Hello
Thanks for using doctor spring for posting your query.
I have gone through it in detail and i can understand what you are going through.
I need some clarifications before i can proceed to help you
1. How frequently do you face ED (Erectile Dysfunction - trouble in getting/maintaing erection?
2. Are you married and what is your age? With whome was the sexual activity done and in what situation
3. Have you tried any treatment until now?
4. How are your relationships with your partner?
Hope to hear from you soon.
Regards
Dr. Srikanth
Patient replied :
1. How frequently do you face ED (Erectile Dysfunction - trouble in getting/maintaing erection?
Problem started 3- 4 months back . All mostly 4 out of 5 times in a month . I have this problem since 2 yrs.. but not that never effected my sex life . but it has become more now in last two month
2. Are you married and what is your age? With whome was the sexual activity done and in what situation
No , I am not married , I am 28ys old . I had sex with my girl friend. In normal situations . I am about to get married to the same girl in couple of months..so I m little worried about, if any issues
4. How are your relationships with your partner?
Relationship with my partner is perfectly good, we do not have any issues with that
Hope to hear from you soon.
Dr. Srikanth
Hello
Thanks for providing the detailed information as requested.
I would like to really appreciate your efforts in providing it very methodically.
In your case where you are unmarried and having sexual contact since last couple of years only that too not very frequently, there is a level of anxiety. Anxiety about performance and anxiety that what you are doing is going to give pleasure to your partner or nor, or anxiety that what you are doing is right or wrong.
Now these anxiety issues are in our subconscious and that is the reason we are mostly not aware of them. But for a good sex, your mind and body, both should be comfortable.
To relieve you, even if you had sex ones properly with good erection,which you had, there is no problem with the erection of your penis physically. And the erectile problem that you face on and off as also the premature ejaculation that you are facing are not physical problems .
Coming to the treatment, in your case the best treament would be to wait until you get married. When you will plan sex with your legal wife in a socially acceptable manner which suits to your subconscious then you wont have any of this trouble.
Still if you insist that you should get treated then Paroxetine is a good drug for premature ejaculation and many of my patients who have taken this drug have benefited by it. For erectile dysfunction, sildenafil is a good drug whne taken 1 hr before sex.All said, it would be better to wait till you get married and most of the problems will settle down by then.
Regards
Dr. Srikanth Reddy
Psychiatrist and Sexologist
Patient replied :
Thank you very much for good suggestion..
1) Any suggestion on diet (food) and exercices which will help ,so that I can avoid medicine
2) And also please let us know ,what dosage should i take Paroxetine & sildenafil . Should I take this both pils together . And how many days should I take.
3) Any side effects in future due to in take of this medicine ?
Hello
No specific deitary suggestions.
Being an online consultation forum i may not be able to prescribe you on this forum without examination. To my patients in my clinic i prescribe paroxetine 12.5 mg at night everyday along with sildenafil 50 mg one hour before sex as and when required.
No significant side effects. But i would again suggest you to wait until you get married.
Hope it helps
Regards
Dr. Srikanth Reddy