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Suggest Treatment For Erectile Dysfunction

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Posted on Wed, 19 Apr 2017
Question: Sometimes I feel that post intercourse I am not able to sustain erection for longer time.
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (2 hours later)
Brief Answer:
Please elaborate

Detailed Answer:
Dear XXXXXXX
Thanks for using Healthcaremagic.

I read your query but it is quite vague to make a proper diagnosis.

I request you to elaborate about the problem in detailed manner.

1. How long the problem is there
2. How it was started? Whether it was slow or all of sudden?
3. What number of days in a week/month you face problem?
4. What you mean by post intercourse?
5. How much time you take for second erection?
6. Elaborate if you get any difficulty.

I look forward to assist you.
Thanks and regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (23 minutes later)
second erection XXXXXXX in 1 to 2 hours.
I feel that I am not sustaining erection for long time during intercourse.
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (7 hours later)
Brief Answer:
Please answer properly

Detailed Answer:
Dear XXXXXXX
Thanks for follow up.

I request you to provide ample details as I do not any abnormality with it if it occurs occasionally.

Please note that hiding information is not a great strategy and your doctor can help you much more when he has all relevant information.

Thanks again.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (19 minutes later)
4 years back I got surgery circumcisions.
post surgery I feel early ejaculation after panetration.
before surgery I was able to sustain more than 10- 15 mins.
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (1 hour later)
Brief Answer:
It is premature ejaculation

Detailed Answer:
Dear XXXXXXX
Thanks for follow up.

Your current description is clearand indicative of premature ejaculation.


The condition can be controlled or treated in right manner with use of either behaviour techniques or medications.


The behavioral techniques need to be practiced during sex and does not yield results for two to four weeks. But once the results are achieved they are long lasting. In addition there is little concern with side effects as no active molecules prescribed.


Even your partner can also help you by participating in some of the behavioral interventions.

It s difficult for me to explain them here but you can get them a hold on them with use of google. Just type "kegel exercise" and you will get plethora of information to identify this particular technique. The kegel exercise is most studied and probably most effective technique for control of ejaculation.

The other techniques are
1. Squeeze technique
2. Start- stop method
3. Interruption technique

You can use either one or combination of them as per your comfort level.

Premature ejaculation can be controlled by drugs..
SSRI group of antidepressant drugs cause delayed ejaculation as a side effect, and this side effect is used therapeutically in the treatment of premature ejaculation..these drugs are as following:
Tablet. Paroxetine
Tablet. Fluoxetine
Tablet. Sertraline

I often prefer paroxetine as the first choice as it is slightly more effective than the other ones. The effect can be seen with regular intake of medications by the end of one or two weeks.


In my opinion you should practice the behavioural techniques first before opting to medications.

I hope you find find this advice helpful..best luck..
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (33 minutes later)
paroxetine tablet to be taken daily for 2 weeks.
I mean up to what time period it is to be taken.
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (13 minutes later)
Brief Answer:
Follow up

Detailed Answer:
Dear XXXXXXX
Thanks for follow up.

First you need to try behavior techniques and than only we can think of medications. Start with the kegel and report back to me after few weeks.

I hope this assists you.
If you have more questions I will be glad to assist you further.
If you do not have more questions, please close the discussion and if possible rate the answer for my future patients.

In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3355 Questions

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Suggest Treatment For Erectile Dysfunction

Brief Answer: Please elaborate Detailed Answer: Dear XXXXXXX Thanks for using Healthcaremagic. I read your query but it is quite vague to make a proper diagnosis. I request you to elaborate about the problem in detailed manner. 1. How long the problem is there 2. How it was started? Whether it was slow or all of sudden? 3. What number of days in a week/month you face problem? 4. What you mean by post intercourse? 5. How much time you take for second erection? 6. Elaborate if you get any difficulty. I look forward to assist you. Thanks and regards.