me brief you.
User :   ok..
Doctor :   If you are able to masturbate without any problems and if you are erection is lasting untill ejaculation during masturbation, then
Doctor :   probably you only have symptoms of premature ejaculation.
Doctor :   however, since you say, that you have some problems while performing masturbation too,
User :   ok.. then how to overcome it.. i have gone through.. vacume testing and sperm count testing some other testing too.. but couldn't find any solution..
Doctor :   You will need treatment for both the condition.
Doctor :   Before I go ahead with the treatment options, I would like to give you some basic informations that you need to understand.
Doctor :   There are plenty of causes for sexual disturbances,
Doctor :   for your understanding, i will group them into
Doctor :   1. Psychological factors
Doctor :   this means the factor of fear and anxiety.
Doctor :   Many men lack confidence while having sexual intercourse.
Doctor :   I can give you an example, for this.
Doctor :   You say that you are able to perform much better with masturbation, but during real sex, you find problem.
Doctor :   This is what it means.
User :   1# .. I don't have any fear and anxiety..
Doctor :   Hence you need to look for, if any such psychological factors are hindering your sex life.
Doctor :   If you find then, you may have to over come it.
Doctor :   2. The physical fitness.
Doctor :   The physical factors are basically the sexual drive, the energy levels.
Doctor :   So, if a person is on low energy levels, then inspite of the strong sexual drive, sexual performance will be low.
Doctor :   So good diet and physical exercise is necessary.
Doctor :   Hence I suggest you to be proper with your dietary habits.
User :   Here i agry with u... bcaz if I don't masterbate for 4-5 days.. then I enjoy a good sex.. for aleast 1min...
Doctor :   Apart from this stress at work or in the family can add to this physical fitness.
Doctor :   So yoga, meditations and other stress relieving measures are also essential.
Doctor :   3. The endocrine factors.
Doctor :   In this group are the factors of diabetes, testosterone levels come into play.
Doctor :   Since you are a diabetic, a good diabetic control is really essential.
Doctor :   Uncontrolled diabetes causes erection dysfunction by both controlling the hormonal factors and also be having effects of your physical performance levels.
Doctor :   So its very essential to have a diabetic control.
Doctor :   4. Neurological factors are one of the rare causes for erectile dysfunctions.
Doctor :   And according to your history, you do not have this problem.
Doctor :   And lastly, is the importance of foreplay and other modes of increasing the sexual mood(during the whole sexual act).
Doctor :   To summarize the measures needed for improving your erectile dysfunction problems are
Doctor :   1. Measures to control diabetes is essential
Doctor :   2. A good and regular diet
Doctor :   3. Physical exercise and stress reducing measures such as yoga and meditation
Doctor :   4. If these are not helping you, then there are specific drugs
Doctor :   drugs such as viagra, cialis which are used.
Doctor :   These drugs are to be used only after a physical examination by a doctor (as they can have side effects)
Doctor :   5. Lastly I shall also suggest you the use of keagel's exercise.
Doctor :   this exercise as follows.
Doctor :   While you are passing urine, try holding the urine and releasing it.
Doctor :   Repeat this during the entire act of voiding urine.
Doctor :   Have you followed what I have suggested?
User :   oh.. this is called Keagels exercise... I do this.. but not regularly
Doctor :   They do not give results immediately.
Doctor :   Its just a supportive execise meant for the treatment of both premature ejaculation and erectile dysfunction/
User :   also someone advised me to put the head of the pennis in the water pressure and then msterbate..
Doctor :   Since this is a supportive exercise alone, you need to practise this with all the above measures that I had mentioned.
User :   I too personally feel that my problem may be related with my weak energy level and diabetes..
Doctor :   You need to address your diabetes issues first, if you are to have a good sexual life.
User :   Doctor I want to know.. in this healthcare magic.. how my records are kept and when i login.. and ask queries.. how doctors will know my history.. do I have to tell everything again and again to each and every doctor..?
Doctor :   Diabetes can have effects on the energy levels, the vasculature of the penis( is one of the cause), reducing the sensory nerve stimulation that is essential for sexual activity and so o.
Doctor :   No, your present chat is stored.
Doctor :   You can view this chat we had even after, we close this session.
Doctor :   So once you come to chat with us again, we are able to retrive the details of your previous chats.
User :   oh.. that means this chart will be there everytime I login..
