Brief Answer:
I do not recommend nanolino

Detailed Answer:
Hello XXXXXXX

Thanks for writing to us. I can understand your concern.

Nano XXXXXXX is a herbal product. No scientific studies are there about its effectiveness. Being a sexologist I do not recommend it.

Yes though it is a herb, it can cause side effects but they are not serious.

To help you for your problem I need more information from your side.

- For which problem do you want to take it? Likely it is erection problem. Please give me details about your problem with relevant history.

I will be happy to help further after your response.

Regards,
Dr Chintan Solanki.

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Brief Answer:
it can be due to stress

Detailed Answer:
Hi XXXXXXX

Thanks for information.

It is possible to have sex everyday or two times in a day but not for long time. Regular daily sex exhausts the person and causes fatigue.Daily job, work stress, family life stress , physical stress and mood all are responsible for desire for sex and erection. Every time daily all factors cannot favor positive outcome.So occasionally failure in sex is not a problem. In simple words XXXXXXX or virat cannot make century in every match.

Licking vagina is not a big issue but proper hygiene should be maintained. Your wife should not have any infection or white foul discharge and every time before you lick, the part should be washed thoroughly. It prevents infection. Sour test is of lubrication discharge form vaginal glands.

You can take Nanoleo if you wish. I recommend 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. You should take it after meal twice a day. If you feel some improvement in 20 days you should continue for at least 2 months. You may get this medicine over the counter as it is vitamin product.

There are some natural lifestyle measures which help to improve blood flow to penis and overall sexual performance.

- The most important factor is healthy heart. Regular exercise and avoidance of fatty fast food are important measures to prevent heart disease. Regular walking, swimming or running overall improves blood flow to whole body circulation including penis and keep the mind fresh.

- Good healthy food is also an important aspect. Bananas, Garlic, dry fruits (they contains vitamins), eggs, cow milk, cow butter are good food which may help in erectile dysfunction.

- Avoid smoking and alcohol. Low amount of alcohol can help in increasing blood flow but more amount can cause opposite effects. So better to avoid the same.


I cannot get it what is Pramaday - Please clarify the content of pramaday.

- How is overall sex life until now?

- Do you have any physical illness, specifically diabetes or high blood pressure? If yes describe details with medicines.

- Do you have any habit of tobacco use, smoking and alcohol? If yes, provide details.

- When did you do your last successful sex?

- Is there any difficulty in urinating?

- How is relationship with your partner? Any emotional or social problem is there?

- Is morning erection present?

Revert back to me with asked details.

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Brief Answer:
pramipexole is not useful, avoid masturbation

Detailed Answer:
Hello,

Thanks for useful information.

Pramipexole has no role in erectile dysfunction.No need to take it.

I have prescribed nano leo only in 3 patients with their request and no side effects have been noted.if you wish you can take it without much worry.

Masturbation is as such safe. However when masturbation is excess, it leads to fatigue and repeat erection is difficult during sex. Avoid masturbation as you are involved regularly in sex with your wife.


Try to maintain harmony and romance in marital life apart from sex life to have good sex life.

You can last for long with help of treatment of premature ejaculation (PME).


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 0-30 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.

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.

Confido is an ayurvedic product and recommended for premature ejaculation.
You can take it with milk every day for 2 months.

If I were your treating doctor I would recommend clomipramine and confido at present with behavioral approach whichever applicable.

Take care.

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