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What could be the reason behind sudden sexual performance Issues like weak erections, early ejaculation, and insertion difficulties?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am 57 years old. I was okay with my sexual performance. Now I am having weak erections, early ejaculation, and sometimes cannot do the insertion. Please help with your suggestions.
Answered by Dr. Raveendran S R

Education:

MBBS

Professional Bio:

Dr. Raveendran S R is a dedicated diabetes specialist and sexual medicine expert committed to providing evidence-based, confidential, and patient-centered care. With strong clinical and academic experience, he specializes in managing diabetes, erectile dysfunction, male infertility, performance concerns, and other men’s health conditions through structured and scientifically guided treatment approaches. Dr. Raveendran focuses on accurate diagnosis, personalized treatment plans, and long-term health improvement while ensuring patient comfort and privacy. Known for his compassionate and professional approach, he believes in clear communication and helping patients make informed decisions to improve their overall health, confidence, and quality of life.

This doctor is not available for online consultations on the platform anymore.

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Hello,

Welcome to icliniq.com.

I read your query. I can understand your concern about your symptoms. It can be due to the following reasons:

  1. Stress due to work or family-related night duties. Plan for regular exercise and yoga

  2. Depression.

  3. Varicocele (enlargement of the veins that transport oxygen-depleted blood away from the testicle).

  4. Fear of failure; having one episode of ED once may make you feel you will end up with ED.

  5. Low self-esteem (chronic masturbation).

  6. Homosexuality.

  7. Religious constraints.

  8. Smoking and alcohol consumption.

  9. Long-term illness (cardiac disease, thyroid disease, kidney disease, or any other disease) with long-term medication.

  10. Negative attitude towards your partner.

  11. Hormonal issue: Thyroid issue, low testosterone.

  12. Long-term drug usage.

  13. Diabetes and hypertension

  14. You need to check Doppler penis, USG pelvis, and scrotum, blood pressure, RBS, free T3 T4, testosterone, TSH.

  15. Share more details regarding the above reasons, and we can work on diagnosis and treatment.

  16. For a temporary solution, you can take tablet Mildfil (Tadalafil) 5 milligrams twice a day and tablet Duralast (Dapoxetine) 30 milligrams, 30 minutes before sex for 30 days.

I hope this helps. Revert with the answer to assist further. Take care.

Medically reviewed by iCliniq medical review team
Published At December 19, 2023
Reviewed At January 17, 2024

Education:

MBBS

Professional Bio:

Dr. Raveendran S R is a dedicated diabetes specialist and sexual medicine expert committed to providing evidence-based, confidential, and patient-centered care. With strong clinical and academic experience, he specializes in managing diabetes, erectile dysfunction, male infertility, performance concerns, and other men’s health conditions through structured and scientifically guided treatment approaches. Dr. Raveendran focuses on accurate diagnosis, personalized treatment plans, and long-term health improvement while ensuring patient comfort and privacy. Known for his compassionate and professional approach, he believes in clear communication and helping patients make informed decisions to improve their overall health, confidence, and quality of life.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Raveendran S R
Dr. Raveendran S R

Sexology

Education:

MBBS

Professional Bio:

Dr. Raveendran S R is a dedicated diabetes specialist and sexual medicine expert committed to providing evidence-based, confidential, and patient-centered care. With strong clinical and academic experience, he specializes in managing diabetes, erectile dysfunction, male infertility, performance concerns, and other men’s health conditions through structured and scientifically guided treatment approaches. Dr. Raveendran focuses on accurate diagnosis, personalized treatment plans, and long-term health improvement while ensuring patient comfort and privacy. Known for his compassionate and professional approach, he believes in clear communication and helping patients make informed decisions to improve their overall health, confidence, and quality of life.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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