What is the solution for erectile dysfunction and premature ejaculation?

Hi,

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• Erectile dysfunction and premature ejaculation can cause significant distress to a person.

• If your erectile dysfunction is persistent then I would advise you to get your serum testosterone and serum prolactin done to rule out any hormonal cause.

• If that comes back normal then most likely the cause of your problem is psychological.

• For erectile dysfunction medicines like Sildenafil and Tadalafil are used. These are PDE-5 inhibitor drugs and have great efficacy in improving erection. The drug can be used even on SOS basis (as and when required) about half to one hour before intercourse.

• For early discharge medicines like Dapoxetine are used. The drug helps to delay the ejaculation time and thus help to solve your problem.

• Dapoxetine is available in fixed combination form with Sildenafil also and the drug combination will help in your complaints.

• Please visit a psychiatrist for prescription of this drug and get your investigations done.

• Do not remain distressed as these problems will get improved with medicines easily.

Hello,

Welcome back to icliniq.com.

I have read the report (attachment removed to protect patient identity) and the level of testosterone is really low.

• In normal situations with no specific cause for low testosterone testosterone supplement can be taken.

• Stress, depression, alcohol, obesity, poor sleep, excessive work stress and body building supplements are common things that reduce the testosterone levels. If any of the cause is present then please try to correct it.

• Take high protein diet with rich in complex carbs. Increase eggs and soy proteins in diet. Fenugreek seeds also help to increase the levels naturally.

• Exercise daily and this will also help in increasing the levels.

• After changing the lifestyle for four weeks go for a repeat test with different laboratory. Also get your serum prolactin, LH (luteinizing hormone) and testosterone levels. This will provide a clear picture.

• If levels remain low even after then testosterone supplements should be advised.

• Testosterone injections in depot formulations with 250 mg every week for six weeks will help to correct the levels.

• Oral can also be taken. Please consult a doctor in person for detailed treatment. There is no need to worry, the levels will come normal and your erection will definitely improve. Take care.

For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist