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What Causes Recurrent Premature Ejaculation?
Question: Hello Dr XXXXXXX
Hope you are Doing great !!!
Brief Introduction :
I Hope you remember me XXXXXX you and me are exchanging conversation on my erections problem's last week and you got to see my Penile doppler ultrasound report.
As you said, In our conversations we can discuss further, So I want to discuss with you about my current health conditions when compared with past one week.
For past 3 days(Friday,Saturday and Sunday ) I'm doing well with sexual intercourse with out taking any drug cialis(tadalafil).
All I'm doing is Yoga for 30 mins since Wednesday in addition to my 30 mins of workout alternate days.
During nights in my sleep I'm getting erections like before.
I got couple of questions
On Saturday I had sexual intercourse with my wife 3 times
a.Morning around 11:00 AM I got ejaculation in less than 3 minutes.
b.I had sexual intercourse 3 hours after first one, I did intercourse for more than 10 mins but I haven't got ejaculation.
c. I had intercourse again in night around 11:00 PM, I haven't got ejaculation this time as well.
Why I haven't got ejaculation? I was asking this question becuase I dont to do myself wrong assumptions and get my health worst.
e. On Sunday morning again I was able to have intercourse with my wife,I got erections as well ejaculated
I want my erections to be permanent like before.
What this means? I'm physically normal correct? Oil(Navartna) that I applied didn't caused any damage to my penile and erections right.
What I need to do to achieve and maintain my erections daily and as per my need bases ( like before 4 months).
Please suggest me.
Thanks a lot.
Hope you are Doing great !!!
Brief Introduction :
I Hope you remember me XXXXXX you and me are exchanging conversation on my erections problem's last week and you got to see my Penile doppler ultrasound report.
As you said, In our conversations we can discuss further, So I want to discuss with you about my current health conditions when compared with past one week.
For past 3 days(Friday,Saturday and Sunday ) I'm doing well with sexual intercourse with out taking any drug cialis(tadalafil).
All I'm doing is Yoga for 30 mins since Wednesday in addition to my 30 mins of workout alternate days.
During nights in my sleep I'm getting erections like before.
I got couple of questions
On Saturday I had sexual intercourse with my wife 3 times
a.Morning around 11:00 AM I got ejaculation in less than 3 minutes.
b.I had sexual intercourse 3 hours after first one, I did intercourse for more than 10 mins but I haven't got ejaculation.
c. I had intercourse again in night around 11:00 PM, I haven't got ejaculation this time as well.
Why I haven't got ejaculation? I was asking this question becuase I dont to do myself wrong assumptions and get my health worst.
e. On Sunday morning again I was able to have intercourse with my wife,I got erections as well ejaculated
I want my erections to be permanent like before.
What this means? I'm physically normal correct? Oil(Navartna) that I applied didn't caused any damage to my penile and erections right.
What I need to do to achieve and maintain my erections daily and as per my need bases ( like before 4 months).
Please suggest me.
Thanks a lot.
Brief Answer:
You are normal and on the right track
Detailed Answer:
HI XXXXXX,
Thanks for writing in to us.
I do remember our discussion last week.
Glad to be hearing from you.
Yoga for 30 mins is a great thing and I am sure you are reaping its benefits. Let the alternate day workouts continue as before.
Your mind is getting relaxed regularly and thats the reason you are getting proper erections once again. On Saturday, it might be due to your refractory period and it is normal not to have ejaculation on subsequent occasions if attempted soon after the first occasion.
The refractory period refers to that duration of time between ejaculations at orgasm. In the early 20s it is around 2 - 5 minutes and this leads to ejaculation at every intercourse withing minutes. The same refractory period is 15 - 30 minutes in the late 20s. At 30s it is 2 - 3 hours, at 40s this becomes 3 - 4 hours and at 50s it is 10 - 12 hours. In the elderly it can be 12 - 24 hours.
This must not be confused with loss of erection. These are closely related but different mechanisms. The fact that you are getting erections shows that the blood supply to your penis is normal.
There might still be slight anxiety which is contributing to this. I mean you have ejaculated on the first occasion and try to perform even better on subsequent events to please your partner and this does not happen. This is called performance anxiety. However, I do feel that this can be solved by doing yoga practice regularly and continuing the same.
The navratna oil has not affected you in any way and you are completely normal.
You need little encouragement and you will surely achieve what you are looking for. The first step has been taken by you, now you only have to focus hard and march ahead.
You can try and do Yoga for 20 minutes each in the morning and evening and let me know if that makes a difference after a week, if you are able to get ejaculation in the night.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
You are normal and on the right track
Detailed Answer:
HI XXXXXX,
Thanks for writing in to us.
I do remember our discussion last week.
Glad to be hearing from you.
Yoga for 30 mins is a great thing and I am sure you are reaping its benefits. Let the alternate day workouts continue as before.
Your mind is getting relaxed regularly and thats the reason you are getting proper erections once again. On Saturday, it might be due to your refractory period and it is normal not to have ejaculation on subsequent occasions if attempted soon after the first occasion.
The refractory period refers to that duration of time between ejaculations at orgasm. In the early 20s it is around 2 - 5 minutes and this leads to ejaculation at every intercourse withing minutes. The same refractory period is 15 - 30 minutes in the late 20s. At 30s it is 2 - 3 hours, at 40s this becomes 3 - 4 hours and at 50s it is 10 - 12 hours. In the elderly it can be 12 - 24 hours.
This must not be confused with loss of erection. These are closely related but different mechanisms. The fact that you are getting erections shows that the blood supply to your penis is normal.
