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Suggest Remedies For Insomnia And Premature Ejaculation
Question: Hi There, I can not sleep from last 6 months, i sleep only 5-6 hours every night due to some problems.What do you suggest me? I also fear to do sex because i have pre ejaculation problem and also i can not erect for longer time. I never had sex with anyone. Please help me , i am 31 years old.
Brief Answer:
follow sleep hygiene, make your self relax about your sex related anxiety
Detailed Answer:
Hello,
Thanks for writing to us. I can understand your concern.
5-6 hours of sleep as such is not much less. Normally an adult person needs 6-8 hours of sleep per day. First of I would recommend following 'sleep hygiene'.
These are some measures called which would help in sleep. You can find the same in below link.
sleepfoundation.org/ask-the-expert/sleep-hygiene
Drinking a cup of warm milk before going to bed helps in 30-40% of patients and they do not need medicines as per my clinical experience.
According to the latest diagnostic criteria by DSM 5, premature ejaculation should be defined when there is ejaculation within one minute after entering tin to vagina or even before penetration. You do not have any experience of sex. So we cannot diagnose PME in your case. It is just your apprehension.
- Please explain why do you feel that there is pre ejaculation?
- Do you masturbate? If yes, What is your frequency of masturbation?
- Did you any attempt sex ever?
- Is there any stress in your life?
- Since when do you feel sleep disturbance?
- Are you going to marry soon?
I will be happy to help further after your response.
Regards,
Dr.Chintan Solanki.
follow sleep hygiene, make your self relax about your sex related anxiety
Detailed Answer:
Hello,
Thanks for writing to us. I can understand your concern.
5-6 hours of sleep as such is not much less. Normally an adult person needs 6-8 hours of sleep per day. First of I would recommend following 'sleep hygiene'.
These are some measures called which would help in sleep. You can find the same in below link.
sleepfoundation.org/ask-the-expert/sleep-hygiene
Drinking a cup of warm milk before going to bed helps in 30-40% of patients and they do not need medicines as per my clinical experience.
According to the latest diagnostic criteria by DSM 5, premature ejaculation should be defined when there is ejaculation within one minute after entering tin to vagina or even before penetration. You do not have any experience of sex. So we cannot diagnose PME in your case. It is just your apprehension.
- Please explain why do you feel that there is pre ejaculation?
- Do you masturbate? If yes, What is your frequency of masturbation?
- Did you any attempt sex ever?
- Is there any stress in your life?
- Since when do you feel sleep disturbance?
- Are you going to marry soon?
I will be happy to help further after your response.
Regards,
Dr.Chintan Solanki.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks for your reply,
The reason of my stress in life is ...
I got married in XXXXXXX 2015 (in my backhome) according to my religion where we done paperwork and big function in a Marriage hall to give proof of marriage to Canada Immigration but me and my wife never lived together, because it was decided before marriage that we will apply for her and when got her Visa for Canada then we live together.We were Husband and wife from religiously and by law.
In XXXXXXX 2015 suddenly she started problems and stop talking to me as we talk everyday almost 4-5 hours a day and she tried to break our relation.Me and my family tried our best to control the situation but she blamed on me , lie to everyone that i am not good with her, blaa blaa blaa, and broke our relation.
In Sep 2015 her father called to my family and abused me and said i was not a good person so they do not want to continue this relation.Even i loved her and was nice with her more than anyone,
They insulted me to my family and also insulted my family without any proper reason, Even i approve my 1 month vocation from Work and bought a ticket to Go back Home to fix everything but they closed the relation and i could not do anything.
I also applied for her spouse immigration and Canada Immigration department sent me confirmation.Even we told them but they did not took it serious.
We were too happy with each other specially me.Even when i was with her we tried intimated but my erection was not good and did not stay longer so i did not force her But also she was not agree to do sex until we live together but we intimate each other with hands etc.we never sex so she never asked about my erection or noticed about this thing.
i was very nice to her and she was too when we were in contact But now i realize she was a big drama queen.She was married before me with someone but broke ,her family did not told us about her previous marriage.They do a paper marriage and ask for money from boy and also do not tell their relatives, same happened on our marriage , they did not invited any relatives.They keep marriage secret.
It all happened suddenly and i still can not accept it . i have too many things to say about those allegations on me but no one asked me.This is the reason why i could not sleep from last 6-8 months.
