Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
Suggest Treatment For Premature Ejaculation And Erectile Dysfunction
um 30 years old now l started masterbating when l was 15 sometimes once or twice a day and now my erection is soft and l could not last for more than 3 mins when um doing sex with my partner sometimes l lost my erection in the process of doing sex which makes me worried ...help mi pliz
Mon, 27 Jun 2016
Hello dear
Understand your concern
I think you have main problem of erection and plus mild form of premature ejaculation. Treatment depend upon the cause of problem. Following are the causes: psychological cause: severe depression, sexual anxiety, relationship problem. Medical cause: low testosterone, overweight, diabetes/metabolic syndrome, hypertension and its treatment, back nerve problem, prostate enlargement, excessive smoking and alcohol, orchitis/epididmytis etc
You have to consult the psychiatric/urologist to diagnose above causes after proper investigation like: blood sugar, lipid profile, PSA, CBC, ESR, health check up, nocturnal penile tumescence test, intracavernous test, color doppler of penile area.
Doctor may give following advice:
Cognitive behavioral therapy for psychiatric problem, stop alcohol and smoking, eat healthy diet and fresh fruits, more antioxidant like tablet Co Q and almonds, spend more time in foreplay before sex, use double condom or condoms with lidocaine jelly, be relax while doing sex, try women on top position, hold urine sometime before urination, use stop and start and squeeze technique of sex, talk to your partner about your problem that decrease you anxiety regarding problem, pelvic exercise, walking and medication daily in the morning for 45-60 minutes.
If above advice will not work,
Tablet sildenafil AND PAROXENTINE 30-40 minutes before sex after proper evalation.
If low testosterone will be there , should be treated by testosterone injection weeKLY
hOPE THIS MAY help you
Best regards
Dr. DSgar
Understand your concern
I think you have main problem of erection and plus mild form of premature ejaculation. Treatment depend upon the cause of problem. Following are the causes: psychological cause: severe depression, sexual anxiety, relationship problem. Medical cause: low testosterone, overweight, diabetes/metabolic syndrome, hypertension and its treatment, back nerve problem, prostate enlargement, excessive smoking and alcohol, orchitis/epididmytis etc
You have to consult the psychiatric/urologist to diagnose above causes after proper investigation like: blood sugar, lipid profile, PSA, CBC, ESR, health check up, nocturnal penile tumescence test, intracavernous test, color doppler of penile area.
Doctor may give following advice:
Cognitive behavioral therapy for psychiatric problem, stop alcohol and smoking, eat healthy diet and fresh fruits, more antioxidant like tablet Co Q and almonds, spend more time in foreplay before sex, use double condom or condoms with lidocaine jelly, be relax while doing sex, try women on top position, hold urine sometime before urination, use stop and start and squeeze technique of sex, talk to your partner about your problem that decrease you anxiety regarding problem, pelvic exercise, walking and medication daily in the morning for 45-60 minutes.
If above advice will not work,
Tablet sildenafil AND PAROXENTINE 30-40 minutes before sex after proper evalation.
If low testosterone will be there , should be treated by testosterone injection weeKLY
hOPE THIS MAY help you
Best regards
Dr. DSgar
I find this answer helpful
1 Doctor agrees with this answer
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Loading Online Doctors....