HomeAnswersSexologypremature ejaculationI have erectile dysfunction and premature ejaculation. Please help.

What causes erectile dysfunction and premature ejaculation?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At September 7, 2018
Reviewed AtApril 23, 2024

Patient's Query

Hello doctor,

I have a lack of interest in sex, erectile dysfunction, premature ejaculation, depression, and low BP.

Hello,

Welcome to icliniq.com.

Please provide me more details. What kind of symptoms do you have? Have you taken any treatment so far? Any history of hypertension or diabetes? Any history of smoking or an excess alcohol intake?

Patient's Query

Thank you doctor,

Along with these problems, I suffer from IBS from childhood, bad digestion, low appetite, sometimes heart palpitation. The medicines prescribed by a urologist like Tazzle which causes low BP. Tetrafol plus was prescribed but it causes depression and some strange feelings in the brain.

Hi,

Welcome back to icliniq.com.

If Tazzle (Tadalafil) is causing hypotension then the dose can be reduced. You can take 10 mg tablet and drink plenty of water before that. This will prevent the hypotension. Most individuals improve with a low dose. L-arginine supplements like Nano Leo or Neurokind gold sachet, etc., can also be used. These also help in improving the erection.

Patient's Query

Thank you doctor,

I was taking Tazzle 10 mg. After taking it, I feel pain in the chest and hand the next morning. I have taken it for three years approximately 150 pills. Does this medicine cause weakness of heart?

Hi,

Welcome back to icliniq.com.

No, there is no such side effect. This could cause hypotension but there are no serious effects on the heart. You can try L-arginine supplements which could help in improving your erection. Herbal medicines like Tentex forte and Confido can be used. Using these drugs regularly help to improve the confidence and erection.

Patient's Query

Hi doctor,

Thank you so much for the response.

Hi,

Welcome back to icliniq.com.

You are welcome. Please feel free to ask further questions.

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

Dr. Seikhoo Bishnui
Dr. Seikhoo Bishnui

Psychiatry

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