
What Can Cause Premature Ejaculation?

On my previous consultation you had shared a brief summary on premature ejaculation and suggested few extercise and diet. Aside from the diet and exercise, i have started following. If there is a prescription I could buy meds from XXXXXXX location in a Ayurvedic store or if the options are through courier. Below is my address.
iv. . The line of treatment should be based on 'vrishya', 'medhya', 'shukrastambhaka', and 'vatahara' properties.
If interested I can courier you the said medicines along with the dose, duration and charges.
Below is the address
Rakesh XXXXXXX
No3, 1st Main, 4th Cross Vinayaka XXXXXXX Nagasandra Post XXXXXXX 560073 XXXXXXX no: 0000
I could Gpay the amount to your number.
further necessary details
Detailed Answer:
Dear
Thanks for contacting me with your health concern and reverting back.
As the said treatment is/are Evidence-Based Medicine [EBM] and also Result Oriented, thus is prepared and procured locally [in our Pharmacy], and thus won't be available at XXXXXXX So before I tailor-made the medicine for you, let me know about the following:
- Any Psychological anxiety/Mental Stress?? [lack of confidence]??
-Any investigation related to your Serum Testosterone [direct and total]??
- Is Premature Ejaculation [PE] also associated with Erectile Dysfunction]??
- Any other underlying Medical Condition??
- Once you have clarified the above questionnaire, I will courier you the medicine(s), according to the answers you have provided to your Mailing Address and dose, duration, and price.
Dr. Munish Sood
Consultant Physician
Naimittika
direct online link: bit.ly/drmunishsood


Any Psychological anxiety/Mental Stress?? [lack of confidence]??
Stress is there due to matrimonial issues, work load and sleep issues due to that. Also may be due to excitement during intercourse.
-Any investigation related to your Serum Testosterone [direct and total]??
Havent done any test on this
- Is Premature Ejaculation [PE] also associated with Erectile Dysfunction]??
Have erection but it comes out quickly during intercourse, sometimes before penetration
- Any other underlying Medical Condition??
I smoke a couple of cigarettes daily and weekly some beer or whisky, I know that reduces the testosterone..However, iam cutting down on this and I have started hitting the gym as well off late to cut down on there with a healthy diet.
allopathy doctor recommended duroplus like 2 hrs before intercourse and it works well.
Further line of Management
Detailed Answer:
Thanks for reverting back.
1. Oil for stamina, timing and enhanced performance in males: 200/- for 25 ml
2. Powder for all types of sexual disorders: 240/- for 200 grams
3. Tablets for premature ejaculation: 1448/-
4. Capsules for Stress Management: 295/- for 30 capsules.
Total: 2183/-
After Discount: 1965/-
Courier charges extra. (Since it is calculated according to pincode and weight)
If you are Comfortable I can share my Bank details.
Dr. Munish
Naimittika

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