Suggest Treatment For Premature Ejaculation With Erectile Dysfunction?

Posted on Tue, 14 Jan 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 14 Jan 2014 Answered on

Tue, 4 Feb 2014 Last reviewed on

Question : With in the last year my penis head has become very sensitive to the point I can only last about 10 sec but before that I didn't have this problem I could last for a long time what could be wrong it is most sensitive around the rim what can I do to fix this thanks

Answered by Dr. Shafi Ullah Khan (54 minutes later)

Brief Answer: Psychologic, needs evaluation Detailed Answer: Good day Sir! My name is Dr S Khan and i would like to help you with your performance issues. Sir you have premature ejaculation with erectile dysfunction and providing no such history in the past and no recent traumas or other injuries i reassure you its innocuous and will resolve.All we need we need some modifications here. Modifications in diet with a good balanced one and a consult to a dietitian for a diet plan. Sir i want to reassure you that anxiety and depression are the sole responsible factors for the issues at the age of 31 which is too young to be organic. So next modification is lifestyle modification and psycotherapies and that needs a perfect psychiatric evaluation to sort out the etiology for you. So in nut shell seek the dietitian and psychiatrist help. if the issue persisted then we will run some tests to sort out the organic cause but i am sure it wont come to that. Just a diet and lifestyle modification with some psychiatric rehabilitation to modify the anxiety and stressful events in life. Hope it gets resolved sooner than possible. keep me posted. Don't forget to close the discussion please and rate the answer as per your experience. Regards Dr S Khan

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shafi Ullah Khan (1 hour later)

well shortly before I started having this problem I did have a vasectomy the area that is really sensitive is on the top side on and around the rim I also had a uti when this started to bother me so I don't think it has anything to do with the was I eat I do have a lot of stress with my work but that's it

Answered by Dr. Shafi Ullah Khan (24 hours later)

Brief Answer: Vasectomy further confirms its psychologic Detailed Answer: Hello again! Now that you mentioned vasectomy and UTI i want you to visit and consult a doctor as the nervous supply and sensory pathways might be compromised after vasectomy. Performance anxiety after vasectomy is a very common phenomenon. SO i think all you need is a reassurance. and it will resolve once you seek help. From my point of view where i can see it from all it speculates is anxiety and psychiatric aspect of performance as i mentioned age of 31 is too young to have performance issues. If any thing else comes up as a reason come and grab me from my collar. No worries. It will be back to its strength and turgor. Take care and dont forget to close the discussion please. Have a very good day regards Dr S Khan

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shafi Ullah Khan (3 hours later)

so what kind of doctor do I need to go to family or urologist or what

Answered by Dr. Shafi Ullah Khan (4 hours later)

Brief Answer: Psychiatrist Detailed Answer: Hello again sir! Going to a psychiatrist would be a good start. After that if needed neurologist may be involved for ruling out any trauma to the nervous supply to the penile area resulting in potency issues. But i am sure it wont come to that. Have a good day sir. Kindly close the discussion please if the queries are finished. Thank you for asking Regards Dr S Khan

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar