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Suggest Treatment For Erectile Dysfunction And Micro Penis
Question: Hi sir i am suffering from E D AND P D BOTH my penies size is also very smalI its erection size is only 2.5 inch .I have done intercourse 5 time with girl firend but she never satisfied.My moring and eveing erection is ok ok but not so much thease days i am also facing problom low sex desire hardness is also very low. All this problem happen after i suffer from jauindce.Just beacuse my life fustrated suggest some treat meant
Brief Answer:
need to reduce weight, go for serum testosterone and penile doppler
Detailed Answer:
Hello XXXXXXX
Thanks for writing to us.
You are young man. As such there is no direct relation between jaundice and erectile dysfunction.
Penis during erection 2.5 inches is small. Normal size of penis in flaccid state is 2 to 4 inches (5 to 10 cm) while in erect position 3 to 7 inches (9 to 15 cm). It varies according to body structure and race. Size of penis does not matter much for satisfying partner if it is more than 3 inches.
Anterior 2-3 inches of female vaginal wall is sensitive to sexual stimuli. Only 3.5 inches of erect penis is sufficient to satisfy female.
Considering these facts I request you to measure penis size again in normal state and in full erection state and revert back to me. I recommend penile doppler to check vascularity of penis.
For erectile dysfunction I recommend to go for serum testosterone level.
You have responded well to some ayurvedic medicines that mean your problem is less likely physical and more psychological. Please let me know details of ayurvedic medicine you have taken.
After jaundice overall body weakness is there and that may be responsible for your problem. In that case you just need supplements.
You can use medicine cum vitamin supplement containing pyridoxal-5-phosphate, mecobalamin and l-methylfolate (trade name tetrafol plus)is very helpful in my patients. It has shown improvement in 50-60% patients of mine with ED. You may get this medicine over the counter as it is vitamin product. You should take it twice a day after meal for 2 months.
- In which circumstance have you tried sex with girlfriend? Were you relax or in hurry?
- Have you done masturbation? If yes since when, what is frequency and how successful is it? Currently are you enjoying masturbation?
- Do you have any case papers or reports of past penile injury if yes please upload.
I will response further after you can answer the information I asked.
Regards,
Dr.Chintan Solanki.
need to reduce weight, go for serum testosterone and penile doppler
Detailed Answer:
Hello XXXXXXX
Thanks for writing to us.
You are young man. As such there is no direct relation between jaundice and erectile dysfunction.
Penis during erection 2.5 inches is small. Normal size of penis in flaccid state is 2 to 4 inches (5 to 10 cm) while in erect position 3 to 7 inches (9 to 15 cm). It varies according to body structure and race. Size of penis does not matter much for satisfying partner if it is more than 3 inches.
Anterior 2-3 inches of female vaginal wall is sensitive to sexual stimuli. Only 3.5 inches of erect penis is sufficient to satisfy female.
Considering these facts I request you to measure penis size again in normal state and in full erection state and revert back to me. I recommend penile doppler to check vascularity of penis.
For erectile dysfunction I recommend to go for serum testosterone level.
You have responded well to some ayurvedic medicines that mean your problem is less likely physical and more psychological. Please let me know details of ayurvedic medicine you have taken.
After jaundice overall body weakness is there and that may be responsible for your problem. In that case you just need supplements.
You can use medicine cum vitamin supplement containing pyridoxal-5-phosphate, mecobalamin and l-methylfolate (trade name tetrafol plus)is very helpful in my patients. It has shown improvement in 50-60% patients of mine with ED. You may get this medicine over the counter as it is vitamin product. You should take it twice a day after meal for 2 months.
- In which circumstance have you tried sex with girlfriend? Were you relax or in hurry?
- Have you done masturbation? If yes since when, what is frequency and how successful is it? Currently are you enjoying masturbation?
- Do you have any case papers or reports of past penile injury if yes please upload.
I will response further after you can answer the information I asked.
