Patient's Query
Hi doctor,
I was not sexually active for the last year, but recently, I resumed my sexual life. I am not able to maintain my erection during sex (although I can achieve it, but it is not that hard). I never faced this issue before and was not sure what was causing this problem. I am 30 years old.
Please help.
Thank you.
Hello,
Welcome to icliniq.com.
Before moving directly to any treatment, follow the advice given below. You are indeed developing the signs of ED (erectile dysfunction) and PME (premature ejaculation). We may need the reports of the following tests to rule out physical causes of erectile dysfunction and premature ejaculation.
The tests are CBC (complete blood count), T3, T4, TSH (thyroid-stimulating hormone), HbA1c (glycated hemoglobin), serum testosterone, and serum prolactin.
To rule out psychological causes, please answer my questions.
Describe in detail any use of cigarettes, tobacco, alcohol, cannabis, or any other substances of abuse. Please respond to the above questions and send me reports so that I can make a complete assessment of your condition and advise you on treatment accordingly.
Depression can cause ED, PME, and masturbation guilt or compulsive masturbation. All that you may require is proper consultation and treatment for your sexual problems.
I hope this helps.
Please revert so I can assist you further.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply.
I am currently out of the city due to COVID-19, and we are going through a partial lockdown here, so I am not sure how to get these tests done. Also, please find the answers to your questions. My mood is fine. I have recently started a new relationship, and we are thinking of getting married. My energy levels are also fine. I do not feel low or lethargic. I am having a normal diet.
I had a lack of sleep for the past four months as I was preparing to switch jobs. But I moved in with my partner, and since then, I have had no sleep disturbances. I am sleeping fine, and I have not felt anxious since then. None of my family members suffers from anxiety or depression, and I do not use cigarettes, tobacco, cannabis, or any other substances of abuse. I very rarely consume alcohol.
Also, I sometimes feel that this is due to performance pressure, as I really like my partner and do not want to lose her, and that can be one reason for this.
Please advise.
Thank you.
Hi,
Welcome back to icliniq.com.
The diagnosis of performance anxiety can be established only after we have the results. Anxiety after a failed attempt at intercourse can increase performance anxiety, even if the cause is only psychological. Until then, you can use a combination of Sildenafil 50 mg and Dapoxetine 30 mg one hour before sexual activity.
I hope this helps.
Please revert so I can assist you further.
Thank you.
Patient's Query
Hi doctor,
Thank you for your reply.
I wanted to know whether it is safe to consume Sildenafil 50 mg and Dapoxetine 30 mg on a regular basis, or if there are any side effects from it. Also, I wanted to share with you my sexual history. I was quite sexually active seven years back in my previous relationships.
Then, after the break-up, I had a few sexual encounters. But for the last year, I had not been sexually active at all with any girl, and masturbation was also very infrequent. But now, for the last two months, I have started a new relationship and seem to be facing this issue. I am not sure if I actually have any issues or if it is just performance pressure or anxiety.
Kindly guide.
Thank you.
Hi,
Welcome back to icliniq.com.
Any more queries?
Please revert so I can assist you further.
Thank you.
Patient's Query
Hi doctor,
Thank you for your reply.
I wanted to know whether it is safe to consume Sildenafil 50 mg and Dapoxetine 30 mg on a regular basis, or if there are any side effects of it. Also, I wanted to share with you my sexual history. I was quite sexually active seven years back in my previous relationships.
Then, after the break-up, I had a few sexual encounters. But for the last year, I had not been sexually active at all with any girl, and masturbation was also very infrequent. But now, for the last two months, I have started a new relationship and seem to be facing this issue. I am not sure if I actually have any issues or if it is just performance pressure or anxiety.
Please help.
Thank you.
Hi,
Welcome back to icliniq.com.
It is safe to take Sildenafil and Dapoxetine, but not a permanent solution. Tests are needed to confirm the diagnosis and provide a definitive treatment.
I hope this helps.
Please revert so I can assist you further.
Thank you.
Was this conversation helpful?
Answered byDr. Rahul Kansal
Medically reviewed byDr. Vinodhini J.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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