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How can elders improve refractory time after an orgasm?

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 healthy, but I want to improve my refractory time after orgasm.

Please help.
Answered by Dr. Madhav Tiwari

Education:

MBBS

Professional Bio:

Dr. Madhav Tiwari is a skilled Urologist and General Surgeon who is an expert and has a special interest in urological oncology. He specialises in performing complex robotic and minimally invasive surgeries. He is renowned for his precise surgical techniques and a patient-first approach that prioritizes both effective treatment and patient comfort. He is dedicated to providing high-quality care for a range of urological and surgical conditions. He has treated thousands of patients and remains committed to delivering personalized, compassionate care and exceptional outcomes.

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

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Hello,

Welcome to icliniq.com.

I went through your query and understood your concern. I have a few questions, like whether you are having issues with ejaculation or the quality of your erection. For an average man, climaxing once in a sexual session lasting for ten minutes or so is considered normal, so you are already doing pretty well compared to the majority of the men out there.

Regardless, it may be possible that your problem is due to age-related hypogonadism. I, therefore, suggest you take a tablet of Tadalafil (phosphodiesterase inhibitor) before meals and see if it improves your symptoms. I would also like you to do a couple of tests, such as serum testosterone, fasting blood sugar, serum prostate-specific antigen levels, and thyroid profile. I would also advise you to continue doing pelvic floor exercises. I suggest you use sexual stimulation in between intercourse to enhance your sensation.

I hope this has helped you.

Kindly consult a specialist, talk with them, and take medicines with their consent.

Patient's Query

Hello doctor,

Thank you for the quick and kind reply.

Answered by Dr. Madhav Tiwari

Education:

MBBS

Professional Bio:

Dr. Madhav Tiwari is a skilled Urologist and General Surgeon who is an expert and has a special interest in urological oncology. He specialises in performing complex robotic and minimally invasive surgeries. He is renowned for his precise surgical techniques and a patient-first approach that prioritizes both effective treatment and patient comfort. He is dedicated to providing high-quality care for a range of urological and surgical conditions. He has treated thousands of patients and remains committed to delivering personalized, compassionate care and exceptional outcomes.

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

Consult other doctors in the same speciality

Hello,

Welcome back to icliniq.com.

I suggest you follow the instructions that I mentioned. The probable cause of your problem could be due to age-related hypogonadism.

I hope this helps you out.

Thanks and regards.

Medically reviewed by iCliniq medical review team
Published At December 21, 2022
Reviewed At October 29, 2025

Education:

MBBS

Professional Bio:

Dr. Madhav Tiwari is a skilled Urologist and General Surgeon who is an expert and has a special interest in urological oncology. He specialises in performing complex robotic and minimally invasive surgeries. He is renowned for his precise surgical techniques and a patient-first approach that prioritizes both effective treatment and patient comfort. He is dedicated to providing high-quality care for a range of urological and surgical conditions. He has treated thousands of patients and remains committed to delivering personalized, compassionate care and exceptional outcomes.

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. Madhav Tiwari
Dr. Madhav Tiwari

General Surgery

Consult this doctor

Education:

MBBS

Professional Bio:

Dr. Madhav Tiwari is a skilled Urologist and General Surgeon who is an expert and has a special interest in urological oncology. He specialises in performing complex robotic and minimally invasive surgeries. He is renowned for his precise surgical techniques and a patient-first approach that prioritizes both effective treatment and patient comfort. He is dedicated to providing high-quality care for a range of urological and surgical conditions. He has treated thousands of patients and remains committed to delivering personalized, compassionate care and exceptional outcomes.

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

Consult other doctors in the same speciality
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