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Suggest Treatment For Premature Ejaculation
Question: For last few months I do not get sexually aroused & not able to keep erection fro log time durig intercourse. Semen count also has been reduced. Pl advise.
Brief Answer:
Please provide more details
Detailed Answer:
Dear XXXXXXX
Thanks for using Healthcaremagic.
I read your query and understand your concerns.
Sex problem is a common problem which can occur due to physical problems, psychiatric problems, general stress and many other factors.
Before we proceed I like to get following information
1. How long you are facing problem of decrease sexual arousal ?
2. What you mean by semen count?
3. How the problem started whether it was sudden in onset or build up slowly over the months or years?
3. Frequency of the problem in a week/month ? Are you able to have some successful sexual intercourse?
4. In a typical month how many days you are facing problem?
5. What are the factors that increase the problem?
6. Factors that relieve the problem- thoughts, situations, place, partner etc.
7. Do you get early morning erections?
8. If yes how frequent?
9. Effect on your life so far due to problem
11. Details of medical illness, like duration, any complications, treatment received till date.
12. Medications you are receiving currently, if any including ayurvedic homeopathic or any other.
13. Medication you received in past and their effect?
14. Do you have any psychiatric illness (like anxiety, depression, fear)?
15. Investigations done till date and reports of most latest investigations-
I must assure you that once we identify cause it will be easy to correct it.
I look forward to see more details.
Thanks and regards.
Please provide more details
Detailed Answer:
Dear XXXXXXX
Thanks for using Healthcaremagic.
I read your query and understand your concerns.
Sex problem is a common problem which can occur due to physical problems, psychiatric problems, general stress and many other factors.
Before we proceed I like to get following information
1. How long you are facing problem of decrease sexual arousal ?
2. What you mean by semen count?
3. How the problem started whether it was sudden in onset or build up slowly over the months or years?
3. Frequency of the problem in a week/month ? Are you able to have some successful sexual intercourse?
4. In a typical month how many days you are facing problem?
5. What are the factors that increase the problem?
6. Factors that relieve the problem- thoughts, situations, place, partner etc.
7. Do you get early morning erections?
8. If yes how frequent?
9. Effect on your life so far due to problem
11. Details of medical illness, like duration, any complications, treatment received till date.
12. Medications you are receiving currently, if any including ayurvedic homeopathic or any other.
13. Medication you received in past and their effect?
14. Do you have any psychiatric illness (like anxiety, depression, fear)?
15. Investigations done till date and reports of most latest investigations-
I must assure you that once we identify cause it will be easy to correct it.
I look forward to see more details.
Thanks and regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
1. How long you are facing problem of decrease sexual arousal ?
Ans. Last 6-8 months.
2. What you mean by semen count?
Ans. Semen quantity is very less.
3. How the problem started whether it was sudden in onset or build up slowly over the months or years?
Ans.Built up slowly over the period.
3. Frequency of the problem in a week/month ? Are you able to have some successful sexual intercourse?
Ans. I am able to have successful sexual intercourse sometimes if not always.
4. In a typical month how many days you are facing problem?
Ans. Frequency of intercourse has been reduced once in a month & that too with less satisfaction.
5. What are the factors that increase the problem?
Ans. Not sure but may be work stress & fatigue.
6. Factors that relieve the problem- thoughts, situations, place, partner etc.
Ans. Thoughts.
7. Do you get early morning erections?
Ans. No.
8. If yes how frequent?
Nas. Not applicable.
9. Effect on your life so far due to problem
Ans. Life start feeling dull.
11. Details of medical illness, like duration, any complications, treatment received till date.
Ans.No
12. Medications you are receiving currently, if any including ayurvedic homeopathic or any other.
Ans. No
13. Medication you received in past and their effect?
Ans. No.
14. Do you have any psychiatric illness (like anxiety, depression, fear)?
Ans. No
15. Investigations done till date and reports of most latest investigations-
Ans. No
Ans. Last 6-8 months.
2. What you mean by semen count?
Ans. Semen quantity is very less.
3. How the problem started whether it was sudden in onset or build up slowly over the months or years?
Ans.Built up slowly over the period.
3. Frequency of the problem in a week/month ? Are you able to have some successful sexual intercourse?
Ans. I am able to have successful sexual intercourse sometimes if not always.
4. In a typical month how many days you are facing problem?
Ans. Frequency of intercourse has been reduced once in a month & that too with less satisfaction.
5. What are the factors that increase the problem?
Ans. Not sure but may be work stress & fatigue.
6. Factors that relieve the problem- thoughts, situations, place, partner etc.
Ans. Thoughts.
7. Do you get early morning erections?
Ans. No.
8. If yes how frequent?
Nas. Not applicable.
9. Effect on your life so far due to problem
Ans. Life start feeling dull.
11. Details of medical illness, like duration, any complications, treatment received till date.
Ans.No
12. Medications you are receiving currently, if any including ayurvedic homeopathic or any other.
Ans. No
13. Medication you received in past and their effect?
Ans. No.
14. Do you have any psychiatric illness (like anxiety, depression, fear)?
Ans. No
15. Investigations done till date and reports of most latest investigations-
Ans. No
Brief Answer:
Need to have proper evaluation
Detailed Answer:
Dear XXXXXXX
Thanks for reverting back to me.
I have gone through the provided details and understand that there is definite problem. I understand stress is factor but there is little contribution by stress as per provided answers. Absence of early morning erection points out that there is organic problem.
By organic problem I mean there is probably problem in blood supply to the desired area affecting the sexual arousal and response.
The required investigation include
Blood sugar
Blood urea
Serum Creatinine
Liver function test
T3, T 4, TSH
Lipid profile
Serum testosterone
Serum prolactin
LH
FSH
Penile doppler- may be required if there is no conclusion made from above reports
I request you to get these reports from nearby laboratory.
In addition I also need to know your current BMI which was missed in my last answer. (Your weight and height).
Thanks and regards.
Need to have proper evaluation
Detailed Answer:
Dear XXXXXXX
Thanks for reverting back to me.
I have gone through the provided details and understand that there is definite problem. I understand stress is factor but there is little contribution by stress as per provided answers. Absence of early morning erection points out that there is organic problem.
By organic problem I mean there is probably problem in blood supply to the desired area affecting the sexual arousal and response.
The required investigation include
Blood sugar
Blood urea
Serum Creatinine
Liver function test
T3, T 4, TSH
Lipid profile
Serum testosterone
Serum prolactin
LH
FSH
Penile doppler- may be required if there is no conclusion made from above reports
I request you to get these reports from nearby laboratory.
In addition I also need to know your current BMI which was missed in my last answer. (Your weight and height).
Thanks and regards.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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