Dr. Ramchandra Lamba
Psychiatry
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Patient's Query
Hi doctor,
I am 54 years old. I am a hypertensive patient. Currently, I am taking Telma 20 mg, Metoprolol 25 mg in the morning and Roseday 5 mg at night. My weight is 105 kilograms. I am not getting proper erection nowadays. Though I have an interest in intercourse, I am unable to perform. Before a month, I had a burning sensation after sex which lasted for 30 minutes. I do not have complications like fever, abdomen pain, frequent urination, cloudy or bloody urine, and pain during urination. I consulted my GP, and he gave me a food supplement. Please advice.
Hi,
Welcome to icliniq.com.
I have gone through the attachment (attachment removed to protect patient identity). Your report shows that you have diabetes, deficiency of vitamin D3 and vitamin B12. Your hba1C (glycated hemoglobin) is in a higher range. Take care of these issues. Have a walk in the morning for at least 30 to 40 minutes every day. Avoid smoking and drinking if you have these habits. Take healthy food and adequate sleep.
For erectile dysfunction, I recommend taking Sildenafil 50 mg almost 30 to 60 minutes before having sex. If there is premature ejaculation, you can take Fluoxetine 20 mg or Paroxetine 12.5 mg or Dapoxetine 30 mg one tablet one hour before sexual activity. Try master and Johnson technique for erectile dysfunction and try stop technique or squeeze technique for premature ejaculation if you have.
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Psychiatry
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