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Hello doctor my name hardik. My age Is about 25 and I am a asthmatic patient. I want to ask you question regarding my medicine. I am taking a medicine related to asthma the medicine name is asthalin rotacaps capsules, as many of says that dnt take this medicine much because it causes to your health. I am young now so according to you what should I do. Is this medicine is to dangerous for health. Any other medicine that I can take.
Dear sir my age is 24 during bathing Mai ne full gram pani galti se private part pe dala wos waje wo sukad gaya ye ghatna 1 month pahLe hoi pehle har waqt tit rehta tha par ab hellane par harkat kara aur normal time chota dekhra help me sir 85 kg weight.
I am 26 years old and I gor married of before 3 months, my problem is when am having sex with my wife at first penetration is very fine, but am trying to penetrate the 2nd time my penis is not erect at how many times am trying to erect my penis failure only remains, we both are not completely enjoy our sex life. Why this happen? And what can I do to resolve and enjoy my life better. And I have a masturbation habit over 12 years, and now during my first time penetration my penis is erect upto 7 inches and have sex upto 6 - 7 mins.
I am 28 years old and had unprotected sex with my husband few hours back. I am already a lactating mother and I do not want to get pregnant under any circumstances. Kindly suggest a medicine which is most effective in this situation to avoid pregnancy without affecting breastfeeding and my five month old baby.
I am pcod patient. Trying to convince. Had one miscarriage. Right now m on clomipure, metformin 500, aspirin 75. How much time it will take me to conceive. Taking treatment for 3 cycles.
What are the possible Ayurvedic and Homeopathic treatments for Patients on Dialysis to reduce the urea creatinine levels.
I am 42 years old with chocolate cysts n fibroids in my uterus. Right ovary has anechoic cyst within measuring 5 cm n left has measuring 3 cm. Please suggest whether a surgery is must or oral medicine will help.
Sir namaste I have pile's and I got homeopathic medicine which are very bad in test kindly suggest routine diat program and homeopathic medicine to me.
I am 24 year old female, suffering from severe ear pain. My job completely depended on phone, daily I will use cell phone for more than 4 hours a day to talk with people. From past 2 months I am working, and ear pain has gradually increased. So, in future if it continues what will be the side effects and tell me the remedy.
There is blood coming in my stool. . Pls tell me I am suffering with what disease ? Is it a serious issue ? It is from last 5 month.
My wife suffering from body allergy since nov 16 and is being treated with a Sr skin specialist, but itching still there and unable to control, request for advice.
I am suffering from premature ejaculation. What is the treatment of this? Anybody can help me out please?
I am suffering from pinworm infection since 1 year when pinworm exists I feel like itching on my ass and I can see those pinworms. I use to wash with hot water till it gets disappear and it gets reappears after 2 months. I am 21 years old and why it exists in me and I need a perfect solution and thanks in advance.
I am having serious neck pain from past 1 year. When I try to bend my head for reading or writing for long time then the pain increases sometimes when I touch my back part of the neck I feel there is a swelling also. So what should I do reduce this pain?
How to manage premature ejaculation - part 4, medical treatment options
As discussed earlier, premature ejaculation (pe) occurs when a man reaches the peak of sexual excitement and ejaculates before he wants it to happen. When pe interferes with the sexual pleasure of a man or his partner, it becomes a medical problem.
Several factors such as psychological problems (eg. Anxiety), penile hypersensitivity, habituation of quick sex / masturbation, alcohol abuse, hormonal imbalance (e. G. Thyroid problem), and even genetic problems may cause pe.
Medical (allopathic) therapy for pe treatment:
Drugs used for the management of pe reduce sensitivity and anxiety, improve blood flow or even affect some chemical mediators present in the brain. These classes of drugs include local anaesthetics, antidepressants, and phosphodiesterase 5 inhibitors.
Anaesthetic compounds were the first medical treatment proposed for pe management. They were applied topically to the surface of the skin. Lidocaine-prilocaine sprays or creams decrease the sensation of the penis and increase the time taken to ejaculate during vaginal penetration. These sprays / creams are applied 10 to 20 minutes prior to sexual activity. Side effects of topical agents include partial loss of sensation of the penis, absorption in vagina resulting in vaginal numbness and irritation.
Treatment medications include selective serotonin reuptake inhibitors (ssris), which interact with a receptor (5-ht2c) present in brain and increases the production of serotonin. They also help in reducing anxiety and depression associated with pe. Through this mechanism, they prolong the time to reach ejaculation.
Several ssris have increasingly become used as" off-label" for pe. Among the available ssris, paroxetine and dapoxetine are more beneficial with lesser side effects as compared to other ssris. These medications are associated with sexual side effects including decreased fertility and erectile dysfunction. Dapoxetine is a recent ssri which acts quickly and cleared rapidly from the body. Adverse effects with ssris are usually minor and include fatigue, mild nausea, loose stools and sweating. Other side effects may include decreased sexual urge and increased tendency to suicide, especially with long-term paroxetine.
Another potential treatment option for pe are classes of medications which increase the blood flow by dilating the blood vessels of the penile region and prolong the ejaculation time (phosphodiesterase 5 inhibitors). But a headache, dizziness, flushing, body aches associated with them have limited their use in pe.
At present, clinicians need to consider all treatment modalities when evaluating a man with pe, as each patient may respond differently and experience variable side effects. Additional and more effective therapies need to be developed having least side effects.
Ayurvedic therapy for pe treatment:
Vajikaran in Ayurveda is an important treatment modality which increases sexual capacity and improves health. In Sanskrit, vaji means horse, the symbol of sexual potency and performance thus vajikaran means producing a horse's vigor, particularly the animal's great capacity for sexual activity in the individual. Vajikaran therapy reenergizes all the seven dhatus (body elements) and restores equilibrium and health. It also offers a solution to minimize the shukra (sperm and ovum) defects.
There are many formulations which are used in vajikaran. Some of the commonly used formulations include vrihani gutika, vrishya gutika, vajikaranam ghritam and upatyakari shashtikadi gutika. Vrihani gutika is one of the potent formulations while vrishya gutika is highly potent aphrodisiac used in the treatment of pe. Vajikaranam ghritam enhances the strength of penis. Upatyakari shashtikadi gutika is useful for the enhancement of the fertility.
Also, chapdraprabha vati and kaunch pak are known to increase sexual vigor and semen consistency, thereby helping to prolong ejaculation time and sex pleasure.