Dr. Yousef Abbas
Andrology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I am a 39-year-old male. I am experiencing premature ejaculation and erectile dysfunction. My problem is, in the first attempt, I ejaculate early, and when I try to ejaculate a second time, I cannot erect my penis firmly, so I fail to penetrate. It has been happening for the last few months, but now I am very worried about it. My medical history is absolutely fine till last month. In the last three weeks, I have experienced tachycardia twice. I consulted a cardiologist. My blood pressure was 140/90 mm Hg before five days. I have done stress tests, ECG, 2D echo, thyroid, and blood sugar levels. All reports are normal. But doctor suggested tablet Concor AM 2.5 mg. I am stressed that I am failing to satisfy my partner. Please give me good treatment for sexual wellness so that I can live stress-free. I will attach my recent laboratory reports.
Hello,
Welcome to icliniq.com.
I have gone through your reports (attachments removed to protect the patient's identity). Your ECG (electrocardiography) result is satisfactory—no worries about that. However, you should see a hematologist because the discrepancy between low hemoglobin and a high red platelet count is slight but striking, especially when we take MCH (mean corpuscular hemoglobin), MCV (mean corpuscular volume), and other values also into consideration.
I fully understand that you want a fast treatment. And yes, there is one, a combination of a very specific SRI (serotonin reuptake inhibitor) drug and good old Viagra (Sildenafil). However, both can also mess with your complete blood count (CBC), and I want first to be sure that these anomalies are just caused by something harmless like dehydration.
So, please see a hematologist and let him find the reason for these anomalies. There are multiple reasons for these changes, from dehydration to severe illness.
As soon as all serious differential diagnoses are ruled out, I will gladly help you with medication that will fix your sexual issues.
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Andrology
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