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Suggest Remedy For Persistent Erectile Dysfunction And Premature Ejaculation
Question: m 47 and facing problem since a year back of ED AND PE
Brief Answer:
Provide more information.
Detailed Answer:
Hello,
Welcome to HCM.
So,you are facing problem of erectile dysfunction and pre-mature ejaculation since 1 year.
Erectile dysfunction in an otherwise young adult usually has no major organic cause, and often responds dramatically well to drugs belonging to a group of drugs called 'PDE5 Inhibitors', most noted of which is Viagra.
However, I would require some more information before suggesting any of these tablets.
Kindly give a few more basic details,
1) Regarding your libido (i.e intention to have intercourse),
2) Do you have nocturnal penile erections when you sleep, especially in the early mornings,
3) Also, if you can quantify the degree of dysfunction on a scale of 1-10, it would be useful to assess response at a later date.
4) How was previous sex life or married life?
5) How did problem started? Any specific incidence was there?
6) Do you pay more attention to erection while trying for intercourse?
7) Do you have any physical illness, specifically diabetes or high blood pressure or are you taking any medications?
8) Is there any history of smoking or alcohol since long time?
9) How is relationship with your partner? Any emotional or social problem is there?
Kindly get back to me with this more information.I will be happy to help you after getting this answers from you.
Awaiting your response.
Regards,
Dr.Sandip Kabra
Provide more information.
Detailed Answer:
Hello,
Welcome to HCM.
So,you are facing problem of erectile dysfunction and pre-mature ejaculation since 1 year.
Erectile dysfunction in an otherwise young adult usually has no major organic cause, and often responds dramatically well to drugs belonging to a group of drugs called 'PDE5 Inhibitors', most noted of which is Viagra.
However, I would require some more information before suggesting any of these tablets.
Kindly give a few more basic details,
1) Regarding your libido (i.e intention to have intercourse),
2) Do you have nocturnal penile erections when you sleep, especially in the early mornings,
3) Also, if you can quantify the degree of dysfunction on a scale of 1-10, it would be useful to assess response at a later date.
4) How was previous sex life or married life?
5) How did problem started? Any specific incidence was there?
6) Do you pay more attention to erection while trying for intercourse?
7) Do you have any physical illness, specifically diabetes or high blood pressure or are you taking any medications?
8) Is there any history of smoking or alcohol since long time?
9) How is relationship with your partner? Any emotional or social problem is there?
Kindly get back to me with this more information.I will be happy to help you after getting this answers from you.
Awaiting your response.
Regards,
Dr.Sandip Kabra
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
sir, reply to your question
1.libido exists , mind says to go ahead but ed and pe frustrates me.
2. nocturnal penile erection is observed but after passing urine it becomes normal.
3.think it is 3 out of 10. actually earlier was not using condoms and now I have to. thats makes the thing worst. as to wear condom erection needs to lasts atleast for 2-3 minutes, then only there will be penetration. at the time of wearing condoms itself , there is ejaculation.
4. previous sex life was extremely good, lasting for 45 minutes to 1 hour. that time was not using condoms. wife uses ct.
5. not any specific reason of this problem but i think wearing condoms may be one of the problems.
6.got highly anxious and a fear remains in mind how to use condom and whether will be failed again. wife insist for condom.
7.no medication. no diabities, bp is a bit on higher side that i have to check.
8.no history of smocking or drinking.
9. relation with wife is good.
whenever think of sex, feel urination. in evening after passing urine , i feel some part of it remains and subsequently i have to release it in 2nd or maximum in 3rd attempt.
1.libido exists , mind says to go ahead but ed and pe frustrates me.
2. nocturnal penile erection is observed but after passing urine it becomes normal.
3.think it is 3 out of 10. actually earlier was not using condoms and now I have to. thats makes the thing worst. as to wear condom erection needs to lasts atleast for 2-3 minutes, then only there will be penetration. at the time of wearing condoms itself , there is ejaculation.
4. previous sex life was extremely good, lasting for 45 minutes to 1 hour. that time was not using condoms. wife uses ct.
5. not any specific reason of this problem but i think wearing condoms may be one of the problems.
6.got highly anxious and a fear remains in mind how to use condom and whether will be failed again. wife insist for condom.
7.no medication. no diabities, bp is a bit on higher side that i have to check.
8.no history of smocking or drinking.
9. relation with wife is good.
whenever think of sex, feel urination. in evening after passing urine , i feel some part of it remains and subsequently i have to release it in 2nd or maximum in 3rd attempt.
Brief Answer:
likely to be psychological or due to performance anxiety.
Detailed Answer:
Hello,
Thanks for sharing more information.