Regards,
Dr.Chintan Solanki.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi sir thanks for reply and i will get back to you with serum testosterone test with in few days .I dnt no the name of ayurvedic medcine i have taken medcine from bams doctor.But it give tempary relief .From last few month my sex postion getting dwon day by day. 1.Its year back i have done sex with my gf that time i am peace of mind every time but i never make satified erction is very low that time and discharge take place in hardly few second sir . 2.I am used to masturbation i am doing masturbation from last 12 year almost 3 or 4 time in week.Its enjoyabel every time but from last 2 year its not that much enjoybel beacuse erection is very much low know from last 6 mnths i done maustrabtion very less i do 1 time in 10 daya but qulaity and quantity of sperm is very low and after maustrabution their littel irtation in penies . 3.I have no report sir i rember that one of my penis veins get cut from iron peice and it bleeded more then 2 or three hour but thats time i very small around 10 year old. 4.But know a days erection is very much low and sexual desire i very low when i watch porn erection dnt take place suggest what i have to do and my problem is curiabel or not because me getting married in next 10 or 12 mnths thanks for important time
Brief Answer:
you can start supplements and increase frequency of masturbation
Detailed Answer:
Hi,
Thanks for information and sorry for delayed response.
Some response with ayurvedic medicines was there it means your problem is curable.
As described above start tetrafol plus. At present you are doing masturbation less. To see the response of medications you should go for sex or need to increase the frequency of masturbation.
It was first time exposure to sex and you ejaculated early that is absolutely fine. It is normal. Practice makes the man perfect.
If you can attempt sex I recommend taking tadalafil before 2 hours.5-PDE inhibitor group of drug like sildenafil or tadalafil is useful for erectile dysfunction. Person can take it before 2 hours of sex for good erection. These are prescription medicines and you need to consult doctor for the same. If you can succeed with that, your problem is absolutely curable.
I still recommend following reports.
- Serum testosterone
- Semen analysis
- Penile doppler
Also let me know
- Do you have any problem in urinating?
- Do you have any habit of alcohol, tobacco or smoking?
- Is there any specific stress in life?
I will be happy to guide further after your response.
Take care.
you can start supplements and increase frequency of masturbation
Detailed Answer:
Hi,
Thanks for information and sorry for delayed response.
Some response with ayurvedic medicines was there it means your problem is curable.
As described above start tetrafol plus. At present you are doing masturbation less. To see the response of medications you should go for sex or need to increase the frequency of masturbation.
It was first time exposure to sex and you ejaculated early that is absolutely fine. It is normal. Practice makes the man perfect.
If you can attempt sex I recommend taking tadalafil before 2 hours.5-PDE inhibitor group of drug like sildenafil or tadalafil is useful for erectile dysfunction. Person can take it before 2 hours of sex for good erection. These are prescription medicines and you need to consult doctor for the same. If you can succeed with that, your problem is absolutely curable.
I still recommend following reports.
- Serum testosterone
- Semen analysis
- Penile doppler
Also let me know
- Do you have any problem in urinating?
- Do you have any habit of alcohol, tobacco or smoking?
- Is there any specific stress in life?
I will be happy to guide further after your response.
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi sir thanks for reply i am getting back you with all test with in few days .Sir i have some doubt the suppliment which u metion above is for what puprpose.For how much time period i take this medicine for improve my health.so any side effect of this medicne .This medicne help to improve me problem form root or not.So who many chance to get addicated this supplement.and u have mention vigra like sidnifall this temapart relief medcine sir so i jst want go medcine which cure my problem from root i have time to improve my health .sir i am not habbitual of alchol cigrate and tabboc and i dnt have any kind stress .Ya some time when i do urine some kind irritation i feel in my penis but this problem happing from last 2 months.The major problem these days i facing low sex desire and erection is so less in mng and eveing and know erection also less when i kiss my gf so please suggest some think which help me out from health problem from root .I am very much thank full to you
Brief Answer:
go for testing in early morning with empty stomach
Detailed Answer:
Dear XXXXXXX
Thanks for follow up.
