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Suggest Treatment For Erectile Dysfunction And Premature Ejaculation While Having Spina Bifida

Posted on Mon, 1 Aug 2016

Question: I m n mbbs student.. Age 20 .. Having spina bifida .. Rt kidney infra umbilical position in midline.. Suffering from hypertension...taking amlodipine 5mg and olmezest 40mg regularly.. Experienced a lot night falls and masturbation in 11-19 age.. Sexual problem is mild erected penis and ejaculation in seconds... Erect penis 11cm and flaccid 5cm..
So can i marry in future... Involvement of S2 S3 S4 in erection and ejaculation..as i m having bifida on their roots...
Plz help

Answered by Dr. Chintan Solanki (1 hour later)

Brief Answer:
You can

Detailed Answer:
Hello Young man,

Thanks for writing to us. I can understand your concern.

There is history of night fall and masturbation. This means your penis is working properly. In general normal size of Penis in flaccid state is 5 cm to 10 cm and in erect state 8 cm to 15 cm. Only anterior 3 inches of female vagina has sensitivity for sexual pleasure. So 3 inches of erect penis is sufficient to satisfy female. Considering this aspect your erect penis is sufficient to satisfy your partner.

It is possible that though there is spina bifida, nerve routes are not affected.

You just can go for semen analysis for confirmation that you can be father before proceeding for marriage.

You can go for marriage after informing your future partner about your physical health.

Hope I have answered your query, I will be happy to help further.

Regards,
Dr Chintan Solanki.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Chintan Solanki (9 minutes later)

what should i do as i ejaculate in seconds and have soft erection.. i have rt testicular pain also..is it reffered pain from spine

Answered by Dr. Chintan Solanki (17 minutes later)

Brief Answer:
Go for testosterone level and Scrotal ultrasound

Detailed Answer:
Hi,

Thanks for follow up.

Early ejaculation during masturbation is fine. It can be handled easily when you go for sex. If you can enjoy masturbation with orgasm, no need to worry then.

For soft erection you can go for serum testosterone level (fasting sample for free an total testosterone).

- Let me know if you have any experience of sex?
If you have, describe in brief.

For pain in one side testicle I recommend physical examination and Scrotal ultrasound. It is not likely referred pain.

Take care dear.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Chintan Solanki (7 minutes later)

i have never had sex with anyone.... pain is oonly on rt testicle... some time unbearable..and simultaneously i feel like a pain connection between testicle and chest wall.. bt pain is not alwz .. it occurs once in day or once in two days..and for 1 or 1.5 hr.. my testicles are also a bit small.. and they hang like anything... though i look fit with 69 kg body wt and 5.4 hght. i think my fat distribution in abdomen and pelvis is unusual( high)

Answered by Dr. Chintan Solanki (12 minutes later)

Brief Answer:
Such pain should be evaluated

Detailed Answer:
Hi,

If you do not have experience of sex, erection problem can be psychological also.
You need to focus on testicular pain as at this age tumor in testis is common occupancy.

As pain is more, go for investigations soon. Pain can be related to low kidney level on Rt side. Abdominal Ultrasound is recommended.

For uneven distribution of fat, hormonal evaluation (FSH, LH and Prolactin) is also recommended.

Please discuss my recommendations to your treating doctor and move ahead.

If still any query, you are welcome or you can close the discussion and in future you can contact me directly on following link

Http://bit.ly/drchintansolanki

By clicking on Ask me question .

Wish you good health.

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar