Erectile dysfunction premature ejaculation

Question #10365

343 days ago

511

Erectile dysfunction premature ejaculation - #10365

Chandu

I'm vamsi my age Is 35 years old I'm having pe and Ed issues with treatment I got one baby but problem is we are enjoying our private space bcz of low performance even my patner is suffer alot with My issues I want a permanent solution I'm not getting hard and losing control before inserting or for just1 r 2 strokes I'm getting out.. we are planning baby after 3 years so give me solution for Ed and pe by considering this one too... bcz we already have baby

#sexual#malehealth #plz

300 INR (~3.53 USD)

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

343 days ago

Hello dear
Please be aware
See you can follow below instructions
Do kegel exercises
Take shilajeet or triphala once a day for 1
Get evaluation for sperm count
If there is no improvement after 1-2 months
Consult gynaecologist or sexologist for further evaluation
Regards

3351 answered questions

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Dr. Neeraj Agarwal

I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.

343 days ago

Changes that will help you
Kegel exercises: Strengthen pelvic floor, improve erection firmness.
Losing belly fat: Exposes more of the base, giving the illusion of greater length.
Good sleep + testosterone-friendly diet
#Diet for you
Zinc: Pumpkin seeds, cashews, eggs
Vitamin C & E: Amla, oranges, almonds
Omega-3s: Walnuts, flaxseeds, fish
L-Carnitine: Found in dairy and red meat
Ashwagandha: Shown to improve sperm count and motility
Shilajit to increase testosterone level
#avoid
Smoking, alcohol, and excess caffeine
Heat on testicles (tight underwear, laptops on lap, hot tubs)
Tab sildenafil 25 mg 30 min before intercourse if no heart or bp issue

546 answered questions

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Dr. Alan Reji

I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.

341 days ago

At 35, your symptoms of erectile dysfunction (ED) and premature ejaculation (PE) may be linked to hormonal imbalance, stress, or reduced blood flow. Lifestyle changes, pelvic floor exercises, and medications like sildenafil (for ED) and dapoxetine (for PE) can help improve performance and control. Since you’re planning another child later, avoid treatments that may affect fertility — consult a specialist for personalized, fertility-safe options.

1265 answered questions

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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.

343 days ago

Tab Becosule
1 tab after breakfast for 3 months
2) Tab Autrin
1 tab daily after food for 2 months
3) Tab ashwagandha 500
1 tab twice daily after food for 2 months
4) Tab tadalafil 10mg
2 times a week
Investigation:
CBC, ESR
Thyroid Profile (TSH, T3, T4)
Fasting Blood Sugar & HbA1c
Vitamin B12 & D3
Testosterone (Total & Free) – for stamina/libido concerns
Please take my individual consultation to talk.

2045 answered questions

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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.

258 days ago

With erectile dysfunction (ED) and premature ejaculation (PE), understanding the underlying cause is crucial to finding an effective solution. These conditions often have multiple contributing factors including physical and psychological ones. Begin with a full evaluation by a healthcare provider to rule out underlying health issues like diabetes, hypertension, or hormonal imbalances which can contribute to ED and PE.
For ED, medications such as phosphodiesterase type 5 (PDE5) inhibitors, like sildenafil (Viagra), can be effective. They help increase blood flow to the penis, but require sexual stimulation to work. Ensure to discuss potential side effects and contraindications with your doctor, especially if you have heart conditions or take nitrates. Lifestyle changes can make a notable difference – regular physical activity, a balanced diet, ensuring adequate sleep, quitting smoking, and reducing alcohol can improve symptoms significantly.
Premature ejaculation often responds well to behavioral therapy. Techniques such as the ‘start-stop’ method or ‘squeeze’ technique can help build control over ejaculation. There are medications like selective serotonin reuptake inhibitors (SSRIs) or topical anesthetics that may also be prescribed to delay ejaculation. Psychological aspects such as anxiety, stress, or relationship issues may play a role, hence talking therapy or counseling can also be beneficial for both partners.
Given your future family planning needs, consult with a specialist to tailor a treatment plan that suits both your current lifestyle and long-term goals. Open communication with your partner can alleviate emotional strain and help approach this together. It’s important to avoid any unverified products or treatments that promise quick fixes without evidence of efficacy. Prioritize a comprehensive and coordinated treatment approach to address these concerns safely.

20594 answered questions

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