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PREMATURE EJACULATION AND ERECRILE DYSFUNCTION
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Sexual Health & Wellness
Question #10799
93 days ago
197

PREMATURE EJACULATION AND ERECRILE DYSFUNCTION - #10799

SPRYDE

For some time, I have struggled with premature ejaculation, which I believe may be linked to a history of frequent masturbation. In an effort to manage the condition, I began using delay sprays to improve sexual performance. However, over time, I have started to notice symptoms of erectile dysfunction, including difficulty in achieving and maintaining an erection. These issues have been affecting my confidence and overall well-being, and I am concerned they may be signs of an underlying physical or psychological condition. I would deeply appreciate a thorough evaluation and guidance on appropriate treatment options—whether medical, lifestyle-related, or therapeutic. Please let me know a convenient time for a consultation. I am open to undergoing any tests or assessments necessary to understand the situation better and find an effective solution. Thank you for your time and understanding. I look forward to your advice.

Age: 26
Chronic illnesses: No
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Doctors’ responses

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.
91 days ago
5

Hello dear Please be aware See the test required are sperm count or testosterone levels Following instructions should be followed for 1 month Kegel exercises must Meditation must Physical excercise for atleast half an hour Take shilajeet or triphala once a day for 1 month Avoid alcohol and smoking Avoid taking viagra or any other medication Kindly follow the instructions for atleast a month In case of no improvement, share the report with gynacolologist for further evaluation

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Your experiences with premature ejaculation and erectile dysfunction can indeed be multifactorial. It’s important not to jump to conclusions about the causes without a comprehensive evaluation, but it’s reasonable to consider some possible explanations and response strategies. Frequent use of delay sprays might have some impact on your skin sensitivity over time, but overall, premature ejaculation is often linked to psychological factors such as stress, anxiety, or it can even be habitual. This means that changes in sexual performance like erectile dysfunction might also have psychological roots, though physical causes can’t be ruled out either.

For addressing premature ejaculation, behavioral techniques such as the ‘stop-start’ method or the ‘squeeze’ method can be effective. Gradual improvements come through practice and can work along with cognitive behavioral therapy (CBT) to address any underlying anxiety. Regarding erectile dysfunction, evaluate if there have been any changes in your lifestyle, diet, or general health conditions that could contribute. Things like smoking cessation, regular exercise, maintaining a healthy weight, and reducing alcohol consumption can positively impact erectile function. Besides, consider if there’s any increased stress or fatigue, which may also play a role.

You may want to consult a healthcare professional, starting with a GP, to run some tests, including hormone levels or cardiovascular evaluation, to rule out any underlying physical contributors. In the meantime, be wary of self-medicating with products like delay sprays or other solutions, as incorrect use might exacerbate the situation. Medications such as PDE5 inhibitors are known to help with erectile dysfunction, but a doctor should assess their suitability for your specific case. Addressing both concerns through a structured approach involving possible lifestyle modifications, therapy, and medical interventions will likely provide the most comprehensive benefit. For a more tailored plan, visit your healthcare provider who can offer a detailed assessment and guide you through testing and treatment.

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