Premature ejaculation and erectile dysfunction

Question #11110

3 days ago

Premature ejaculation and erectile dysfunction - #11110

Asif

I'm facing premature ejaculation problem for almost 3 half years . And also facing problem in erectile dysfunction and also low interest in s*x . And another most problem is low libido. How to tackle this all problems?

Age: 22

Chronic illnesses: N/A

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.

3 days ago

Hello dear
See you are quite young so I suggest you to please first go for preventive therapy for atleast 1 months
Avoid heavy meals and alcohol
Take ashwagandha or triphala once a day for 2 months
Do meditation
Do physical exercises atleast for half an hour
Especially kegel exercises
Take shilajeet after 1 month once a day
In case of no recovery
Usually below medications are prescribed
Sildenafil empty stomach to be taken
Tadalafil Accordingly if recommended by gynacolologist
Vardenafil	Levitra or Staxyn	in case if allergic to Sildenafil
Avanafil accordingly if recommended
Hence,i suggest you to please get in person consultation with gynacolologist or sexologist in case of no recovery in 1 month.
Please take medication only on confirmation from concerned doctor
Hopefully you recover soon
Regards

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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.

3 days ago

Investigations (to find root cause):
Blood tests:
Testosterone (total & free)
TSH, T3, T4 (thyroid)
Serum Prolactin
Fasting Blood Sugar
Your problems (PE, ED, low libido) are all connected and likely due to psychological + lifestyle + possible hormonal imbalance. With proper tests, lifestyle correction, stress management, and if needed, medication under doctor supervision, your sexual health can be fully restored.

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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.

3 days ago

Hello Asif
Looks like your problem is hormone related
Test
Testosterone level
Dhea
Vit d
To improve your sex libido and erection do this
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)

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Dr. Charan Kumar Pottem

I did my MD in Psychiatry from NIMHANS, which is widely respected for its work in mental health. During my time there, I worked with a wide variety of adult psychiatric conditions, including substance use issues and neurodevelopmental disorders. The hands-on experience gave me strong insight into how mental health is shaped by a mix of biological changes, life circumstances, and emotional patterns—how they all overlap and affect each other in real life. In my work, I focus more on the person than just the label of a diagnosis. I do use methods supported by research, yes, but I also think what really matters is showing up fully—really hearing someone out, staying with their story, and figuring things out together to see what actually works for them. Mental health care, to me, should go beyond just calming symptoms—it should also help someone regain balance and clarity in their day-to-day life. I keep learning, always trying to stay up-to-date with new findings and better ways of treatment. That way, anyone who comes to me can expect care that’s both thoughtful and informed by the latest in psychiatry. What drives me is a mix of clinical commitment and a deep belief in spreading awareness around mental well-being. Helping people strengthen their emotional resilience and live fuller lives is what keeps me going.

2 days ago

Hello Asif. If you always had these conditions, it most probably be due to some other medical reasons like hormonal imbalances. But if they developed recently, then it’s more likely to be due to psychological causes especially anxiety. Performance anxiety can develop from such bad sexual experiences which eventually can lead to decreased libido and desire. Kindly consult psychiatrist or sexologist for detailed evaluation and treatment. Alternatively, for premature ejaculation, you can use local anesthetic ointment to glans penis 20 minutes before sex and to be washed off 5 minutes before, in case of hypersensitive glans. There are 2 other techniques that can help in managing premature ejaculation - start-stop technique or squeeze technique (You can find videos on how to do in YouTube). Don’t start any medication or herbal supplements by yourself without consulting a specialist. Those may do more harm than good. Let me know if you need anymore help.
Regards.

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Premature ejaculation and erectile dysfunction - #11110

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