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Suggest Treatment For Premature Ejaculation
Question: Sir, I am a 34 years old male who got married 2 years ago. I have a child. I work in defence job and my BP and sugar levels are normal. I weigh 69 kgs. For the past one year approximately, i have been suffering from the following problems which has put me under huge stress and worry.
1. I experience premature ejaculation whenever i have sex nowadays, not lasting for more than a minute or two. Sometimes ejaculation occurs even during foreplay when i am involved in physical hug or similar things. I had undergone circumcision 4 years ago, after which the high sensitvity of my penis head has improved.
2. Also, there is a loss of virility in recent months, as i feel less desire to have sex, lose my erection during intercourse or just before that. Even if i get an erection, it gets lost suddenly. Erections are very weak also. This was not the case a year before wherein my erections were normal.
I took 90 capsules of Musli Power Extra on my own to get over the problem, but unfortunately its not showing any result so far. Kindly advice me on the next course of action and prescribe any medicine to address my problems. Regards.
1. I experience premature ejaculation whenever i have sex nowadays, not lasting for more than a minute or two. Sometimes ejaculation occurs even during foreplay when i am involved in physical hug or similar things. I had undergone circumcision 4 years ago, after which the high sensitvity of my penis head has improved.
2. Also, there is a loss of virility in recent months, as i feel less desire to have sex, lose my erection during intercourse or just before that. Even if i get an erection, it gets lost suddenly. Erections are very weak also. This was not the case a year before wherein my erections were normal.
I took 90 capsules of Musli Power Extra on my own to get over the problem, but unfortunately its not showing any result so far. Kindly advice me on the next course of action and prescribe any medicine to address my problems. Regards.
Brief Answer:
Please do the following
Detailed Answer:
Dear XXXXXXX
Thanks for using Health care magic.
I read your query and understand your concerns.
Before we can proceed for the treatment part I request you to get following tests from nearby laboratory
1. Serum testosterone
2. Serum prolactin
3. serum LH
4. Serum FSH
5. Thyroid profile
6. Lipid profile
Please also attach the blood sugar report if available. If not you can another one.
In addition post following details
1. Do you get early morning erections?
2. If yes how frequent they are and of what intensity
3. Your body weight and height
4. Maximum duration during sexual intercourse
5. Reason for undergoing circumcision
I look forward to get above details so we can get over the problem with right course of action. I must assure you that the problem is treatable to large extent and there is little to worry about them.
Thanks again
Please do the following
Detailed Answer:
Dear XXXXXXX
Thanks for using Health care magic.
I read your query and understand your concerns.
Before we can proceed for the treatment part I request you to get following tests from nearby laboratory
1. Serum testosterone
2. Serum prolactin
3. serum LH
4. Serum FSH
5. Thyroid profile
6. Lipid profile
Please also attach the blood sugar report if available. If not you can another one.
In addition post following details
1. Do you get early morning erections?
2. If yes how frequent they are and of what intensity
3. Your body weight and height
4. Maximum duration during sexual intercourse
5. Reason for undergoing circumcision
I look forward to get above details so we can get over the problem with right course of action. I must assure you that the problem is treatable to large extent and there is little to worry about them.
Thanks again
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Sir, I am attaching the lab reports as sought in your last reply.
Also, details sought by you are as given below: -
1. Yes, I do get early morning erections..but not regularly..
2. Once in 2/3 days on an average. Intensity - moderate, it subsides suddenly..its not lasting longer like it used to be before. The erection is not hard nowadays, it is soft and moderate
2. Ht - 172 cms, Wt - 69 Kgs
3. 5-6 mins
4. I had a tight foreskin since my childhood. When I got selected for XXXXXXX Navy, I was advised by medical board to undergo circumcision, but somehow i pulled the skin back that time and cleared medicals. But later, it became a problem in medical examination held every year for me. So, as per doctor's advice, 04 months before my marriage in XXXXXXX 2015, I got circumcised in CMCH, Vellore.
5. Sir, I want to add another point for your kind consideration: - I have been preparing for civil services exams for past 2-3 years. Family commitments, work requirements and weekend travels of 180 kms oneway by bus for coaching classes, requirement to study continuously till late night, sleep of 4-6 hrs, skipping meals etc have become inevitable routine in my life in recent days sir.
Also, details sought by you are as given below: -
1. Yes, I do get early morning erections..but not regularly..
2. Once in 2/3 days on an average. Intensity - moderate, it subsides suddenly..its not lasting longer like it used to be before. The erection is not hard nowadays, it is soft and moderate
2. Ht - 172 cms, Wt - 69 Kgs
3. 5-6 mins
4. I had a tight foreskin since my childhood. When I got selected for XXXXXXX Navy, I was advised by medical board to undergo circumcision, but somehow i pulled the skin back that time and cleared medicals. But later, it became a problem in medical examination held every year for me. So, as per doctor's advice, 04 months before my marriage in XXXXXXX 2015, I got circumcised in CMCH, Vellore.
