I have a problem with early discharge, and some times I do not get erections. Please help.
Welcome to icliniq.com.
I can understand your concern about the sex issue. Early ejaculation or premature ejaculation has many reasons.
1. Decreased sensation of the penis can be due to infection, diabetes, spinal injury, recent masturbation.
2. Stress due to work or family-related, or night duties.
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. Smoking and alcohol.
7. Long term illness like cardiac disease, thyroid disease, kidney disease, and any other disease with long term medication.
8. Negative attitude towards your partner.
Kindly share more details so we can work on diagnosis and management. For a temporary solution, you can use Duralast plus (Dapoxetine Hydrochloride).
Thank you doctor,
I have a fear of failure, and not able to stand for more than two minutes. I can make only five to six push, then I discharge. Please help me. What can I do? What dose of Duraplus tablet should I take, and how many days can I take?
Welcome back to icliniq.com.
Yes, you are suffering from premature ejaculation. I can help you with medication. You can start medication for now, and if the issue persists, we can plan for investigations.
PE.Investigations to be done:
Ultrasound scrotum and pelvis. Penis Doppler. Thyroid function test. Blood sugar. Serum testosterone free and total. Sex hormone-binding globulin, FH, LSH, Prolactin, PSA, liver function test, and urine complete.Differential diagnosis:
PE (premature ejaculation).Treatment plan:
Tablet Duralast 30 mg once a night 30 minutes before sex for two months, tablet Himalaya Confido twice a day for 30 days after food, tablet Carni G once a morning after food for 30 days.Preventive measures:
Regular exercise and proper diet.Regarding follow up:
After 30 days.
Was this answer helpful?|
Medicines Alternatively, I suggest taking Dapoxetine tablet such as Duralast 30 mg or tablet Sustinex 30 mg about one to three hours before intercourse ... Read fullIs erectile dysfunction related to my thyroid disease?
With regards to erectile dysfunction, the most common cause at this age would be psychogenic ... I feel a strong sexual urge but then there is that Read fullErectile Dysfunction in Diabetic Population
It has a large psychological component in a huge number of patients - depression, a common psychiatric condition, is much more commonly seen in diabetic men ... This causes a rise in the pressure within the urethra of th... Read full
Query: Hello doctor, I am pregnant about five weeks. However, my Hb is 13.2 but beta hCG is 106.2 and after 48 hours it was 108.4. Is it failing intrauterine or ectopic? Or what should I do now? Currently, I am not taking any medicine. Read Full »
Query: Hello doctor, I have a premature ejaculation problem. When I am doing foreplay with my girlfriend, it automatically gets ejaculated after four to five minutes. Is it due to my masturbation habit? Read Full »
Query: Hi doctor, I missed my periods for two months, and now, I have got my periods. It is very heavy, thick like a mucus and the flow is continuous. Why? Read Full »
Ask your health query to a doctor online?Ask a Sexologist Now