Erectile dysfunction and premature ejaculation - #10166

Gurlal Singh

I am facing erectile dysfunction and premature ejaculation from last 6 years. i have also issue of extra pre-cum while watching any porn videos so please help me to overcome these issues thankyou so much

Age: 27

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

340 days ago

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

236 days ago

Erectile dysfunction (ED) and premature ejaculation (PE) can be quite distressing, particularly when they persist over a long period like in your case. Understanding the root causes is crucial, so let’s break this down into manageable steps. First, erectile dysfunction may have both psychological and physiological aspects. Stress, anxiety, depression, or issues within relationships can contribute significantly to ED. Physiologically, factors like diabetes, hypertension, and obesity might be responsible, and certain medications or lifestyle habits (e.g., smoking, excessive alcohol) can exacerbate the condition. A thorough evaluation by a healthcare provider can help identify any underlying medical conditions that need addressing. For ED, options range from lifestyle modifications—like regular exercise, a balanced diet, and quitting smoking—to oral medications such as PDE5 inhibitors (e.g., sildenafil). These should be taken under medical guidance since they have specific indications and contraindications. As for premature ejaculation, it can often be treated with behavioural techniques and psychological counseling if psychological factors are at play. Certain antidepressants, known for their side effect of delaying ejaculation, can be prescribed, but again, medical supervision is crucial. Considering you mentioned pre-cum issues while watching porn, it’s essential to reflect on how pornography consumption might be influencing your sexual function. Although it may not directly cause PE or ED, it can sometimes alter arousal patterns, which could play a role in your symptoms. Reducing porn consumption and replacing it with mindful practices and strengthening your intimate connection with your partner could be beneficial. I also recommend pelvic floor exercises, which can improve control over ejaculation. Consulting with a healthcare professional will help guide which strategies are best suited for you. It may be worthwhile to engage a psychologist or sex therapist alongside medical treatment to address any psychological influences. Seeking prompt intervention is key, especially after struggling with these symptoms for six years—you deserve a comprehensive assessment and personalized treatment plan to improve your quality of life.

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