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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Premature Ejaculation

I am happily married since 2002 and having a son of 8 yrs old. My wife is educated, smart & beautiful. I enjoyed my married life for two years and after that I felt that I am fast becoming like an impotent. There is no desire left in me for sex and if I prepare myself for sex there is no arousal and even if so it takes hardly 30-40 seconds for ejaculation which puts me under tremendous ill feeling. I always fear of early ejaculation and fear of not satisfying my wife distanced me from her. Since last one & half year I have not had any sex with her although Both of us sharing the same bed. My wife is under tremendous mental agony because of this. I am 35 years old and a bank manager and my wife is 32 yrs old and a house wife. We love each other very much but our life has became hell because of this. Both of us have good health and sound mind. Please help us and advise .

Till date we have not consulted any doctor.
Mon, 7 Jul 2014
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Urologist,  's  Response
Hi,
I suggest you get a few basic tests done like Serum testosterone (total) at 8 am to estimate if any deficiency is causing the loss of libido.
If there is adequate interest in having intercourse you are likely to receive benefit from use of medications like Tadalafil to improve the quality of erection, and drugs like Dapoxetine to retard the premature ejaculation.
If there is Testosterone deficiency, you might need replacement of the same which should improve your general condition considerably. This will allow the drugs like Tadalafil to act better.
Hope i have been able to help you.
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Suggest Treatment For Premature Ejaculation

Hi, I suggest you get a few basic tests done like Serum testosterone (total) at 8 am to estimate if any deficiency is causing the loss of libido. If there is adequate interest in having intercourse you are likely to receive benefit from use of medications like Tadalafil to improve the quality of erection, and drugs like Dapoxetine to retard the premature ejaculation. If there is Testosterone deficiency, you might need replacement of the same which should improve your general condition considerably. This will allow the drugs like Tadalafil to act better. Hope i have been able to help you.