Q. What are the ways to cure erectile dysfunction and premature ejaculation?

Answered by
Dr. Ramchandra Lamba
and medically reviewed by Dr. Divya Banu M
This is a premium question & answer published on Mar 16, 2020 and last reviewed on: Mar 23, 2020

Hello doctor,

I suffer from erectile dysfunction and also ejaculate even just with holding a women. How can I solve this problem? I am a healthy person who exercises regularly, is not over weight and my lab reports are also fine. I know I suffer from lack of libido but do not know how to handle it.

Dr. Ramchandra Lamba

Psychiatry Psychologist/ Counsellor Sexology


Welcome to icliniq.com.

Your blood test are normal except low vitamin D and B12 (attachment remoed to protect patient identity). Erectile dysfunction and premature ejaculation can be due to many causes. If erectile dysfunction is more prominent then first try Sildenafil and if it is improving, then okay otherwise go for penile doppler study.

For both premature ejaculation and erectile dysfunction, Sildenafil plus Depoxetine may be helpful, take this tablet 30 minute prior to sexual activity. Also try the behavior methods called start stop technique or coitus interruption or squeeze technique. You can read these online and start practicing any one. These methods give good result but you need to do these daily and results are only evident after a few weeks. Also take Vitamin D and Vitamin B12 supplements.

Investigations to be done:

Serum testosterone

Probable diagnosis:

ED and PME

Treatment plan:

sildenafil plus Depoxetine

Preventive measures:

Regular exercise, Avoid alcohol or tobacco.

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Thank you doctor,

I believe my problem is more physical like damaged nerve or something, as now even a viagra pill does not work. I have tried increasing the dosage but still no help. And when sometimes when I get early morning hardness, it not as hard as it used to be and also goes down easily. I have done serum count tests a few times in the last 3 to 4 years, and every time the results have been fine.

Dr. Ramchandra Lamba

Psychiatry Psychologist/ Counsellor Sexology

Hi, Welcome back to icliniq.com. Erection problem can be due to venous leakage that can be detected by doppler study of penis. The damage in nerve is unlikely. If the doppler study comes normal then continue the preventive measures as told earlier. If viagra is not helping much then try Tadalafil 10 mg and see the results.

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