Why do I not have the energy to engage in any sexual activity?

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Your penile doppler report is completely normal, telling us that there is little to worry about. However, hormone assay is important if you have an erection problem, low desire, or premature ejaculation, so they must be done.

Generally, we need serum testosterone, prolactin, LH, and FSH to treat sexual dysfunction disorders in men. If you have had normal erections during masturbation since you started masturbation to the point of your marriage, I feel there is little to worry about. The most important thing during masturbation is not to apply excessive pressure as some men do during the height of excitement.

The best way to recover is to reduce stress, as stress is the most likely cause. Flax seeds are good for releasing sex hormones and optimizing your sexual health. Generally speaking, a tablespoon of flax seeds twice a day is recommended. For young men, a medium bowl (100 gram) of dry fruits is enough and help to rejuvenate vessels and muscles. Rather than the optimum size of each one, I feel a combination of all locally dry fruits will work better. I do not think the sexual activity needs to be stopped to recover sexual health.

I hope this helps.

Thank you and take care.

Hello,

Welcome back to icliniq.com.

I read your query and can understand your concern.

First of all, I like to inform you that medical science is half science, and there is nothing that can ensure you 100 % success on the current date. I understand this is difficult to digest, but the truth cannot be denied.

Now regarding your sexual problem, I need to know the following details.

1. Hormone profile includes serum testosterone, prolactin, LH (leutinising hormone), and FSH (follicle stimulating hormone).

2. Do you get early morning erections, and how frequent are they? How is the rigidity during early morning erections?

3. Do you masturbate currently? How are the erections during masturbation?

4. What do you mean by the long and short duration of orgasm, as mentioned by you? Please describe it in detail.

5. What do you mean by ED Problem? Please describe it in detail.

6. Do you have a report of serum lipid Profile?

7. Do you have any other medical illnesses? If yes, provide details.

8. Are you taking any medications? If yes, provide details.

I hope this helps.

Thank you and take care.

Hello,

Welcome back to icliniq.com.

I have gone through all the attached reports (attachment removed to protect the patient's identity) and answers provided to my questions.

Per the available information, a PDE 5 inhibitor and Dapoxetine combination will work better for your sex needs. They generally contain 10 mg of Tadalafil and 30 mg of Dapoxetine to be taken before 90 minutes of intercourse. However, please consult a physician, discuss with them, and start taking the medications with their consent.

In addition, I feel there is a need for one-to-one talk as problems have a psychological component and must be understood without delay.

I hope this helps you.

Thanks and take care.

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

I think iCliniq itself hosts many psychologists who practice sexual medicine. You need to scroll down to search for one who specializes in the domain affecting you. I do not think the websites can generate generic reports for you. Only a qualified psychologist can adequately help you.

I hope this helps you.

Thanks and regards.