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Questions & Answers

Q&A

Answered by Dr. Ramchandra Lamba

What is the sufficient sperm count for pregnancy?

Hello,Welcome to icliniq.com.I read your query and can understand your concern.It is not uncommon to lose interest in sex after two to three years of marriage, although libido may be lower compared to the initial period. Tablet Cavenor, which contains L-arginine, may help improve blood flow and could be beneficial. The current medication appears to be satisfactory, but the combination of medications depends on various factors.

June 9, 2026

What pills would help my erection last longer?

Hello, Welcome to icliniq.com. I have gone through your problem and understand your concern. Drugs from the SSRI (selective serotonin reuptake inhibitor) group has the side effects of delayed ejaculation. So I suggest you take a tablet of Paroxetine up to 25 mg once a day or tablet of Fluoxetine 20 mg once a day, or a tablet of Dapoxetine up to 60 mg one hour prior to sexual activity. The first two drugs need to be taken daily, while the third one can be used on an as-needed basis.

June 3, 2026

What could be the cause of a fluctuating mind?

Hello, Welcome to icliniq.com. I have gone through your concern with interest. It is clear that you have a social anxiety problem and an episode of depression. It is also likely that you have personality traits that result in such behavior. To make the final diagnosis you need to visit a psychiatrist in person.

May 27, 2026

What are the ways to manage the symptoms of bipolar disorder?

Hello, Welcome to icliniq.com. I understand your concern. These symptoms are probably due to drug side effects called akathisia, which includes almost all the symptoms you mentioned. This can occur without any warning and also change in any drug dose or schedule. Take Ativan (Lorazepam), one tablet (1 or 2 mg) now, and it can be repeated after one hour if symptoms persist.

May 21, 2026

Why am I having difficulty maintaining an erection?

Hi, Welcome to icliniq.com. You need to get yourself evaluated to find the cause of this. If any problem is detected, then proceed further accordingly. However, in your age group, the most common cause is psychological in nature. In such situations, the erectile dysfunction is managed by a drug like Sildenafil or Tadalafil and a behavioral method called the Masters and Johnson technique.

April 20, 2026

How can I help my child improve urinary control?

Hi, Welcome to icliniq.com. First, you have to rule out the organic or structural cause of enuresis, like urinary tract infections, obstruction, polyuria, diabetes, and any medicine. Second, if the organic cause is ruled out then you have to review the toilet training of your child, and medicine such as Desmopressin or Reboxetine are alternative. Also, behavioral therapy has a significant role like bell and pad system is effective in 50 percent cases. Also, limit the time spent on the screen like mobile or television, and it should be noted more than two hours per day.

April 17, 2026

Is skipping period by taking new pack without placebos safe?

Hello, Welcome to icliniq.com. As you were on the pill regularly, ovulation did not occur. This means you are safe, most probably, but 100 percent accuracy is not there. But for practical purposes, it is almost safe. Take a urine pregnancy test after two to three weeks, and that will confirm it.

April 16, 2026

I have early ejaculation. What is the best treatment?

Hi, Welcome to icliniq.com. For managing premature ejaculation, there are two different approaches, which are listed below: Drug therapy. Non-pharmacological treatment. Drugs used in premature ejaculation are from the SSRI (selective serotonin reuptake inhibitor) group, such as Fluoxetine 20 mg, Paroxetine 10 mg daily, and Dapoxetine 30 mg one hour before sexual activity. Non-pharmacological management uses behavioral therapy, namely stop-start, squeeze, or coitus interruption techniques.

April 8, 2026

Does the clitoral vibrator affect any nerves connected to the legs?

Hi, Welcome to icliniq.com. I understand your concern. Vibrator use may cause some infection or inflammation over the genital area, and this can cause pain or tingling sensations. It is unlikely to cause permanent nerve damage as a vibrator is not so strong. If pain persists, consult your specialist doctor, discuss it with them and take the medicines with their consent.

April 6, 2026

What causes erection problems and low libido in men?

Hello, Welcome to icliniq.com. Many reasons can cause the problem of weak erections and low libido, so you need to be evaluated and investigated to find the cause. The main reason for these problems is diabetes mellitus, hypertension, thyroid hormone, or other hormonal issues. If you are currently taking any medicine, then you need to check them also, as some medications can cause these side effects. So visiting a nearby doctor or psychiatrist will help you to find the underlying medical cause, if any, and then act accordingly.

March 19, 2026

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