Dr. Sameer Kumar
Obstetrics and Gynecology
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Patient's Query
Hi doctor,
Over a year we are trying for a baby. But, my wife is not getting pregnant. She underwent thyroid test also and the result was negative. I think the issue is with me. So what to do? While having sex my semen leaks out early and it does not stay for long. Do I need to take any medicine? Please suggest.
Hello,
Welcome to icliniq.com.
If you have been trying for last one year and not conceived yet then a semen analysis is necessary, which should evaluate the sperm count and morphology. If the results are normal, then your wife can be further evaluated with an ultrasound pelvis and a hormonal profile to rule out PCOS or any organic causes of uterus like endometriosis or polyp. So, please get a review with semen analysis report, as medicines can be started later on if needed.
Patient's Query
Hello doctor,
Thanks for your reply. I am facing problem with erection. Erection for long term is not possible and sperm leaks out very quickly. I think my sperm count is less and kindly suggest any tablet or medicine to improve the count. I am attaching my wife's test report done recently for your reference.
Hello,
Welcome back to icliniq.com.
Your wife's report (attachment removed to protect patient identity) is normal on ultrasound.
You seem to be experiencing erectile dysfunction and premature ejaculation at the same time. The most likely cause remains psychological, then masturbation and then performance anxiety. The sperm count can be established after a semen analysis only, so you need to get it done. However in the meantime, you may start on tablet Alprazolam 0.25 mg for a week or half an hour before the act once a day. This should help you relieve your anxiety and help. Avoid any masturbatory practice and if still not effective then Sildenafil can be prescribed for a week.
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Obstetrics and Gynecology
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