Doctor :   Yes,
Doctor :   It will however take a few minutes for the doctor to read the chat though.
User :   also one more qery.. can my I can be used by my wufe for addresisng her problems..?
Doctor :   Yes,
Doctor :   You can chat with the doctor for your partners medical issues too.
User :   for any problem I can ask here in this chat session or there are different session for different issues..?
Doctor :   You can chat with the doctor for any of your or your family needs,.
Doctor :   We are glad to help you unless they are health related issues.
User :   Doctor.. then I want to ask about my diabetes.. condition and ways to control...
Doctor :   Please proceed.
Doctor :   Diabetes control is achieved by means of medications, physical exercise and strict diet control.
User :   2004 I came to know that my blood sugar levels are on border lines.. 110 and 115
User :   My mom is having type 2 diabetes since last 12years.. she is now 57years old..
Doctor :   The blood sugar levels are not good in detecting, how effective your diabetic control is.
Doctor :   I suggest you to get a specific test, a test referred to as glycosylated hemoglobin.
Doctor :   In simple referred to as Hb1ac.
User :   2006 .. onwards my blood sugar level started shooting ubove border line..
Doctor :   This test is more effective in knowing how effective your diabetic control is, then your blood sugar levels.
Doctor :   If the values of this test are above 8, then it indicates that your sugars are not in control and you need measures to improve it.
User :   ok doctor I'll do this test and let u know..
Doctor :   If you have not got this test done any time, I suggest you to get this and make amendments if necessary
User :   today my sugar levels are in between 150 to 200
Doctor :   Have you followed?
User :   yes doctor...
Doctor :   Do you mean, the GRBS levels?
Doctor :   May I know if you are on insulin or oral medications?
User :   i am talking about BSP and PP
User :   .ie sugar level during fasting and after having lunch..
Doctor :   The blood sugar levels are indicator of how your sugars are at that particular point of time.
Doctor :   They are used more to help the doctors modify the medications which are in use.
Doctor :   The other test, that i mentioned to you is the indicator of how effectively the diabetes is in control.
User :   At present I am taking some ayurvedic medicine from "Zalan health care and diabetic control"
User :   and also Glyciphage 500mg 3 times a day
Doctor :   Since my expertise are limited with ayurvedic treatment, I cannot comment on it.
Doctor :   However, if your sugars(fasting and post prandial0 are high
Doctor :   a modification in the medical drugs along with physical exercise and dietary restrictions are needed.
Doctor :   If the sugars are still high inspite of all the drugs, then you will need insulin as a last resort.
Doctor :   Hence at this point of time, I suggest you to get the glycosylated hemoglobin tested and if the values are abnormal, then you will need to report to your doctor and a modification of all the three is esential/
Doctor :   Have you followed what I have suggested?
User :   ok.. I got..!
Doctor :   Do you have any other query?
User :   how about the diet chart..?
User :   bcaz I eat everything whatever I get..
User :   I can't control on diet.. and that is my biggest problem/..
User :   doctor one more thing... if we want to contant doctor on phone.. how can we do that...?
Doctor :   The diet plan is given after calculating the calories that you need and your vital stats.
Doctor :   if you are interested in obtaining a diet plan, I suggest you to use the get a diet plan option from our website.
Doctor :   I shall send you a link to it.
Doctor :   Our dietician will contact you and obtain the necessary details and shall mail you the diet chart to your email id.
Doctor :   Have you followed?
Doctor :   And did you receive the link that I sent to you?
User :   I have not opened by mail..
Doctor :   You should be getting the link here on this chat.
Doctor :   I shall resend it to you.
Doctor :   I have resent it to you.
Doctor :   Did you get a link now?
User :   which link
Doctor :   Ok
Doctor :   WWW.WWWW.WW User :   how to get a doctors no..?
Doctor :   You can speak to a specialist of your choice through the get a second opinion portal of our website.
User :   ok - #I -will - do -this -glycosylated hemoglobin test and -let - you -know..
Doctor :   This will however happen after you have posted your query and it will take 24 to 48 hours time.
Doctor :   Do you have any other query?
User :   no
Doctor :   if you have any problems obtaining the diet plan, do let us know?
Doctor :   And thanks for consulting me.
User :   ok
Doctor :   This is Dr xxxx
Doctor :   Bye for now.
Doctor :   Please refer about our service to your friends too.
User :   ok
User :   definately I'll do that
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