I have already mentioned some details about supplement in first response. As it is vitamin product no side effect will be there. You should take it twice a day after meal for 2 months. To treat your problem from root we need to diagnose the cause. As such it seems only psychological problem from available history. If mentioned investigation will come normal, your problem is psychological and it can be treated with the supplement what I mentioned as well as with sex related counselling.
It is good that you do not have any bad habit or stress. But irritation during urine should be evaluated. Go for urine routine-micro investigation also to check for infection.
Dear XXXXXXX at age of 28, erection without significant stimulation is not possible. With kissing you cannot get full erection as penis gets adapted to such arousal stimuli. You can have full erection if you aroused fully during masturbation or sex with sufficient erotic stimuli.
The supplement I told will help to increase your desire as well as performance.
You can get tests done without prescription. You just need to write it on paper and go to laboratory. Yes better to give sample on empty stomach and in early morning. Medicine is also vitamin and you can get the same without prescription.
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 at the same cost with three follow up questions.
All the best.
go for testing in early morning with empty stomach
Detailed Answer:
Dear XXXXXXX
Thanks for follow up.
I have already mentioned some details about supplement in first response. As it is vitamin product no side effect will be there. You should take it twice a day after meal for 2 months. To treat your problem from root we need to diagnose the cause. As such it seems only psychological problem from available history. If mentioned investigation will come normal, your problem is psychological and it can be treated with the supplement what I mentioned as well as with sex related counselling.
It is good that you do not have any bad habit or stress. But irritation during urine should be evaluated. Go for urine routine-micro investigation also to check for infection.
Dear XXXXXXX at age of 28, erection without significant stimulation is not possible. With kissing you cannot get full erection as penis gets adapted to such arousal stimuli. You can have full erection if you aroused fully during masturbation or sex with sufficient erotic stimuli.
The supplement I told will help to increase your desire as well as performance.
You can get tests done without prescription. You just need to write it on paper and go to laboratory. Yes better to give sample on empty stomach and in early morning. Medicine is also vitamin and you can get the same without prescription.
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 at the same cost with three follow up questions.
All the best.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi sir thanks for guiduing and helping me i have certain doubt sir when i do maustrabtion my penies not get erected ti much it erected very less and semens discharge in 3o second only i have done with one tedet serum tertestrone my level is 425 only that level is ok or not rest of the test i will done with in few days.so my testrone level is ok or not and my size is also very less is any chance that size get incrase in this age or not.
Brief Answer:
report is normal
Detailed Answer:
Hi XXXXXXX
Thanks for providing report. It is absolutely normal.
Size of penis permanently can only increase with surgery. 5-PDE inhibitor medicine I described before can help in increasing size during sex.
Early discharge during masturbation is normal. However early discharge during sex is called premature ejaculation and it can be treated.
I want to provide brief information about the same.
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.
Treatment for PME:
Medicines:
Clomipramine and paroxetine are choice of medicines which are used as antidepressants (For depression dose is higher).
I prefer clomipramine for PME. No significant side effects with these medicines. Initially say for 20-30 days daily after dinner and later on just on the day when you do the sex.
Paroxetine is more potent but it may cause side effects like headache, gastric discomfort, giddiness and sedation. In patients with blood pressure it should be used in consultation with physician/cardiologist.
One molecule called depoxetine has been used specifically for PME and should be taken before 2 hours of sex when required.
These medicines are prescription medicines and you need to consult doctor/psychiatrist/sexologist for prescription.
Behavioral approaches are as follows for your information:
1. Stop and Squeeze technique can be applied which you can learn from internet and ask me if any query in that.(In brief, method suggests that you should try to divert your mind for a moment when you feel ejaculation arousal and penis should be tightly squeezed with hand inwards by your partner preferably).
2. Kegel exercise also helps in some cases. You can learn the same from internet.
3. Sex counselling of your sexual behavior and methods. Like if you are down and female partner on top, gravity is going to help you for lengthening the time.
4. You should do masturbation before sex (at least 2 hours before ). It will make seminal vesicles somewhat empty and at time of sex semen will take more time to come out.
Another approach:
-Use of condoms. Sometime use of condom while sex helps in delaying ejaculation by reducing sensitivity of glans penis.
