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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

Dear doctor I am recently. Married and I am facing issues regarding sexual relationship with my wife .i am having problem in errection ,either it happens less or for less time . The minute I loose my concentration even for some seconds I loose my errection. I am really worried about my situation kindly suggest any precautions med or anything helpful for permanent solution.
Tue, 12 Apr 2016
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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 50 mg taken about one hour before sexual activity. It may be taken between 30 minutes and four hours prior to sexual activity. maximum dose of 100 mg daily or reduced to 25 mg daily. Do not use more than one time daily
3. Testosterone Replacement Therapy after semen and hormonal analysis
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 10 mg 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 maintain ejaculation by
Gonadil F that contain Protodioscin, Zinc, Vitamin E and Selenium.
Help in improvement and maintenance after treatment.
You can take it but along with other treatment of premature ejaculation.
Active Therapy: Morning 2 tablet plus Evening 2 tablet for 90 days
Maintenance Therapy:Morning 2 tablet plus Evening 2 tablet for 2 - 4 weeks.

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

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 50 mg taken about one hour before sexual activity. It may be taken between 30 minutes and four hours prior to sexual activity. maximum dose of 100 mg daily or reduced to 25 mg daily. Do not use more than one time daily 3. Testosterone Replacement Therapy after semen and hormonal analysis 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 10 mg 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 maintain ejaculation by Gonadil F that contain Protodioscin, Zinc, Vitamin E and Selenium. Help in improvement and maintenance after treatment. You can take it but along with other treatment of premature ejaculation. Active Therapy: Morning 2 tablet plus Evening 2 tablet for 90 days Maintenance Therapy:Morning 2 tablet plus Evening 2 tablet for 2 - 4 weeks. Hope this may help you. Take care Best regards Dr. Sagar