There might still be slight anxiety which is contributing to this. I mean you have ejaculated on the first occasion and try to perform even better on subsequent events to please your partner and this does not happen. This is called performance anxiety. However, I do feel that this can be solved by doing yoga practice regularly and continuing the same.
The navratna oil has not affected you in any way and you are completely normal.
You need little encouragement and you will surely achieve what you are looking for. The first step has been taken by you, now you only have to focus hard and march ahead.
You can try and do Yoga for 20 minutes each in the morning and evening and let me know if that makes a difference after a week, if you are able to get ejaculation in the night.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Doctor,
Thanks a lot for your response.
Yesterday night, I had forepaly for 10 -15 mins I got week erections haven't took any drug cialis ( Tadanalif) and in sleep (mid-night) I got erection 2 times
1. Close to 5'0 clock.
2. While I wakeup.
If I take drug Tadanalif (cialis) 45 minutes before my intercourse still i don't get effective erections but in sleep my erection during mid-night are much more effective than night sleep's with out having cialis (tadanalif).
I remember you saying that at my age usually erection in night can be between 3 to 5 times.
My question is why i'm seeing the difference in erections with and with out Tadanalif? do I have any hidden problem? which can't be identified in penile doppler ultrasound test.
Please suggest me
Thanks a lot for your response.
Yesterday night, I had forepaly for 10 -15 mins I got week erections haven't took any drug cialis ( Tadanalif) and in sleep (mid-night) I got erection 2 times
1. Close to 5'0 clock.
2. While I wakeup.
If I take drug Tadanalif (cialis) 45 minutes before my intercourse still i don't get effective erections but in sleep my erection during mid-night are much more effective than night sleep's with out having cialis (tadanalif).
I remember you saying that at my age usually erection in night can be between 3 to 5 times.
My question is why i'm seeing the difference in erections with and with out Tadanalif? do I have any hidden problem? which can't be identified in penile doppler ultrasound test.
Please suggest me
Brief Answer:
Cialis and sex cause increased testosterone levels
Detailed Answer:
Hi XXXXXX,
Thanks for writing back with an update.
It is observed that after single oral-dose administration, the maximum observed plasma concentration (Cmax) of tadalafil is achieved between 30 minutes and 6 hours (median time of 2 hours). This means you can try to take the pill a bit sooner and allow the plasma levels to go up before having intercourse. Also please find innovative methods of having sex suitable to you and your partner.
The night erections, rather early morning ones are largely affected by the testosterone levels and testosterone to estrogen ratio. Cialis causes increase in testosterone especially after sexual activity and exercise and also shows increase in testosterone to estrogen ratio. This might be giving you more hard erections early in the morning when you have taken cialis taken the night before. To substantiate this view, it might help to know your testosterone numbers. This problem might also have a small contribution from psychological apprehension. Cialis concentration stays at peak levels for 12 hours after taking the medication.
I do not see anything missed out on penile scan.
I hope your alcohol intake is within limits at all times.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Cialis and sex cause increased testosterone levels
Detailed Answer:
Hi XXXXXX,
Thanks for writing back with an update.
It is observed that after single oral-dose administration, the maximum observed plasma concentration (Cmax) of tadalafil is achieved between 30 minutes and 6 hours (median time of 2 hours). This means you can try to take the pill a bit sooner and allow the plasma levels to go up before having intercourse. Also please find innovative methods of having sex suitable to you and your partner.
The night erections, rather early morning ones are largely affected by the testosterone levels and testosterone to estrogen ratio. Cialis causes increase in testosterone especially after sexual activity and exercise and also shows increase in testosterone to estrogen ratio. This might be giving you more hard erections early in the morning when you have taken cialis taken the night before. To substantiate this view, it might help to know your testosterone numbers. This problem might also have a small contribution from psychological apprehension. Cialis concentration stays at peak levels for 12 hours after taking the medication.
I do not see anything missed out on penile scan.
I hope your alcohol intake is within limits at all times.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Doctor,
By Considering that I'don't have any physical problems.I was looking for alternatives to acheive erections, So i found a supplement product (link for your reference) MegaMen in GNC store (vitamins world).It got below mix of supplements and minerals to acheive strong and effective erections. If i use this will cause any side effects.
a.Zinc and Selenium
b.L-Arginine
c.Gingko Biloba
d.fishoil/omega3
e.Maca root & Tubers powder
Please suggest me.
Product Details :
http://www.gnc.com/GNC-Maca-Man/product.jsp?productId=0000&cp=0000.0000.0000
By Considering that I'don't have any physical problems.I was looking for alternatives to acheive erections, So i found a supplement product (link for your reference) MegaMen in GNC store (vitamins world).It got below mix of supplements and minerals to acheive strong and effective erections. If i use this will cause any side effects.
a.Zinc and Selenium
b.L-Arginine
c.Gingko Biloba
d.fishoil/omega3
e.Maca root & Tubers powder
Please suggest me.
Product Details :
http://www.gnc.com/GNC-Maca-Man/product.jsp?productId=0000&cp=0000.0000.0000
Brief Answer:
No significant side effects
Detailed Answer:
Hi XXXXXXX,
Thanks for writing back with an update.
After going through the label of the product mentioned above, I find it has no significant side effects when taken as per recommended dose.
It is a diet supplement and will have no harmful effects on your health.
However, if you start getting normal erections then you can decide to discontinue the capsule
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
No significant side effects
Detailed Answer:
Hi XXXXXXX,
Thanks for writing back with an update.
After going through the label of the product mentioned above, I find it has no significant side effects when taken as per recommended dose.
It is a diet supplement and will have no harmful effects on your health.
However, if you start getting normal erections then you can decide to discontinue the capsule
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
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