After reviewing all your answers,it seems that your erectile problems are most likely psychological or due to performance anxiety or anxiety possibly due to condom use.
You should avoid further condom use rather, you may go for other (alternative) contraceptive measures like calendar method or coitus interruptus (withdrawal or pull out method just before ejacualtion) or IUD insertion like cooper-T by qualified gynecologist.
Regarding your pre-mature ejaculation which is actually a very common problem in males but do not need to worry since your problem can be controlled by regularly practicing certain sexual techniques.
Stop becoming more anxious since if you feel more anxious and worried or keep having doubts that you may not be able to perform properly, then this anxiety itself will worsen the problem.
Anti-anxiety medications (ex.recita forte) can also be taken to relieve from anxiety just before intercourse by the written prescription from some local physician.
Try to be relaxed and enjoy yourself and don't keep on thinking like how long am I going to last or will I ejaculate too early or will I be able to satisfy my partner etc.
Wait until you and your partner gets fully aroused and involved by doing more foreplay and then things keep flowing smoothly and effortlessly.
Below listed measures will help also you to boost up your confidence and getting good erection and have enjoyable sex without pre-mature ejaculation or discharge.
1) Do regular exercises for about 30 minutes followed by meditation for 1/2 an hour in the morning.
2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc
3) Take anti oxidants like Almonds 5-6 everyday.
4) Sunlight exposure inhibits the body’s natural production of melatonin, a hormone that helps us to sleep and also reduces our sexual urges.
It means lesser the melatonin hormone,you will have more sexual desire.
So have adequate sunlight exposure in daytime to reduce the production of melatonin.
5) Paying attention to your partner’s desires and talking about this before hand can make sex pleasurable for both of you.
6) Engaging more in foreplay with your partner before intercourse.
Mostly,you will see an improvement in 2 to 3 weeks and in case if not,then you will need to see urologist who will know about some tests and will rule out some medical issues like hormonal problems (blood testosterone level), blood flow problems to the penis (by doing penis Doppler), vitamin deficiencies.
Urologist may also examine you for your urinary retention with some relevant investigations like ultrasound abdomen to check for bladder and prostate.
Hope this will help and feel free to ask if you have more queries.
Regards,
Dr.Sandip kabra
likely to be psychological or due to performance anxiety.
Detailed Answer:
Hello,
Thanks for sharing more information.
After reviewing all your answers,it seems that your erectile problems are most likely psychological or due to performance anxiety or anxiety possibly due to condom use.
You should avoid further condom use rather, you may go for other (alternative) contraceptive measures like calendar method or coitus interruptus (withdrawal or pull out method just before ejacualtion) or IUD insertion like cooper-T by qualified gynecologist.
Regarding your pre-mature ejaculation which is actually a very common problem in males but do not need to worry since your problem can be controlled by regularly practicing certain sexual techniques.
Stop becoming more anxious since if you feel more anxious and worried or keep having doubts that you may not be able to perform properly, then this anxiety itself will worsen the problem.
Anti-anxiety medications (ex.recita forte) can also be taken to relieve from anxiety just before intercourse by the written prescription from some local physician.
Try to be relaxed and enjoy yourself and don't keep on thinking like how long am I going to last or will I ejaculate too early or will I be able to satisfy my partner etc.
Wait until you and your partner gets fully aroused and involved by doing more foreplay and then things keep flowing smoothly and effortlessly.
Below listed measures will help also you to boost up your confidence and getting good erection and have enjoyable sex without pre-mature ejaculation or discharge.
1) Do regular exercises for about 30 minutes followed by meditation for 1/2 an hour in the morning.
2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc
3) Take anti oxidants like Almonds 5-6 everyday.
4) Sunlight exposure inhibits the body’s natural production of melatonin, a hormone that helps us to sleep and also reduces our sexual urges.
It means lesser the melatonin hormone,you will have more sexual desire.
So have adequate sunlight exposure in daytime to reduce the production of melatonin.
5) Paying attention to your partner’s desires and talking about this before hand can make sex pleasurable for both of you.
6) Engaging more in foreplay with your partner before intercourse.
Mostly,you will see an improvement in 2 to 3 weeks and in case if not,then you will need to see urologist who will know about some tests and will rule out some medical issues like hormonal problems (blood testosterone level), blood flow problems to the penis (by doing penis Doppler), vitamin deficiencies.
Urologist may also examine you for your urinary retention with some relevant investigations like ultrasound abdomen to check for bladder and prostate.
Hope this will help and feel free to ask if you have more queries.
Regards,
Dr.Sandip kabra
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Sonia Raina
Answered by
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