5. Sir, I want to add another point for your kind consideration: - I have been preparing for civil services exams for past 2-3 years. Family commitments, work requirements and weekend travels of 180 kms oneway by bus for coaching classes, requirement to study continuously till late night, sleep of 4-6 hrs, skipping meals etc have become inevitable routine in my life in recent days sir.
Brief Answer:
Follow up
Detailed Answer:
Dear XXXXXXX
Thanks for reverting back to me.
I have reviewed the available reports and additonal information.
First of all I like to inform you even the 5-6 minute time comes under normal and it is not a problem if I consider normal standards of population which is between 2-5 minute for 70% of population.
However I will request you to do pelvic floor exercises to maintain better control over ejaculation.
It s difficult for me to explain them here but you can get them a hold on them with use of google. Just type "kegel exercise" and you will get plethora of information to identify this particular technique. The kegel exercise is most studied and probably most effective technique for control of ejaculation.
The other techniques are
1. Squeeze technique
2. Start- stop method
3. Interruption technique
Regarding loss of virility first as you guessed there is definite need to manage lifestyle. This can not be ignored for a long time and managing stress is vital. For time being I will request you to take antoxidant for few months. For example you can take Cap corus (Intas) or nervon forte (ipca) per day.
I hope this assists you.
If you have more questions I will be glad to assist you further.
If you do not have more questions, please close the discussion and if possible rate the answer for my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
Follow up
Detailed Answer:
Dear XXXXXXX
Thanks for reverting back to me.
I have reviewed the available reports and additonal information.
First of all I like to inform you even the 5-6 minute time comes under normal and it is not a problem if I consider normal standards of population which is between 2-5 minute for 70% of population.
However I will request you to do pelvic floor exercises to maintain better control over ejaculation.
It s difficult for me to explain them here but you can get them a hold on them with use of google. Just type "kegel exercise" and you will get plethora of information to identify this particular technique. The kegel exercise is most studied and probably most effective technique for control of ejaculation.
The other techniques are
1. Squeeze technique
2. Start- stop method
3. Interruption technique
Regarding loss of virility first as you guessed there is definite need to manage lifestyle. This can not be ignored for a long time and managing stress is vital. For time being I will request you to take antoxidant for few months. For example you can take Cap corus (Intas) or nervon forte (ipca) per day.
I hope this assists you.
If you have more questions I will be glad to assist you further.
If you do not have more questions, please close the discussion and if possible rate the answer for my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Sir,
Thank you for reply. I Just wanted to submit following issues for your consideration and advice: -
(a) The maximum duration which I mentioned is not always, most of the times its less than a minute or two, especially if it is after a long gap. I will definitely follow kegel exercise as advised. My worry is that should I take any medication to treat the condition?
(b) Is my total testosterone levels normal for my age, should I do something to improve, if it is below average levels.
(c) Can I get these anti-oxidants you have mentioned over the counter or do i need a prescription, should i visit any doctor for further investigation
(d) Please advice me what to do in the long term to improve my condition.
Regards.
Thank you for reply. I Just wanted to submit following issues for your consideration and advice: -
(a) The maximum duration which I mentioned is not always, most of the times its less than a minute or two, especially if it is after a long gap. I will definitely follow kegel exercise as advised. My worry is that should I take any medication to treat the condition?
(b) Is my total testosterone levels normal for my age, should I do something to improve, if it is below average levels.
(c) Can I get these anti-oxidants you have mentioned over the counter or do i need a prescription, should i visit any doctor for further investigation
(d) Please advice me what to do in the long term to improve my condition.
Regards.
Brief Answer:
Follow up
Detailed Answer:
Dear XXXX,
Thanks for follow up.
There is nothing which is called rule in sexual health and having less time after a gap is considered normal. Less than minute is definitely abnormal if it is persistent and there is good possibility of reverting back to normal with Kegels. In my opinion you do not fall in a category where medicine is required for early ejaculation.
Your testosterone is quite OK and with use of antioxidant and stress management you will see a rise in its level.
They are off the counter and you do not need prescription.
As advised earlier stress management and healthy life style.
I hope this answers you further.
Thanks and regards.
Follow up
Detailed Answer:
Dear XXXX,
Thanks for follow up.
There is nothing which is called rule in sexual health and having less time after a gap is considered normal. Less than minute is definitely abnormal if it is persistent and there is good possibility of reverting back to normal with Kegels. In my opinion you do not fall in a category where medicine is required for early ejaculation.
Your testosterone is quite OK and with use of antioxidant and stress management you will see a rise in its level.
They are off the counter and you do not need prescription.
As advised earlier stress management and healthy life style.
I hope this answers you further.
Thanks and regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you sir
Brief Answer:
You are always welcome
Detailed Answer:
Thanks for your feedback.
Please close the discussion and if possible rate the answer for my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
You are always welcome
Detailed Answer:
Thanks for your feedback.
Please close the discussion and if possible rate the answer for my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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