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Suggest Treatment For Depression, Stress And Infertility Issues
Question: I am 36 years old married for the last 4 years and issueless till now. For the last 3 years to be precise, I started suffering from depression related symptoms though not a very serious one mainly due to job stress, tension and unfulfilled professional desires. This ultimately led to me not being able to maintain the proper physical relation with my wife which had caused a lot of tension and friction even though she has stood by me like a rock and has not complained during these difficult times. Finally, in March 2016 we both went to a fertility clinic and tested ourselves. To tell frankly, I have practically never masturbated intentionally and hence am unable to give my semen sample. My wife's report is more or less normal. We were both referred to a psychiatrist under which I am currently on medication. My medicines both for fertility related and depressive related are as follows:
1) Andriol Testocap 40 mg
2) Tentex Forte- Two times twice daily.
3) Quogress
4) Shicobal- Two times a day
5) Nexito Plus
6) Penegra 100 mg if needed
By taking these medications, my mood has improved a lot and my physical relationship with my wife has also improved a lot. But deep inside, I do suffer from an inner feeling of guilt and panic disorders at times. But, the problem lies in my inability to masturbate on my own to give the semen sample. Even during sexual intercourse, I feel that not sufficient semen is being ejaculated for a complete satisfactory performance. Please help.
1) Andriol Testocap 40 mg
2) Tentex Forte- Two times twice daily.
3) Quogress
4) Shicobal- Two times a day
5) Nexito Plus
6) Penegra 100 mg if needed
By taking these medications, my mood has improved a lot and my physical relationship with my wife has also improved a lot. But deep inside, I do suffer from an inner feeling of guilt and panic disorders at times. But, the problem lies in my inability to masturbate on my own to give the semen sample. Even during sexual intercourse, I feel that not sufficient semen is being ejaculated for a complete satisfactory performance. Please help.
Brief Answer:
Psychological issues.
Detailed Answer:
Welcome To HCM. I am Dr Anshul Varshney. I have read your query in detail and I understand your concern.
I would congratulate you that no issues pertaining to organic causes of infertility have been found and all issues are just Psychological and are showing improvement.
I am very hopeful that there would be further improvement with the course of time.
The volume of ejaculate is never ever a criteria for sexual satisfaction.
Masturbation is totally harmless and even if you do doesn't cause any harm.
You could not give the sample just because you has this Anxiety and if you are anxious then either you are unable to ejaculate or you get premature Ejaculation.
I find the your ongoing treatment very good.
I would just like to comment on Nexito. This is an anti depressant. However every anti depressant causes sexual problems in long term.
So you have to stop taking it as soon as possible by taking care of your depression and Anxiety by natural ways like yoga and meditation.
First of all stop feeling guilty for an unnecessary thing!!
You are a perfect man and develop the confidence of having the capacity of good performance.
I hope it helps you.
If you have any further query, please ask me.
Psychological issues.
Detailed Answer:
Welcome To HCM. I am Dr Anshul Varshney. I have read your query in detail and I understand your concern.
I would congratulate you that no issues pertaining to organic causes of infertility have been found and all issues are just Psychological and are showing improvement.
I am very hopeful that there would be further improvement with the course of time.
The volume of ejaculate is never ever a criteria for sexual satisfaction.
Masturbation is totally harmless and even if you do doesn't cause any harm.
You could not give the sample just because you has this Anxiety and if you are anxious then either you are unable to ejaculate or you get premature Ejaculation.
I find the your ongoing treatment very good.
I would just like to comment on Nexito. This is an anti depressant. However every anti depressant causes sexual problems in long term.
So you have to stop taking it as soon as possible by taking care of your depression and Anxiety by natural ways like yoga and meditation.
First of all stop feeling guilty for an unnecessary thing!!
You are a perfect man and develop the confidence of having the capacity of good performance.
I hope it helps you.
If you have any further query, please ask me.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Dear Sir,
Thanks you very much for your positive response. To tell you frankly from childhood to teens and adolescence stage I had never seen any adult videos. But now, in order to stimulate myself in presence of my wife I do sometimes and I would admit that it has given me a positive impact. My psychiatrist has also told me that there is no harm in that as long as you stay within limits and control yourself to the bedroom activities only and to let go off any sense of guilt in presence of your wife.
Sir, do you think that I am in the right course of treatment. Please give your valued opinion on the same.
Thanks you very much for your positive response. To tell you frankly from childhood to teens and adolescence stage I had never seen any adult videos. But now, in order to stimulate myself in presence of my wife I do sometimes and I would admit that it has given me a positive impact. My psychiatrist has also told me that there is no harm in that as long as you stay within limits and control yourself to the bedroom activities only and to let go off any sense of guilt in presence of your wife.
Sir, do you think that I am in the right course of treatment. Please give your valued opinion on the same.
Brief Answer:
Carry on.
Detailed Answer:
Hello, It's not an issue at all. If you and your wife are comfortable, you both may enjoy that.
If you don't feel any guilt feeling you may continue with that.
I suppose you are on the right course and you can carry on with that.
If you have any further query, please ask me.
Carry on.
Detailed Answer:
Hello, It's not an issue at all. If you and your wife are comfortable, you both may enjoy that.
If you don't feel any guilt feeling you may continue with that.
I suppose you are on the right course and you can carry on with that.
If you have any further query, please ask me.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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