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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Exp 50 years

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Suggest Treatment For Erectile Dysfunction And Premature Ejjaculation

hi;



I am 37 year old , married 3 yrs before i have female child in 11/2 year, now we are planning for second child , I could not have sex wih my wife due to my penis stifness not enough to penetrate and also before having sex spurm coming out.after this my penis loosing temper, hence i could not have sex with my wife. ealier we have not faced such kind of problem.



please help us to rectify this issue.

                                                  
Mon, 13 Jun 2016
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Urologist 's  Response
Hello
Thanks for query .Based on the symptom that you have posted I would state that you have problem of Secondary Erectile Dysfunction .

It is a common problem faced by every individual at some time or other in sexual life and gets resolved .

It is mostly due to psychological stress of which one is not aware of and due to performance anxiety .

Spent more time in fore play.Taking Sildenafil (Viagra) one hour fbefore planned sex will help you to have hard sustainable erection to have enjoyable sex .

Dr.Patil.
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Psychiatrist Dr. Chintan Raval's  Response
Dear service user,
Thank you for writing to healthcaremagic.
I have gone through your question and understand your concerns about early ejaculations and erectile dysfunction. I will definitely assist you for these issues.
Let me know whether you achieve and maintain a good quality of erection in sleep, in the early morning, during masturbation but not at the time of coitus? If you are able to achieve and maintain erection in any one of the above mentioned situations than your problem is more likely psychological rather than physical. This can be treated by psychological counseling with medications.

The premature ejaculations can be overcome by several methods; some of these are as follows:
1. Stop-start technique of behavior therapy.
2. Female on top with active role.
3. Double condom
4. Medicines like Fluoxetine 20 mg day or Paroxetine CR 25 mg per day.
(To be taken under medical supervision only)
5. Pelvic muscle strengthening exercise. (As if try to hold urine intermittently during voiding)
6. Penile squeeze technique applied at the point of ejaculatory inevitability.
7. Applying a local anesthetic ointment to glans penis prior to penetration.

What you need to do is to consult a psychiatrist well versed with psycho sexual therapies. He will definitely assist you to come out of these problems.
If you are planning to have another kid, you may go for artificial insemination method with trained obstetrician.
I hope this will help you.
Wish you good health ahead.
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Suggest Treatment For Erectile Dysfunction And Premature Ejjaculation

Hello Thanks for query .Based on the symptom that you have posted I would state that you have problem of Secondary Erectile Dysfunction . It is a common problem faced by every individual at some time or other in sexual life and gets resolved . It is mostly due to psychological stress of which one is not aware of and due to performance anxiety . Spent more time in fore play.Taking Sildenafil (Viagra) one hour fbefore planned sex will help you to have hard sustainable erection to have enjoyable sex . Dr.Patil.