-Yes i do masturbate once or twice a week.Or sometime 4 to 5 times a month.
-Yes i tried to have sex 6 years before with one of my GF and i ejaculate when i touched her vigina with my tin.
-Even when i was with my wife my erection was so bad and when she start move it, i had to stop her otherwise i ejaculate.
-It only erect in full form when i am sleeping but not with a girl.
-I sleep in morning around 6-7 everyday, and woke up at 12:30 for my work.
-Yes i want to get marry ASAP otherwise i will get mad to be alone as i am alone from last 4 years in Canada, with no GF because everyone know i got married and i can not tell anyone because i told everyone after my marriage that i have the best wife in the world.
I also feel headache everyday , i do not want to remember anything but i can't, all those things are running in my mind every single minute, i can't stop thinking.I was comfortable with my wife that i will have sex with her when we will together but now i scared from someone else.
I am getting old and with PE and ED problem i scare to get marry, i don't want anyone who leave me due to these problems.
If yo want to know anything pleas feel free to ask.
The reason of my stress in life is ...
I got married in XXXXXXX 2015 (in my backhome) according to my religion where we done paperwork and big function in a Marriage hall to give proof of marriage to Canada Immigration but me and my wife never lived together, because it was decided before marriage that we will apply for her and when got her Visa for Canada then we live together.We were Husband and wife from religiously and by law.
In XXXXXXX 2015 suddenly she started problems and stop talking to me as we talk everyday almost 4-5 hours a day and she tried to break our relation.Me and my family tried our best to control the situation but she blamed on me , lie to everyone that i am not good with her, blaa blaa blaa, and broke our relation.
In Sep 2015 her father called to my family and abused me and said i was not a good person so they do not want to continue this relation.Even i loved her and was nice with her more than anyone,
They insulted me to my family and also insulted my family without any proper reason, Even i approve my 1 month vocation from Work and bought a ticket to Go back Home to fix everything but they closed the relation and i could not do anything.
I also applied for her spouse immigration and Canada Immigration department sent me confirmation.Even we told them but they did not took it serious.
We were too happy with each other specially me.Even when i was with her we tried intimated but my erection was not good and did not stay longer so i did not force her But also she was not agree to do sex until we live together but we intimate each other with hands etc.we never sex so she never asked about my erection or noticed about this thing.
i was very nice to her and she was too when we were in contact But now i realize she was a big drama queen.She was married before me with someone but broke ,her family did not told us about her previous marriage.They do a paper marriage and ask for money from boy and also do not tell their relatives, same happened on our marriage , they did not invited any relatives.They keep marriage secret.
It all happened suddenly and i still can not accept it . i have too many things to say about those allegations on me but no one asked me.This is the reason why i could not sleep from last 6-8 months.
-Yes i do masturbate once or twice a week.Or sometime 4 to 5 times a month.
-Yes i tried to have sex 6 years before with one of my GF and i ejaculate when i touched her vigina with my tin.
-Even when i was with my wife my erection was so bad and when she start move it, i had to stop her otherwise i ejaculate.
-It only erect in full form when i am sleeping but not with a girl.
-I sleep in morning around 6-7 everyday, and woke up at 12:30 for my work.
-Yes i want to get marry ASAP otherwise i will get mad to be alone as i am alone from last 4 years in Canada, with no GF because everyone know i got married and i can not tell anyone because i told everyone after my marriage that i have the best wife in the world.
I also feel headache everyday , i do not want to remember anything but i can't, all those things are running in my mind every single minute, i can't stop thinking.I was comfortable with my wife that i will have sex with her when we will together but now i scared from someone else.
I am getting old and with PE and ED problem i scare to get marry, i don't want anyone who leave me due to these problems.
If yo want to know anything pleas feel free to ask.
Brief Answer:
your problem is psychological
Detailed Answer:
Hi,
Thanks for excellent clear information. I am sorry for what you have suffered.
I can understand pain and feelings you had. Whatever happened has happened we cannot change it. You need to accept and digest the reality that someone has cheated you. But it is not the end. it is just lesson of a life.
In this situation for sleep if you cannot get sleep with sleep hygiene, medicines can help.
I recommend melatonin. It is a natural hormone and available as herbal supplement. 5 mg 3-4 hours before sleep or you can use controlled release preparation.
If melatonin does not work, other medicines are there.
Ambien and ativan are prescription drugs and you should consult the doctor for prescription to take either of any one if melatonin cannot help.
