Q. What is the solution for erectile dysfunction and premature ejaculation?

 

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Hi doctor,

I am a 29 year old male. My height is 5’11” and weight is 90 kg. I am going to be married next year. My problem is that I am suffering from erectile dysfunction and premature ejaculation. In my case the erections are there, but the ejaculation is even quick. The erections are not full. What I have analyzed is that I can stand only till foreplay or a maximum of two minutes during foreplay. I get erected very easily even a single thought can get me erected. Please help me in this regard.

 

 

Answered



Hi,

Welcome to dr.sitehome.info.

  • If your erectile dysfunction is persistent then I would advise you to get your serum testosterone and serum prolactin done to rule out any hormonal cause.
  • If that comes back normal then most likely the cause of your problem is psychological.
  • For erectile dysfunction medicines like Sildenafil and Tadalafil are used. These are PDE-5 inhibitor drugs and have great efficacy in improving erection. The drug can be used even on SOS basis (as and when required) about half to one hour before intercourse.
  • For early discharge medicines like Dapoxetine are used. The drug helps to delay the ejaculation time and thus help to solve your problem.
  • Dapoxetine is available in fixed combination form with Sildenafil also and the drug combination will help in your complaints.
  • Please visit a psychiatrist for prescription of this drug and get your investigations done.
  • Do not remain distressed as these problems will get improved with medicines easily.

  • The Probable causes:

    Anxiety and hyperexcitation.

  • Investigations to be done:

    Serum testosterone and prolactin.

  • Treatment plan:

    Sildenafil and Dapoxetine combination.

  • Regarding follow up:

    For further information consult a sexologist online.—> https://www.dr.sitehome.info/ask-a-doctor-online/sexologist


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