Doctor I did an online self care test on DocsApp. They have sent you the results, please advise the next steps.
What is your current age?
27
Are you sexually active?
Yes
Please specify your gender
Male
How satisfied are you with your sex life?
Not satisfied
What is your goal?
Have sex for long time
Get harder erection
Do you have any of the following habits?
None
Dr.
Dear User, for us to have a better understanding of your health issue, please answer this question. Which of the following are you most concerned about?
Dear User, for us to have a better understanding of your health issue, please answer this question. Which of the following are you most concerned about? I want to increase my sex time (Premature ejaculation)
Dr.
Does this problem occur when you are with a specific person, If yes please select below:
Does this problem occur when you are with a specific person, If yes please select below: Girlfriend
Dr.
How frequently does this happen, when you engage in Sexual activity?
How frequently does this happen, when you engage in Sexual activity?
Everytime
Dr.
Do you have any of the following (Stress, Anxiety, Depression etc.)?
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)?
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
Dr.
Do you have any of the following habits?
Do you have any of the following habits?
None
Dr.
Hello xxxx . Dr. xxxxxxxi who is our best specialist for treating ⭐SEXUAL PERFORMANCE related issues⭐ will take up your case.
Dr.
Good Afternoon! I am here to help you, please tell me more about your problem.
Dr.
Can we discuss on call?
Dr.
tell me your exact problem
the main problem is when ever i get along with my girlfriend
i erect fas and i cant have sex with her at all
nither my penis erects afte r dat i obserced this for afound 5 times
Dr.
I need more information.
Dr.
Please answer few questions so I can guide you in right direction for your sex related problem.
1..Are you married?
If yes duration of marriage?
If not married, provide details about sex life with girlfriend. Where and which circumstances you do sex?
2..How did problem start? Any specific incidence was there?
3...Do you pay more attention to erection while trying for intercourse/sex?
4..Do you have any physical illness?if yes, Any medication?
5..How is relationship with your partner? Any emotional or social problem is there?
6..Is morning erection present when you wake up from sleep ?
7..Is smoking or alcohol?if yes, duration you are taking, frequency per week or per month and quantity?
8..Is there any difficulty in urinating?
9...When did you do successful intercourse last?
10...Is there any history of masturbation? If yes, how was pleasure/orgasm during masturbation?
11...How many time you do sex and masturbation per week or per month?
12..How much duration do you last before ejaculation? Do you ejaculate before your partner reaches orgasm?
1 no iam not married
we both get along in hotels
in romatic circumstance
2 when ever i tryd to have sex with her i would be finished i 2 min
3 no i never pay attention
4 no iam not suffering with any kind of illness
5 yes there are problems in her family all are agianst us
6 yes i do have the morning erection
7 no i dont somke or drink
8 there is no difficulties
9 none
10 no
11 once a week
12 the ejqction lasts for 2min
Dr.
Thanks for information.
Dr.
revert you in 20 to 25 minutes
Dr.
Semen production occurs daily after adolescent age. Semen stored in seminal vesicles of prostate. When any kind of arousal or excitation is there it comes out. When frequency of sex or masturbation is relatively less, seminal vesicles will be full of semen so with some slight arousal it comes out fast during sex and premature ejaculation occurs. It is like when a glass of water is full completely and if you will shake it slight some water will be spilled out and if glass is half or less full some shaking will not spilled water and one has to bend the glass more to evacuate the water and same thing happen in ejaculation process. So increasing the frequency of masturbation or sex will automatically help to evacuate semen regularly and less chances of premature ejaculation.
Dr.
Thanks for information. Your problem is Premature ejaculation. Many males suffer initially due to over excitation and arousal during begining of sex life. In most of the males this problem is automatically solved after regular sex life like after marriage.
Dr.
It means early ejaculation.. Means your ejaculation (coming out of semen /sperms) so early that the partner is not able to enjoy /satisfy
It is not a pathological problem but it is only physiological problem.
It can be treated with medicines and behavioural modifications.
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 - long lasting condom.
You can learn stop and start technique gradually
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.
dapoxetine in your case for a while
Dr.
to be taken only one hour before sex
Dr.
and confido regularly
Dr.
Please ask your queries after reading all msgs
Dr.
Please read all msgs carefully and ask your queries if any. I will prescribe medicine after your all queries answered.
Dr.
You can ask if any doubt or confusion and we can discuss on call also if you are comfortable
Dr.
Are you there? I am waiting for your response.
Dr.
xxxx, I am calling you now. Please pickup.
Call Ended. Status : completed
Duration : 2 min 20 sec
Call Ended. Status : completed
Duration : 2 min 20 sec
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.
Thank you for consulting me through docsapp
Dr.
Take care.. Wish you good health
Dr.
Please do not hesitate to ask your doubt or query.
thank you soo much doctor
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