Dear you still have not exposed to routine sexual life or even you have not involved in sex in comfortable manner. You can do masturbation and erection in morning is there. All these factors suggest that your physiological system is working properly. Your concern is psychological. You can involve in sex life without any problem in future that is for sure.
Your daily headache and stress needs to be addressed. If I were your treating doctor I would like to give amitryptiline at night. It can help in sleep as well as in headache.
You just marry and go for sex without any apprehension. Practice makes the man perfect. When your marriage is planned just contact me. I will guide further at that time. At present continue enjoying masturbation.
You wrote, " i do not want to remember anything but i can't, all those things are running in my mind every single minute, i can't stop thinking". This needs to be evaluated for depression or anxiety problem by a psychiatrist. Detail history of symptoms with mental status examination can help in diagnosis. It can be treated with counselling - psychotherapy or/and medicines if needed.
Feel free to discuss further.
your problem is psychological
Detailed Answer:
Hi,
Thanks for excellent clear information. I am sorry for what you have suffered.
I can understand pain and feelings you had. Whatever happened has happened we cannot change it. You need to accept and digest the reality that someone has cheated you. But it is not the end. it is just lesson of a life.
In this situation for sleep if you cannot get sleep with sleep hygiene, medicines can help.
I recommend melatonin. It is a natural hormone and available as herbal supplement. 5 mg 3-4 hours before sleep or you can use controlled release preparation.
If melatonin does not work, other medicines are there.
Ambien and ativan are prescription drugs and you should consult the doctor for prescription to take either of any one if melatonin cannot help.
Dear you still have not exposed to routine sexual life or even you have not involved in sex in comfortable manner. You can do masturbation and erection in morning is there. All these factors suggest that your physiological system is working properly. Your concern is psychological. You can involve in sex life without any problem in future that is for sure.
Your daily headache and stress needs to be addressed. If I were your treating doctor I would like to give amitryptiline at night. It can help in sleep as well as in headache.
You just marry and go for sex without any apprehension. Practice makes the man perfect. When your marriage is planned just contact me. I will guide further at that time. At present continue enjoying masturbation.
You wrote, " i do not want to remember anything but i can't, all those things are running in my mind every single minute, i can't stop thinking". This needs to be evaluated for depression or anxiety problem by a psychiatrist. Detail history of symptoms with mental status examination can help in diagnosis. It can be treated with counselling - psychotherapy or/and medicines if needed.
Feel free to discuss further.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks for your detailed reply.
Please search on walmart.ca and send me links for Sleeping medications without doctor prescription and i will go and buy.I searched but there are too many , am not sure which is better and which is not.
Also if you see some Anti depression medication on walmart website, please send me links.
I talked here with my doctor about my erection and he said you have no physical problem so nothing to worry about.But I know i can not maintain my full erection even one minute.
But first i needs to fix my sleep and depression problem, when i will be happy might be it help me in my sex life too.I forget to smile since my relation broke.
I talk to my doctor about this whole sleep and depression problem but he did not gave me any medicine and said it is just matter of time. I can't concentrate on anything due to this problem, now its getting worse.My face shows my problems clearly. Even i don't want to go back home again and marry someone and left her there until her Visa get approved and I wait here, and distance makes problems for both and in Canada i never saw someone to whom i thought to get marry.
Please search on walmart.ca and send me links for Sleeping medications without doctor prescription and i will go and buy.I searched but there are too many , am not sure which is better and which is not.
Also if you see some Anti depression medication on walmart website, please send me links.
I talked here with my doctor about my erection and he said you have no physical problem so nothing to worry about.But I know i can not maintain my full erection even one minute.
But first i needs to fix my sleep and depression problem, when i will be happy might be it help me in my sex life too.I forget to smile since my relation broke.
I talk to my doctor about this whole sleep and depression problem but he did not gave me any medicine and said it is just matter of time. I can't concentrate on anything due to this problem, now its getting worse.My face shows my problems clearly. Even i don't want to go back home again and marry someone and left her there until her Visa get approved and I wait here, and distance makes problems for both and in Canada i never saw someone to whom i thought to get marry.
Brief Answer:
consulting psychiatrist will help
Detailed Answer:
Hi,
I can understand your situation. You are absolutely right that first of all your depression should be treated. There are many medicines for depression. All of them are prescription medicines.Online prescription is not valid. I am sorry for limitation from our side. It is better to take medicine after consulting local doctor so any side effect occurs by chance doctor can provide immediate help.
