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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Spermatoria, Premature Ejaculation. Testosterone Value Is Abnormal. Why Am I Frustrated?

hi, i'm sakib from bangladesh (asian country) i'm 21. my testosteron value is 6.5 and prolactin value is 19.5 . i've also premature ejakulation too . from 12 i suffered much by spermatorria . sometimes twice in a night . my muscle is week . my penis size normally 2.5 to 3 inch and in excited 4.5 inch. i feel so frustrated . do i need testosteron ? i have no hope to live . once i've tried to suiside but failed . please help !! help!! help!!!! please . i have nothing to say .
Mon, 6 May 2013
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General & Family Physician 's  Response
Hello.Quiet.Premature ejaculation is a complex pathology but there is treatment that improve it.The first, and most important, is that you go to a psychiatrist because the pathology is causing you a important psychological distress.Please go to a psychiatrist soon.
Now I explain about the physiology of ejaculation.Ejaculation is process controlled by the autonomic nervous system(sympathetic and parasympathetic).Is very important you know that autonomic nervous system controls involuntary actions;consequently you can not control your ejaculationand you are not guilty of it
.Besides, as I said, there are treatments that can improve the pathology.
Oral drugs such as paroxetina or dapoxetina have demonstrated efficacy in improve premature ejaculation. The psychiatrist can apply you psychological therapy and prescribe oral drugs.The combination of both treatments can improve your pathology.
Please do not try suicide,sure you are important to some people,and go to psychiatrist soon.
I wish you good health
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Had Spermatoria, Premature Ejaculation. Testosterone Value Is Abnormal. Why Am I Frustrated?

Hello.Quiet.Premature ejaculation is a complex pathology but there is treatment that improve it.The first, and most important, is that you go to a psychiatrist because the pathology is causing you a important psychological distress.Please go to a psychiatrist soon. Now I explain about the physiology of ejaculation.Ejaculation is process controlled by the autonomic nervous system(sympathetic and parasympathetic).Is very important you know that autonomic nervous system controls involuntary actions;consequently you can not control your ejaculationand you are not guilty of it .Besides, as I said, there are treatments that can improve the pathology. Oral drugs such as paroxetina or dapoxetina have demonstrated efficacy in improve premature ejaculation. The psychiatrist can apply you psychological therapy and prescribe oral drugs.The combination of both treatments can improve your pathology. Please do not try suicide,sure you are important to some people,and go to psychiatrist soon. I wish you good health (In case the answer would have been useful please indicate this)