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SIR/ MADAM I am diabetic since one year. Now the sugars level are normal and HBA1c I 5.7. Shall I have water melon during summer in small quantity.
I am 42 yeas old. I am facing premature ejaculation since some days. I used to travel about 100 K.M per day so I feel fatigue in the evening. What can I do for the same. I also suffering from headache. Please help me.
I have stomach problem please give me suggestion please, do tablet side effect, please reply by email. Thanks.
I am 44 year old male. I having sweating problem While working small small works like cleaning the furniture, Gardening etc I found my self wet b y sweat.
Hi I am 34 and a male I have an allergic problem with dust and some smell, if I start sneezing I am not able to control Myself, and at 1 time I sneeze minimum 10 to 15 times continuously what can I do to come out of this problem permanently.
I got lump near anus, which grown quit big and painful. I have already done proctoscopy which indicate fistula. Actually when I did proctoscopy that time lump was not there. I came back to job away from home with limited medical facility and I noticed this lump, I have applied for leave next week may be I will back to home and can treat. I need to know for time being how can I take care of this lump I can not see blood of pus draining through anus just lump is there. I work as field engineer on oil rig so need to be back with complete cure of this lump ASAP. How much day it will take if I went through surgery for fistula and will it be cured permanently. Currently I am taking antibiotics and pain killer for this time. I have also done my piles treatment kshar sutra in 2015 jan.
Want to ask a Paediatrician - what should we carry (medicines and other first aids) during our visit to southern India in this hot burning summer while travelling specially for kids? What precautions n measures to be followed? Thanks.
While having sex early pre ejaculations happened. I don't get satisfy my partner due to which life is not running good. I am recently married.
I'm 19 and I have habit of masturbation since 4-5 years. Weekly I do it around 4 times. But whenever I masturbate. I feel low and low energy and power. So please guide me.
My brother has problem with nose is unable to breath properly he is facing more trouble with ac and in winter season kindly suggest precautions to be taken.
Hello, How accurate are finger prick hiv rapid test? I mean "one blood drop taken after pricking finger and put in rapid kit card and then some drops of buffer diluent is added and after 20 minutes results was given.
My wife is having loose motions from last two days. She is 12 week pregnant. Suggest me the medicine or home remedies for her.
Sir hamko raat mai nind nahi aati hai kyonki mai kuch sochta rahta hu or jiske chalte aankh lal rahta hai pleace sir iska koi upay bataye ?
There is a little swelling in my wife's right ankle due to improper dance step. Slight pain is also there Her age is 43 Kindly what should be done ?
I am 24 and some strip of foreskin is attached to my gland by which I am unable to retract my foreskin completely. I can retract completely when not erect. Does it cause problem during intercourse. If yes what is the solution.
I am suffering from dry cough for the last 4 weeks and I have chest pain whenever I cough hard can you suggest what should be done?
My age is 22, weight 50 kgs Im masturbating day after day ,thrice in a week .is this responsible for my weak body? .please give some tips to overcome this if it is not good.
In my previous health tip, featured here last time, I talked about what actually is Premature Ejaculation (PE) or early ejaculation, what is its actual condition and how is it defined. Today I will share some statistics, diagnosis, variants and causes of PE.
Statistics of PE:
- You are not alone! PE is a common sexual complaint.
- Estimates vary, but as many as 30-40% men across the world experience PE at some point in their lives.
- In US alone, about 60%-70% of people experience premature ejaculation. The National Health and Social Life Survey (NHSLS) indicate a prevalence of 30%, which is fairly spread across all adult age groups.
Diagnosis of PE:
As per DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition), the specific criteria for PE are as follows:
- In almost 75-100% sexual activities, the experience of ejaculation occurs within one minute of vaginal penetration.
- The problem of PE has persisted for at least six months
- The symptoms cause significant mental stress to the person
- It occurred due to a nonsexual mental disorder, a medical disease, effects of a drug or medication, etc.
Severity of PE:
The severity of PE or early ejaculation is broadly defined as follows:
- Mild: Occurring within 30 seconds to one minute
- Moderate: Occurring within 15-30 seconds
- Severe: Occurring even before sexual activity, at the start of it, or within 15 seconds of vaginal penetration
Even the severe form is not uncommon. Many times men approach the doctors with complaint that they are not able to penetrate the vagina. They ejaculate on minor physical stimulation and it occurs again and again. In such case, pregnancy will not be possible unless artificial insemination is used.
Types and characteristics of P.E.
PE can be Chronic or Acquired
Chronic (lifelong) PE is when the person has been experiencing it since he became sexually active (i.e., post puberty). Usually it is seen that PE starts occurring from the beginning of sexual activity, probably the first sexual intercourse or even on masturbation, when the discharge occurs early.
Acquired (recent) PE means that the condition began in an individual who previously experienced an acceptable level of ejaculatory control and had successful sexual escapades but only recently (couple of weeks to months) has developed the tendency to ejaculate early.
What causes P.E?
Not a particular cause is responsible for causing PE. However, the causes of PE can be divided into two broad sub-heads, which are psychological and biological cause:
PE is believed to be a psychological problem and does not represent any known defect in the brain or nervous system. Psychological causes behind PE may include a certain pattern that is hard to change as result
of your previous sexual experiences. They may arise from following:
- Atmosphere at Work or school
- Relationships with peer groups
- General attitude toward sex
- Any bad feelings about sex that relates to one or more bad experiences encountered
- Erectile dysfunction
- Performance anxiety, where men want to show a good performance of sexual act with the female partner.
Type of the relationship/sexual engagement (e.g., married/unmarried/live in relationship)
Sexual attitude or interest of the female partner
Early sexual experiences, like development of habit of reaching climax soon for pleasure or ejaculating quickly because of fear of being discovered by others when masturbating as teenagers or during early sexual experiences with female partner. This pattern of rapid attainment of sexual release is difficult to change in later stage of life during marriage or long-term relationships.
Last but not least, a situation in which you may have hurried climax/ejaculation in order to hide your problem from your female partner; or feelings of guilt that make you rush through sexual encounters.
Biological causes of PE:
Many scientists have questioned whether PE is purely psychological. A number of investigators have found differences in nervous stimulations and hormonal differences in men who experience PE as compared
to individuals who do not. Some believe that some men have hyper-excitability or oversensitivity in their genitalia, which is again not proven. So, among the biological causes of PE, the most common are:
- Abnormal functioning of the ejaculatory system
- Thyroid problems
- Infection or inflammation of the urethra or prostate
- Nerve damage occurring due to trauma or surgery (a very rare cause)
- Abnormal levels of hormones and/or neurotransmitters (which are chemicals present in the brain)
- Higher, free and total testosterone levels have been demonstrated in men with PE than in men without premature ejaculation. Recent article in a Chinese andrology journal showed that semen from men with PE contained significantly less acid phosphatase and alpha-glucosidase than the counterparts
- Another study found that many men with PE have low serum prolactin levels.
Somehow these biochemical markers play only a partial role in contributing to PE. Further research is needed. Abnormal functioning of the ejaculatory system. If you wish to discuss about any specific problem, you can consult a sexologist and ask a free question.