I am also sure that after coming out of this depression your sex related problems will also solved.
For sleep problem follow sleep hygiene.
I have found two links for you from which you can purchase melatonin.
http://www.YYYY.ca/en/ip/YYYY-natural-YYYY-dissolvezzz-5-mg-tablet/0000
http://www.YYYY.ca/en/ip/YYYY-naturals-YYYY-blister-packed-3-mg-15-tablets/0000
For other medicines if at all needed you need to consult doctor personally to take the prescription as I mentioned.
I recommend consulting psychiatrist as GP may not understand your problem.
If still any query there, I will be happy to answer. If not, you can close the discussion and if feasible give your feedback and rating so I can improve my service. In future you can contact me directly on this site if you wish with this link:
http://bit.ly/drchintansolanki
by clicking on 'Ask me a question' on same page with three follow up questions.
Take care dear.
consulting psychiatrist will help
Detailed Answer:
Hi,
I can understand your situation. You are absolutely right that first of all your depression should be treated. There are many medicines for depression. All of them are prescription medicines.Online prescription is not valid. I am sorry for limitation from our side. It is better to take medicine after consulting local doctor so any side effect occurs by chance doctor can provide immediate help.
I am also sure that after coming out of this depression your sex related problems will also solved.
For sleep problem follow sleep hygiene.
I have found two links for you from which you can purchase melatonin.
http://www.YYYY.ca/en/ip/YYYY-natural-YYYY-dissolvezzz-5-mg-tablet/0000
http://www.YYYY.ca/en/ip/YYYY-naturals-YYYY-blister-packed-3-mg-15-tablets/0000
For other medicines if at all needed you need to consult doctor personally to take the prescription as I mentioned.
I recommend consulting psychiatrist as GP may not understand your problem.
If still any query there, I will be happy to answer. If not, you can close the discussion and if feasible give your feedback and rating so I can improve my service. In future you can contact me directly on this site if you wish with this link:
http://bit.ly/drchintansolanki
by clicking on 'Ask me a question' on same page with three follow up questions.
Take care dear.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks for your reply but i don't get errection even after watch any porn until unless i move my penis so hard , but not get enough tightness in it.
Brief Answer:
it can be due to apprehension, testosterone level assessment can be done
Detailed Answer:
Hi,
Most of the males after some age do not get erection without touching penis though porn or erotic material is there. You are likely not able to get enough hardness due to apprehension about erection/performance anxiety.
Sometime due to fatigue, lack of mood, situational problem or environmental changes man can fail in sex. It is normal phenomenon. However when this failure makes person apprehensive about erection, sex life is affected. This is called performance anxiety. After such failure when person actively thinks about erection or success of intercourse during sex/masturbation his mind is likely diverted to such thoughts. For constant erection continuous exciting/romantic/erotic feelings should be there in mind. If mind diverted to concern about erection, erection would not be possible.
Now onward try enjoy masturbation without thinking about erection. Orgasm matters much than erection.
Your depression is also playing role. In depression lack of libido and erectile dysfunction are common. As soon as depression improves, sex problems automatically resolve.
You can go for serum testosterone level. When it comes normal we can conclude that your sex problem is psychological and not at all physical.
Do not hesitate to ask any query if it is there.
it can be due to apprehension, testosterone level assessment can be done
Detailed Answer:
Hi,
Most of the males after some age do not get erection without touching penis though porn or erotic material is there. You are likely not able to get enough hardness due to apprehension about erection/performance anxiety.
Sometime due to fatigue, lack of mood, situational problem or environmental changes man can fail in sex. It is normal phenomenon. However when this failure makes person apprehensive about erection, sex life is affected. This is called performance anxiety. After such failure when person actively thinks about erection or success of intercourse during sex/masturbation his mind is likely diverted to such thoughts. For constant erection continuous exciting/romantic/erotic feelings should be there in mind. If mind diverted to concern about erection, erection would not be possible.
Now onward try enjoy masturbation without thinking about erection. Orgasm matters much than erection.
Your depression is also playing role. In depression lack of libido and erectile dysfunction are common. As soon as depression improves, sex problems automatically resolve.
You can go for serum testosterone level. When it comes normal we can conclude that your sex problem is psychological and not at all physical.
Do not hesitate to ask any query if it is there.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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