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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

hi i m 29 years old man and i have problem with sex the problem is in normal time my penis stand properly but when i want to do sex with girls it does not stand and some water comes in my penis and it is difficult to stand ...because of this my sex activity is become weak..so can u tell me a solution and treatment please.
Thu, 14 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 hormone and semen analysiss
4. Alprostadil urethral suppository: insert the suppository into yourpenile 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 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

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 hormone and semen analysiss 4. Alprostadil urethral suppository: insert the suppository into yourpenile 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 take Gonadil F: help in improvement and maintenance after treatment. Hope this may help you. Take care Best regards Dr. Sagar