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Suggest Treatment For Premature Ejaculation And Erectile Dysfunction
Question: dear sir
my problem is that i have premature ejaculation and now days there is no activation. i have used confido of himalaya but after that i faced acid problem.
my problem is that i have premature ejaculation and now days there is no activation. i have used confido of himalaya but after that i faced acid problem.
Brief Answer:
Please provide more details
Detailed Answer:
Hello dear XXXXXXX
Welcome to HCM and thanks for the query
I understand your concern.
It may be due to psychological ( performance anxiety, stress), medical problem like diabetes, neurogenic disorder, Hypertension, heart disease, tobacco use, alcoholism and obesity
In majority of the patients,in absence of any major health issue cause of Erectile Dysfunction is mind related and due to performance anxiety.
I request you to provide following details:
1. Do you get erection in early morning ?
2. Do you have relationship issue?
3. Do you have any medical illness?
4. Do you have any psychiatric issue like anxiety, depression, stress, fear
I look forward to see you
Best regards
Dr. Sagar
Please provide more details
Detailed Answer:
Hello dear XXXXXXX
Welcome to HCM and thanks for the query
I understand your concern.
It may be due to psychological ( performance anxiety, stress), medical problem like diabetes, neurogenic disorder, Hypertension, heart disease, tobacco use, alcoholism and obesity
In majority of the patients,in absence of any major health issue cause of Erectile Dysfunction is mind related and due to performance anxiety.
I request you to provide following details:
1. Do you get erection in early morning ?
2. Do you have relationship issue?
3. Do you have any medical illness?
4. Do you have any psychiatric issue like anxiety, depression, stress, fear
I look forward to see you
Best regards
Dr. Sagar
Above answer was peer-reviewed by :
Dr. Veerisetty Shyamkumar
answer to your questions
1. yes but for some time
2. questions is not clear ? i am married in year 2015
3. no
4. no
1. yes but for some time
2. questions is not clear ? i am married in year 2015
3. no
4. no
Brief Answer:
Need complete evalutaion
Detailed Answer:
Hello dear XXXXXXX
Thank you for following up,
I can understand your concern
Your symptoms could be due to psychological problem as your getting morning erection and no pre previous medical illness.
At your age, it is mainly due to psychological issues like -
anxiety about the performance failures in the bed in past (history of premature ejacualtion),
anxiety about partner's satisfaction,
Marital disharmony if any, ongoing stress at home and at work place(if any),
Excessive fatigue predisposng to erectile dysfunction.
I would like to advice you for health check up and get the following test done to rule out any underlying medical concerns in the first place : Fasting and postprandial blood sugar, serum testosterone level, Ultrasound pelvis and scrotum.
If all of those investigation results comes within normal range, then you should go for sexual counselling and psychotherapy by visiting a psychiatrist
Meanwhile , following advises will help you:
Do regular exercise like walking, yoga, kegel exercise, breathing exercises.
Free communication and mutual understanding with partner will help.
During sex, you have to give proper time for foreplay before going for penetration. Foreplay should continue even during the intercourse also.
Medications:
Tetrafol plus: It can help in erection and should be taken after complete physical evaluation as mentioned above. It will give promising results with daily intake up to 2 months
Drug like Cialis can be useful too.
This is my personal opinion based on information available
Hope I have answered your query
Best regards
Dr. Sagar
Need complete evalutaion
Detailed Answer:
Hello dear XXXXXXX
Thank you for following up,
I can understand your concern
Your symptoms could be due to psychological problem as your getting morning erection and no pre previous medical illness.
At your age, it is mainly due to psychological issues like -
anxiety about the performance failures in the bed in past (history of premature ejacualtion),
anxiety about partner's satisfaction,
Marital disharmony if any, ongoing stress at home and at work place(if any),
Excessive fatigue predisposng to erectile dysfunction.
I would like to advice you for health check up and get the following test done to rule out any underlying medical concerns in the first place : Fasting and postprandial blood sugar, serum testosterone level, Ultrasound pelvis and scrotum.
If all of those investigation results comes within normal range, then you should go for sexual counselling and psychotherapy by visiting a psychiatrist
Meanwhile , following advises will help you:
Do regular exercise like walking, yoga, kegel exercise, breathing exercises.
Free communication and mutual understanding with partner will help.
During sex, you have to give proper time for foreplay before going for penetration. Foreplay should continue even during the intercourse also.
Medications:
Tetrafol plus: It can help in erection and should be taken after complete physical evaluation as mentioned above. It will give promising results with daily intake up to 2 months
Drug like Cialis can be useful too.
This is my personal opinion based on information available
Hope I have answered your query
Best regards
Dr. Sagar
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
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