I am having erectile dysfunction problem, so please suggest permanent cure
Dr.
Hello xxxx, Welcome to DocsApp! I am the doctor’s assistant. Before your consultation with the doctor starts, it is important that you answer the following questions.
Dr.
Does this problem occur when you are with a specific person, If yes please select below:
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Wife
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Girlfriend
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Others
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Submit
Does this problem occur when you are with a specific person, If yes please select below:
Others
Dr.
How frequently does this happen, when you engage in Sexual activity?
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1 in 10 times
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1 in 5 times
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1 in 2 times
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Everytime
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Submit
How frequently does this happen, when you engage in Sexual activity?
Everytime
Dr.
Do you have any of the following (Stress, Anxiety, Depression etc.)?
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Stress
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Anxiety
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Depression
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None
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Submit
Do you have any of the following (Stress, Anxiety, Depression etc.)?
None
Dr.
Do you have any of the conidtions (Hypertension, Diabetes, Thyroid, Cardiac problems)?
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Hypertension
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Diabetes
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Thyroid
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Cardiac problems
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None
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Submit
Do you have any of the conidtions (Hypertension, Diabetes, Thyroid, Cardiac problems)?
None
Dr.
Do you take any allergy medication for cold and cough?
Do you take any allergy medication for cold and cough? No
Last time you consulted Dr. xxxx. This doctor is available between 10 PM-0 AM today (2018/06/26). You can consult another specialist right now, or pay now to book appointment with Dr.xxxxxxxxxxx. Please choose I want another doctor right now - Dr. xxxx,MBBS, MD - Psychiatry & Sexology with 9 years of experience. 4.4/5 rating.
Dr.
Hi xxxx , Dr. xxxx will take up your case.
Thanks! Doctor has received your payment
sir, I am having erectile dysfunction problem, and I am not able to maintain the erection for 1 minute also. And pretty ejaculation occurs very fast
Dr.
Good Afternoon xxxx! I am here to help you, please tell me more about your problem.
Dr.
Do you want to discuss on call or chat?
what is the permanent solution for this sir
Dr.
I am attending few patients on chat. Please wait for sometime.. I will call you soon in..
Dr.
your problem seems to be premature ejaculation
Dr.
I need more information.
Dr.
you can answer few questions if possible
Dr.
1... Are you married?
If yes duration of marriage?
If not married, provide details about sex life with girlfriend.
2... Is morning erection present when you wake up from sleep ?
3... Is there any difficulty in urinating?
4... Is there any history of masturbation? If yes, how was pleasure/orgasm during masturbation?
5... How many times you do sex and masturbation per week or per month?
6... How much duration do you last before ejaculation? Do you ejaculate before your partner reaches orgasm?
yes morning erections are present
no difficulty in urinating
yes I used to masturbate daily before marraige
yes I ejaculate before my partner
Dr.
Thanks for information.
Dr.
your problem is Premature ejaculation
Dr.
It means early ejaculation.. Means your ejaculation (coming out of semen /sperms) so early that the partner is not able to enjoy /satisfy
Dr.
It is not a pathological problem but it is only physiological problem.
Dr.
It can be treated with medicines and behavioural modifications.
Dr.
I am sending details about treatment aspect, after that ask query if any.
Dr.
Behavioral approaches are as follows to prevent early ejaculation
1. Stop and start and Squeeze technique can be applied which you can learn from internet and ask me if any query in that.(In brief, method suggests that you should try to divert your mind for a moment when you feel ejaculation arousal and penis should be tightly squeezed with hand inwards by your partner preferably).I will explain in next msg.
2. Kegel exercise also helps in some cases. You can learn the same from internet.
3. Sex counselling of your sexual behavior and methods. Like if you are down and female partner on top, gravity is going to help you for lengthening the time.
4. You should do masturbation before sex (at least 3 hours before or same day in morning). It will make seminal vesicles somewhat empty and at time of sex semen will take more time to come out.
Another approach:
-Use of condoms. Sometime use of condom, while sex, helps in delaying ejaculation by reducing sensitivity of glans penis . even condom with anesthetic gel is also available in - long lasting condom.
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Dr.
you can learn stop and start technique gradually
Dr.
After insertion of penis when you start stroking there will be feeling when you feel that ejaculation will be initiated soon. At that moment you have to stop stroking for 30 seconds, keep penis inside and divert your mind to something else other than sex. When you feel that ejaculation impulse gone you can restart stroking and same thing can be repeated again and again to extend the time. However for this you need to last at least 1 minute after insertion. It requires practice.
Dr.
Medicines for premature ejaculation :
Clomipramine and paroxetine are choice of medicines which are used as antidepressants (For depression dose is higher).
I prefer clomipramine for PME. No significant side effects with these medicines. Initially say for 0-30 days daily after dinner and later on just on the day when you do the sex.
One molecule called dapoxetine has been used specifically for PME and should be taken before sex when required.
One ayurvedic supplement confido is also helpful in some patients.
Dr.
Considering your history I recommend
Dr.
xxxx and xxxxx in your case
Dr.
Please read all msgs carefully and ask your queries if any. I will prescribe medicine after your all queries answered.
Dr.
I will call in 5 minutes
Dr.
xxxx, I am calling you now. Please pickup.
Dr.
aapke case me cxxxxxxxx ठीक रहेगी. xxxxx एक गोली रात को खाने के बाद. xxxxxxxx do goli रात को सोने से पहले दूध ke sath ya pani के साथ.
Dr.
Not to worry xxxx, take the medicines that I have prescribed. You will feel better. If you need any help, I am right here.
Dr.
aapke नजदीक me koi bda मेडिकल स्टोर हो, किसी bde hospital के asspas ki दवाई की दुकान me,किसी psychiatrist /sexologist के clinic के नजदीक me या online mil jayegi.
Dr.
Thank you for consulting me through docsapp
Dr.
ek mahine k bad आपको केसा he wo देख के आगे क्या करना है वो decide करेंगे. एक mhine के बाद आप वापस consult कर सकते हो.
Dr.
kuch samaj me na aaye to puchh lena
Call Ended. Status : completed
Duration : 7 min 27 sec
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