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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Erectile Dysfunction And Premature Ejaculation?

i m 27, 5.7 ht, 60kg with no important medical history, m suffering from erectile dysfunction n premature ejaculation. in morning the hardness is perfect bt wen i perform it comes n goes. plz help me n advice me wat to do. i want to have a goos sexual performance
Mon, 5 Dec 2016
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General & Family Physician 's  Response
Hello dear
I understand your concern
Your symptoms could be due to stress/anxiety/depression, relationship issue as you have erection in the morning.
I would suggest to consult the psychiatric and take proper treatment.
Following advice will helpful:
Cognitive behavioral therapy
Start exercising (60-80 minutes in morning with relaxation and yoga), losing weight,
Avoid smoking and alcohol,
Healthy diet with proteins and vitamin A, C, E.
Take anti oxidant like CO Q, and tablet gonadil F
More fore play before sex will lead to more excitement,
Do discussion with your partner that help in gaining psychological trust,
use more than one condom
Apply lidocaine gel to decrease sensitivity
Following medicine can be provide by doctor: Tablet sildenafil about one hour before sexual activity, Testosterone Replacement Therapy, paroxetine 30-40 min before sex

Hope this may help you
Best regards
Dr. Sagar
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What Causes Erectile Dysfunction And Premature Ejaculation?

Hello dear I understand your concern Your symptoms could be due to stress/anxiety/depression, relationship issue as you have erection in the morning. I would suggest to consult the psychiatric and take proper treatment. Following advice will helpful: Cognitive behavioral therapy Start exercising (60-80 minutes in morning with relaxation and yoga), losing weight, Avoid smoking and alcohol, Healthy diet with proteins and vitamin A, C, E. Take anti oxidant like CO Q, and tablet gonadil F More fore play before sex will lead to more excitement, Do discussion with your partner that help in gaining psychological trust, use more than one condom Apply lidocaine gel to decrease sensitivity Following medicine can be provide by doctor: Tablet sildenafil about one hour before sexual activity, Testosterone Replacement Therapy, paroxetine 30-40 min before sex Hope this may help you Best regards Dr. Sagar