Brief Answer:
Try home remedies and visit a physician for prescription drugs.

Detailed Answer:

Hi,

Erectile dysfunction and premature ejaculation can be due to various causes. The big culprits to blame for erectile dysfunction: heart disease, diabetes, hypertension and high cholesterol. With these diseases, vessels are constricting rather than opening to let blood flow to extremities, such as the penis. Other important causes are stress and fatigue.

You can try these home remedies before medications:
- Lose weight
- Nasal decongestant, which contains the blood vessel-constricting chemical pseudoephedrine, can kill erections. So do not use in case you do.
- Deep breathing exercises, walking and jogging, yoga etc helps relieve stress and anxiety.
- Kegel exercises: This is meant to strengthen the pelvic floor muscles and prevent premature ejaculation.

*We have to strengthen them by contracting and relaxing alternatively to achieve strong and intense erection of penis.
*Concentrate towards the anus and contract it tight and hold the contraction for 5 seconds and then release. Repeat this exercise at least 10 times per day.
*Gradually increase the holding time after a week.
- DHEA: Found in soy products and yams.

There are some prescription medications such as:
-Sildenafil (Viagra)
-Tadalafil (Cialis)
-Vardenafil (Levitra and Staxyn)

In case your symptoms persist, it is best to meet a physician for the prescription medications.

No drug is without side effects. Viagra, Cialis and Levitra may cause headaches, dizziness, facial flushing, a runny nose, and indigestion. But most of them don’t experience side effects or don’t mind them. To decrease the risk of potential side effects, take the lowest dose that works for you. Your doctor will start on a low dose, and gradually increase until it works.

I hope this answered your query. Let me know if I can assist you further.

Regards,
Dr. Kampana
General & Family Physician

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Brief Answer:
Control cholesterol levels and follow strict diet.

Detailed Answer:

Hi,

Your BMI is 23.9 which is normal. High cholesterol and BP on the lower side doesn't cause your problem. But high cholesterol can lead to diabetes and heart diseases. So I would advice you to repeatedly check your cholesterol levels and follow a strict diet.

Exercises will take any time between 1 month to 3 months and it should be done regularly even after the results are seen.

Don't worry, the drugs are not addictive.

I hope this answered your query. Let me know if I can assist you further.

Regards,
Dr. Kampana
General & Family Physician

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Brief Answer:
It will worsen your symptoms.

Detailed Answer:

Hi,

It will not worsen PE and ED. As mentioned earlier it is not addictive and it doesn't make you depend on drugs. With a good diet and proper management of stress your symptoms will reduce. So don't worry.

Also for high cholesterol if your physician has prescribed statins (cholesterol lowering medicines), this medicine can reduce ED symptoms.

I hope this answered your query. Let me know if I can assist you further.

Regards,
Dr. Kampana , General & Family Physician

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Brief Answer:
They are prescription medicines.

Detailed Answer:

Hi,

They are prescription drugs so will have to meet a physician to get the medicines. I would suggest you to try out home remedies to reduce cholesterol before using medicines by avoiding oily and fatty foods and regular exercise.

I hope this answered your query.

Regards,
Dr. Kampana
General & Family Physician

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