Suggest Treatment For Premature Ejaculation
Maqsood Alam
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Detailed Answer:
Hello
Thanks for your query ,based on the facts that you have posted it appears that you have problem of reduced libido ,erectile dysfunction and premature ejaculation since many years .
I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Is your diabetes under control?
2) Are you taking any drugs for depression ?
The cause of your sexual problems is multi-fold like diabetes,depression .
Following measure will help you to boost up your confidence and getting good erection.and delay ejaculation.
1) Practice regular exercise for 45 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) Avoid alcohol and smoking..
You need to consult qualified Urologist for clinical assessment and get following basic tests done to establish cause of your sexual problems
1) Blood Sugar levels to see status of diabetes whether it is under control or not
2) Serum testosterone levels ,as low testosterone may be one of the factor to cause loss of libido.
3) Penile Doppler ultrasound scanning of penis to detect any vascular insufficiency as a cause of your ED.
Further treatment will depend upon result of these tests and final diagnosis.
In view of your long history of these problems and poor response to Viagra I would suggest you to discuss and explore the efficacy of taking intracavernosal injection of Alprostadil (Caverjet).This will help you to get good hard erection to have enjoyable sex and also to satisfy your partner.
Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil