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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Erectile Dysfunction And Premature Ejaculation

could you please prescribe treatment or medication for me for erectile dysfunction, low sex drive & premature ejaculation that is taking place some time in me these days? I am around 50 years old, but simply healthy, looks young, young in heart. having thyroid problem and taking 0.75 levothyroxine, rabeprazole sodium for gas, calcium & vitamin D for bone density everyday.
Mon, 14 Mar 2016
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General & Family Physician 's  Response
Following are the causes of erectile dysfunction:
fatigue, stress, relationship issues, performance anxiety, alcohol consumption, diabetes, obesity, tobacco use, enlarged prostate gland.
So please do health check up to exclude above causes..
Take following advice
1. Start exercising, losing weight, stopping smoking and alcohol if you are taking
2. Tablet viagra 50 mg taken about one hour before sexual activity. It may be taken between 30 minutes and four hours prior to sexual activity. maximum dose of 100 mg daily or reduced to 25 mg daily. Do not use more than one time daily
You can also take paroxetine 10 mg 30-40 min before sex
3. Testosterone Replacement Therapy after consult with doctor
4. Alprostadil urethral suppository-By applicator to insert the suppository into your penile urethra, erection usually starts within 10 minutes and lasts between 30 and 60 minutes.
5. Talk with your doctor
6. Do discussion with your partner that help in gaining psychological trust

Hope this may help you.
Take care
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Suggest Treatment For Erectile Dysfunction And Premature Ejaculation

Following are the causes of erectile dysfunction: fatigue, stress, relationship issues, performance anxiety, alcohol consumption, diabetes, obesity, tobacco use, enlarged prostate gland. So please do health check up to exclude above causes.. Take following advice 1. Start exercising, losing weight, stopping smoking and alcohol if you are taking 2. Tablet viagra 50 mg taken about one hour before sexual activity. It may be taken between 30 minutes and four hours prior to sexual activity. maximum dose of 100 mg daily or reduced to 25 mg daily. Do not use more than one time daily You can also take paroxetine 10 mg 30-40 min before sex 3. Testosterone Replacement Therapy after consult with doctor 4. Alprostadil urethral suppository-By applicator to insert the suppository into your penile urethra, erection usually starts within 10 minutes and lasts between 30 and 60 minutes. 5. Talk with your doctor 6. Do discussion with your partner that help in gaining psychological trust Hope this may help you. Take care