Hello Doc, My age is 23 and I am suffering from Erectile dysfunction and premature ejaculation. I don't know why, may be I was/am masturbation freak since my childhood or may be due to my 2 major surgeries; first of appendicitis and the other one of bilateral cervical rib (I was having 2 extra ribs by birth). Please suggest me something that would be in best interest for me. As now I find myself guilty of can't satisfying a woman, which is leading to depression now!
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Erectile Dysfunction occurs due to 1.Fatigue, stress, depression, 2.Relationship issues, performance anxiety, 3.Alcohol consumption, Smoking, consumption of tobacco, 4.Obesity, Diabetes, Hypertension, Heart disease, 5.Thyroid,Kidney problem, ,enlarged prostate, parkinsonism etc 6.Consult doctor to rule out these diseases. 7.Go for regular exercise, reduce your weight if over weight 8.stop smoking, tobacco and alcohol consumption9.Take good nourishing diet ,plenty of green leafy vegetables, fruits. Take water melon, pomegranate, dark chocaolate 10. Avoid stress, anxiety, physical and mental exertion. Take adequate rest 11. Do yoga, Meditation and deep breathing exercise to calm your mind, control your emotion and relieve stress 12. Topical Androgel/Testosterone replacement/ Zinc supplement can help. 13. Do serum testosterone examination and if low take testosterone injection after consulting physician 14. If no relief consult sex therapist/ sexologist.
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