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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Be The Cause For Erectile Dysfunction And Premature Ejaculation In Young Men?

Hi, My husband has some sexual problems like Erectile dysfunction and premature ejaculation. It s been 2 years since we got married and this has always been an issue. He is 28 years old and I feel he is a very young to get these problems. He says he has the urge for sex but then nothing works physically. He is not under any medication or he has never had a physical accident that might result in something like this. We are considering to see a doctor and get tests done. But before that, I wanted to know what do you think is the issue for ED and PE in young men? What tests do you suggests we should get done? and How can we solve this issue and have good marriage?Thank you in advance
Fri, 12 Jul 2019
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Sexologist 's  Response
Hi,

I can understand your concern about your symptoms. There is much reason for Premature Ejaculation & erectile dysfunction

1.     Stressful work – night duties, 24-hour jobs
2.     Diabetes, hypertension, thyroid issue has an effect on Premature Ejaculation. Keeping your Blood sugar, blood pressure and thyroid hormones under control will help you
3.     On long term medication related to hypertension and anti-psychiatric medications
4.     Frequent masturbation / prone masturbation
5.     Excess porn
6.     Receiving less foreplay from partner or lack of knowledge regarding foreplay and female masturbation
7.     Having an affair giving you guilty feeling
8.     Lack of exercise, obesity

Need to check FBS/PPBS to rule out Diabetes, Check your BP, Free T3T4TSH for ruling out thyroid issue. Kindly share details regarding above reason. So we can work on understanding the cause and plan treatment.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr S.R.Raveendran, Sexologist
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Sexologist Dr. S.R.Raveendran's  Response
Hi,

There are many reasons for Premature Ejaculation
1. Stressful work – night duties, 24-hour jobs
2. Diabetes, hypertension, thyroid issue has an effect on Premature Ejaculation. Keeping your Blood sugar, blood pressure and thyroid hormones under control will help you
3. On long term medication related to hypertension and anti psychiatric medications
4. Frequent masturbation/prone masturbation
5. Excess porn
6. Receiving less foreplay from partner or lack of knowledge regarding foreplay and female masturbation
7. Having an affair giving you guilty feeling
8. Lack of exercise, obesity

Need to check FBS/PPBS to rule out Diabetes, Check your BP, Free T3, T4, TSH for ruling out thyroid issue.

Reason for Erectile Dysfunction(ED)
1. Decrease sensation of the penis- can be due to infection, diabetes, spinal injury, recent masturbation
2. Stress due to work or family related, night duties
3. Depression
4. Varicocele
5. Fear of failure - having one episode of ED once may make you feel you will end up with ED
6. Low self-esteem (Chronic Masturbation)
7. Homosexuality
8. Religious constrains -
9. Smoking and alcohol
10. Long term illness – Cardiac disease, thyroid disease, Kidney disease, any other disease with long term medication
11. Negative attitude towards your partner
12. Hormonal issue – thyroid issue, low testosterone
13. Long term drug usage
14. Diabetes and Hypertension

Need to check Doppler Penis, USG Pelvis and Scrotum, Blood Pressure, RBS, Free T3 T4 TSH.

Kindly share details regarding above reason. So we can work on understanding the cause and plan treatment.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. S.R.Raveendran, Sexologist
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What Could Be The Cause For Erectile Dysfunction And Premature Ejaculation In Young Men?

Hi, I can understand your concern about your symptoms. There is much reason for Premature Ejaculation & erectile dysfunction 1.     Stressful work – night duties, 24-hour jobs 2.     Diabetes, hypertension, thyroid issue has an effect on Premature Ejaculation. Keeping your Blood sugar, blood pressure and thyroid hormones under control will help you 3.     On long term medication related to hypertension and anti-psychiatric medications 4.     Frequent masturbation / prone masturbation 5.     Excess porn 6.     Receiving less foreplay from partner or lack of knowledge regarding foreplay and female masturbation 7.     Having an affair giving you guilty feeling 8.     Lack of exercise, obesity Need to check FBS/PPBS to rule out Diabetes, Check your BP, Free T3T4TSH for ruling out thyroid issue. Kindly share details regarding above reason. So we can work on understanding the cause and plan treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist