Sexual dysfunction is loss of desire and loss of satisfaction from sexual activity. It can happen at any part of sexual activity. It is caused by sexual trauma, medical conditions, psychological issues, drug side effect, alcohol abuse, smoking, etc. Symptoms are erectile dysfunction, premature ejaculation, less vaginal lubrication, loss of orgasm, pain, etc. Treatment is based on the cause like medication modification, sex therapy, counseling, etc.
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Can erectile pills cause blood pressure problems in my body?
Query: Hello doctor, In continuation to my previous questions some months ago, I would like to ask you the following: 1) Which one of the medicines do you think is better for my cardiac situation to Viagra, Cialis, or Levitra? 2) How often do you think it is acceptable to get this medicine? 3) Where exactl... Read Full »
Answer: Hello, Welcome to icliniq.com. Actually, these erectile pills cause an increase in blood flow to your organ and also to your heart. So these may also cause angina, sweating, and chest pain in cardiac patients or hypertensive patients. I would like to know your current blood pressure and pulse rate... Read Full »
I am experiencing problems during intercourse due to shorter sexual time. Please help.
Query: Hello doctor, I want to know that how long should I have sex? My sexual timing is only 20 seconds, is it a problem for me? So please advice me the medicines that can prolong my sexual time. Kindly help. Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for your query. I can understand your concern please do not panic. You must understand premature ejaculation. Premature ejaculation is diagnosed when you have premature ejaculation within one or two minutes of sex, continuously several times with the same ... Read Full »
Does Wellbutrin affect testosterone levels?
Query: Hello doctor, I am a 36 year old male. I suddenly developed sexual dysfunction, I have reduced interest, arousal, plateau, and orgasm. The triggering event seems to be the discontinuation of 150 mg Bupropion because of adverse effects. I switched to 20 mg Citalopram, and over the course of six month... Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query and from the history you gave and the levels of testosterone you mentioned, it is very high level of serum testosterone. There are usually some males who normally have high testosterone levels without any major underlying disease. I will discus... Read Full »
How to correct my loss of sex drive and poor erection due to Finasteride?
Query: Hi doctor, I took Finasteride when I was 27 years old. It shattered me as a man. It has been four years, and now I am 31 years old. Things have not gotten better. I have all the symptoms of low testosterone. I feel I have lost my height, and my feet have shrunk. My penis and testes have gotten small... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concerns. First of all, I like to assure you that there are multiple treatment options available for Finasteride-induced sexual dysfunction, and there is a little to worry about. Before I proceed to recommend any treatment, I req... Read Full »
Why do I experience difficulty getting a hard erection when I have sex?
Query: Hello doctor, I am a 51-year-old male. I have a problem that I can get a 5 to 7 inches hard erection without special viagra when I masturbate, but when I try to have sex and take the special viagra, I cannot get a hard erection. It only gets semi-hard at about 2 to 4 inches. Currently, I am on a Ris... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hello, Welcome to icliniq.com. I would refer you to do a serum testosterone level and change your medications. Hormone level is important as it is the main reason for you to have a proper sexual function, and if it is low, we can advise you to replace it before suggesting any other treatment. Cial... Read Full »
I have been on Fluoxetine for two months, and after that, I have had sexual dysfunction as a side effect. Please help.
Query: Hello doctor,I have been on Fluoxetine for two months. In the beginning, I had no sexual problems, but after the second or third week, I could get an erection, but I could not ejaculate. So my question is, how can I fix this problem? I know every SSRI has sexual dysfunction as a side effect, but it ... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. It is a common side effect due to SSRIs (selective serotonin reuptake inhibitors) like Fluoxetine. You may have delayed ejaculation. You can try the tablet Cyproheptadine (Heptidine) 2 mg before having sex. It will work. If it does not work, ... Read Full »
I suffer from erectile dysfunction. How to treat it?
Query: Hi doctor, I have been having erectile dysfunction problem. My age is 50. I am currently taking regular high blood pressure medicine. Also, I had angioplasty last year. What are the possible treatment options available for erectile dysfunction? Read Full »
Answer: Hi, Welcome to icliniq.com. The following treatment options are available for erectile dysfunction. Use vacuum pump. Penile oil. Penile platelet-rich plasma injection. Low-energy shock wave therapy. Acupuncture therapy. Hydrotherapy. Penile massage therapy. Venous ligation surgery. Tablets.... Read Full »
My baby was diagnosed with ambiguous genitalia, and he also has a syndrome. Please help.
Query: Hello doctor,My baby was diagnosed with ambiguous genitalia; the doctor said he also has a syndrome. I want a second opinion regarding this. Is it a serious condition? What is your opinion?Please help.Thank you. Read Full »
Answer: Hello, Welcome to icliniq.com. I have read your query and understand your concern. You have described only brief details about your son. I need more details about him to answer your doubts. Can you please share a detailed history regarding your and your partner's history (and maybe some genetic ... Read Full »
Can I take Pramipexole in the long-term to relieve my anxiety and improve sexual problems caused by Effexor?
Query: Hello doctor, I have been taking medication for chronic anxiety and GAD to control my anxiety and prevent relapse for the past few years. I now take Effexor XR 150 milligrams daily in the morning and Crestor 10 milligrams daily in the morning (for controlling the lipid profile), and recently the doc... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. 1) If we consider mood symptoms, then you are doing good. You have reported improved anxiety symptoms and depression with Effexor (serotonin and norepinephrine reuptake inhibitors). The addition of Buspirone (an... Read Full »
I am 28 years old and having an issue with the small size of my penis. Can I satisfy my partner?
Query: Hello doctor, I am 28 years old, and my penis is too small. How can I make it big and hard because it affects my married life? When my partner and I are getting connected, we face many problems and cannot have sex. For the past 18 months, I have been facing this issue. I have to ejaculate the sperm ... Read Full »
Answer: Hello, Welcome to icliniq.com. The average length of the penis varies from 2.5 to 4 inches in the flaccid state and 4.5 to 6.5 inches in the erect state with a one-inch diameter. Studies recommended that a flaccid penis length of fewer than 1.6 inches or an erect penis of fewer than three inches sho... Read Full »