Respected doctor, I don't get enough strong erection to do intercourse and also my fluid comes out as soon as my penis touches vagina (premature ejaculation). I don't smoke and don't drink. But I hv habit of doing masturbation since class 6th. Also long ago I took supplements like creatine and whey protien during gym time in year 2001. I hv done intercourse with my wife just only once when she was with me in year 2011 and then I took divorce because of this reason. My penile doppler test report was ok. What medicine should I take? I hv started taking angus castus once everyday from yesterday of sbl brand. Earlier I hv taken acid phos 30 which was not so effect and permanent at all.

Dr. Rahul GuptaSexologist14yrs exp

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Hello- Two of the most common sexual dysfunctions that affect a large percentage of men are Premature Ejaculation (PE) and Erectile Dysfunction (ED). The incidence of these conditions have been found to be equitably spread among all socio-economic groups and can affect men of all ages. Most men who have been diagnosed with ED as a primary problem, the secondary concern in most instances is PE, the two are often thought to be mutually inclusive. Also because reduced or hampered blood flow, critical to achieve a penetrable erection, to the genital areas is one of the main reason for premature ejaculation and erectile dysfunction, the logic of 'one reason one problem' gets applied. In the last few decades, significant advancements in treatment procedures and options have improved the outlook for both Premature Ejaculation and Erectile Dysfunction and the comprehensive treatment for both the weakness is possible with the help of medications. 

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