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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

Hi,I m 33 years old male and married since one and half year.I hav ED since then.Some time premature ejaculation,Some penis become flacid while putting condome or before insertion.I donot have any medical problem like DM....I used to take finasteride for 6 month but stopped one and half year back because of ED...Please guide me...
posted on Thu, 21 Jan 2016
Twitter Thu, 14 Apr 2016 Answered on
Twitter Thu, 14 Apr 2016 Last reviewed on
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General & Family Physician,  's  Response
Hello dear
Understand your concern.

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 taken about one hour before sexual activity. It may be taken between 30 minutes and four hours prior to sexual activity. Do not use more than one time daily
3. Testosterone Replacement Therapy after hormone and semen analysiss
4. Alprostadil urethral suppository: insert the suppository into your penile urethra, erection usually starts within 10 minutes and lasts between 30 and 60 minutes.
OR drug : paroxetine 30-40 min before sex
5. Talk with your doctor
6. Do discussion with your partner that help in gaining psychological trust
7. Distract your mind from sexual stimulation
8. withdrawing the penis altogether,
9. purposefully ejaculating before sexual intercourse
10. using more than one condom
11. use squeez technique to reduce excessive arousal

After treatment you can take Gonadil F: help in improvement and maintenance after treatment.

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

Hello dear Understand your concern. 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 taken about one hour before sexual activity. It may be taken between 30 minutes and four hours prior to sexual activity. Do not use more than one time daily 3. Testosterone Replacement Therapy after hormone and semen analysiss 4. Alprostadil urethral suppository: insert the suppository into your penile urethra, erection usually starts within 10 minutes and lasts between 30 and 60 minutes. OR drug : paroxetine 30-40 min before sex 5. Talk with your doctor 6. Do discussion with your partner that help in gaining psychological trust 7. Distract your mind from sexual stimulation 8. withdrawing the penis altogether, 9. purposefully ejaculating before sexual intercourse 10. using more than one condom 11. use squeez technique to reduce excessive arousal After treatment you can take Gonadil F: help in improvement and maintenance after treatment. Hope this may help you. Take care Best regards Dr. Sagar