--Topical application of lignocaine anesthetic gel/spray. For this you have to consult doctor.
At present I recommend tetrafol plus.
All the best.
report is normal
Detailed Answer:
Hi XXXXXXX
Thanks for providing report. It is absolutely normal.
Size of penis permanently can only increase with surgery. 5-PDE inhibitor medicine I described before can help in increasing size during sex.
Early discharge during masturbation is normal. However early discharge during sex is called premature ejaculation and it can be treated.
I want to provide brief information about the same.
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.
Treatment for PME:
Medicines:
Clomipramine and paroxetine are choice of medicines which are used as antidepressants (For depression dose is higher).
I prefer clomipramine for PME. No significant side effects with these medicines. Initially say for 20-30 days daily after dinner and later on just on the day when you do the sex.
Paroxetine is more potent but it may cause side effects like headache, gastric discomfort, giddiness and sedation. In patients with blood pressure it should be used in consultation with physician/cardiologist.
One molecule called depoxetine has been used specifically for PME and should be taken before 2 hours of sex when required.
These medicines are prescription medicines and you need to consult doctor/psychiatrist/sexologist for prescription.
Behavioral approaches are as follows for your information:
1. Stop and Squeeze technique can be applied which you can learn from internet and ask me if any query in that.(In brief, method suggests that you should try to divert your mind for a moment when you feel ejaculation arousal and penis should be tightly squeezed with hand inwards by your partner preferably).
2. Kegel exercise also helps in some cases. You can learn the same from internet.
3. Sex counselling of your sexual behavior and methods. Like if you are down and female partner on top, gravity is going to help you for lengthening the time.
4. You should do masturbation before sex (at least 2 hours before ). It will make seminal vesicles somewhat empty and at time of sex semen will take more time to come out.
Another approach:
-Use of condoms. Sometime use of condom while sex helps in delaying ejaculation by reducing sensitivity of glans penis.
--Topical application of lignocaine anesthetic gel/spray. For this you have to consult doctor.
At present I recommend tetrafol plus.
All the best.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi sir thanks alot for helping and guding me i will get back to you asap sir .Sir the medcine u have suggested tetrafol plus is not avaibel in XXXXXXX market i just want to request please tell some other medcien who having same salt thanks alot for kind help
Brief Answer:
it is available online
Detailed Answer:
Hi XXXXXXX
Thanks for follow up.
As such there is no alternative of this medicine.
You can ask your chemist to order tetrafol plus of Sun Pharma for you. I think it is possible as XXXXXXX is city.
Or other option is there. You can ask your doctor to write prescription for the same and you can purchase the same online from below link through that prescription.
http://www.yyyyyyyyyyyyyy.com/searchdrug?keyword=TyyyyyyyyyS%20TABLET%2010%27Syyyyyyyyyyyyyy=All%20Drugs
All the best.
http://bit.ly/drchintansolanki
it is available online
Detailed Answer:
Hi XXXXXXX
Thanks for follow up.
As such there is no alternative of this medicine.
You can ask your chemist to order tetrafol plus of Sun Pharma for you. I think it is possible as XXXXXXX is city.
Or other option is there. You can ask your doctor to write prescription for the same and you can purchase the same online from below link through that prescription.
http://www.yyyyyyyyyyyyyy.com/searchdrug?keyword=TyyyyyyyyyS%20TABLET%2010%27Syyyyyyyyyyyyyy=All%20Drugs
All the best.
http://bit.ly/drchintansolanki
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Sir i got the medcine thanks for kind help i start medcien and be in touch with u you with my progress report and peniel droper test.So after that you slove my problem from root and i live healthy sex life.thanks alot
Brief Answer:
Welcome
Detailed Answer:
You are welcome XXXXXXX
Hope you will be fine soon. Let me know your progress.
Http://bit.ly/drchintansolanki
Take care.
Welcome
Detailed Answer:
You are welcome XXXXXXX
Hope you will be fine soon. Let me know your progress.
Http://bit.ly/drchintansolanki
Take care.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Prasad
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