Dear doctor . I am. 30 years old now. Before for many years I had a habit of masturbating by watching porn movies. And now I am married. I had a problem in erection. And pre mature ejaculation. Later it got worsen I had no erection at all . For. Few days I took. Viagra tablets and after few weeks stopped. Met a consultation urologist and got 2 medicine one is tentex royal from himalaya and other is sone. tentex some. Medication ? and Dr. asked me reduce my. Weight. I have done scrotum ultrasound and urine test both are normal ? please advice

Dr. Prithviraj SinghaHomeopath6yrs exp

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Dear lybrate user, kindly note that if you indulge in sexual relation after an interval of minimum 7 days then you are bound to discharge quickly during intercourse but that does not imply that you have any disease. It occurs due to loss of control of the muscles of penis. Normally it is seen that when a person does sexual intercourse daily he gains control over the muscles of penis & can stay longer during sex. You need to take homoeopathic mother tincture salix nigra q, 30 drops, thrice daily, after meals, in a cup of water to get rid of premature ejaculation. But before taking any medicine kindly notice whether you are having a second erection within 15 minutes of ejaculation for the first time. If you are not experiencing any erection within 15 minutes of ejaculation then you are surely suffering from erectile dysfunction. There will be a change of medication in this case. To get rid of erectile dysfunction you need to take homoeopathic mother tincture agnus castus q q, 30 drops, thrice daily, after meals, in a cup of water. Kindly note that this medication may not be sufficient enough to take care of your problem. These medicines may need to be complemented by further deep-acting remedies in order to permanently eliminate the underlying cause of the disease. So I would suggest you to consult me privately via lybrate as it is very necessary to diagnose the proper underlying cause of your problem if you are wishing for a permanent relief from your problems. A permanent annihilation of the underlying cause of the disease will not only provide you relief from your troubles but it will also cease any chance of further relapse of that particular disease condition. Along with medicines you can try a home therapy to boost your sexual performance. Soak 4-5 dry dates (khurma khajur) in a cup of lukewarm milk & keep that mixture in refrigerator before going to bed daily. On waking up next morning eat those soaked dry dates & discard the milk. Repeat the process daily. This therapy often gives effective result within 15 days there are many conventional allopathic sexual pills in market such as adegra, viagra, penegra etc. Refrain yourself from using such pills as those pills contain a steroid called sildenafil. This steroid has a unique temporary effect on erectile problems. Patients using these pills for first time often report that their penis remain strong even after ejaculation. Such effects leads the patients to use sildenafil for prolonged course of time as they often feel that a full erection is possible only after taking sildenafil. Moreover it is very low cost & easy availability of this steroid has made it quite common as sexual medicine. But the bitter truth is prolonged use of sildenafil will permanently disable the normal physiological process behind erection & will render your body to become solely dependent upon sildenafil for erection. As a result you won't feel any slightest normal erection without taking sildenafil. This is an irreversible condition & it cannot be treated by any means. Once you attain this condition you become a life-time customer of that steroid sildenafil because you have to take sildenafil in order to satisfy your partner. As prevention is always better than cure I would advise you to check the composition of any sexual pills before buying. Discard any sexual pills which contains sildenafil in its composition. If you are suffering from premature ejaculation then along with medicine & home therapy you can try the kegel's exercise. You have to do kegel's exercise once daily during the first time of urination after waking up from sleep at morning. Kindly note the following steps to perform the kegel's exercise:- 1) start urinating until you feel that you have voided almost half amount of urine from bladder. 2) when you feel you have voided almost half of the urine try to stop the flow of urine by squeezing the internal muscles of penis. 3) you should not use your hands to stop the flow. Your hands should be resting on your waist. You have to stop the urine only by your self control over the internal muscles of penis. 4) try to stop the urine flow by the control of internal muscles up to 20 seconds. On the very first day you won't be able to hold the urine for more than 3 seconds. However, practicing the exercise daily will improve your control over the muscles of penis & after 15-20 days you will be able to stop the urine for 20 seconds by the control of your pelvic muscles. This control of pelvic muscles will help you to get rid of premature ejaculation while you are performing sexual intercourse 5) after 20 seconds is over, void the rest of the urine. Do not stop the flow of urine for more than 30 seconds. N. P.- kegel's exercise is effective only in the case of premature ejaculation & it is not helpful for patients suffering from erectile dysfunction. 

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