✓Before moving directly to any treatment follow the advice as given below. ✓ Consult online on practo for the detailed Evaluation and Formal assessment. ✓You are indeed developing signs of ED - erectile dysfunction and PME- premature ejaculation. You also suffer from exaggerated masturbation guilt. Around 90% males start masturbation before the age of 14. Rest 8-9 % start after age 14. Virtually every man masturbates. It is a normal male sexual behavior. But excess of everything is bad, there is no problem if masturbation is done in moderation. ✓We may need reports of following tests to rule out Physical causes of Erectile dysfunction & Pre-mature ejaculation. 1. CBC 2. T3, T4, TSH 3. HbA1c 4. Serum Testosterone 5. Serum Prolactin ✓To rule out Psychological causes, Answer Following Questions 1. How is your mood? 2. How are your energy levels? 3. How is your appetite? 4. Do you have any sleep disturbances or do you oversleep? 5. Any past history of anxiety or Depression? 6. Any family members suffering from anxiety or Depression? 7. Describe in detail any use of cigarettes, tobacco, Alcohol, cannabis or any other substances of abuse. ✓Please respond to above questions and send me reports to enable me to make a complete assessment of your condition and advise treatment accordingly. Depression can cause ED, PME and Masturbation Guilt/Compulsive Masturbation. ✓All that you may require is a proper consultation and treatment about your sexual problems. (ED - erectile dysfunction; PME - premature ejaculation) Dr Rahul Kansal MBBS (AIIMS New Delhi), MD, CE (UCLA, USA) Neuro-psychiatrist Sexologist & De-addiction Expert Kansal Hospital : 120/238, Sector 12, Aggarwal Farm, Mansarovar, Jaipur. Regarding follow up: Follow up with Reports and answer to needed medical enquiry.

its very easy to write tadalafil or viagara or dapoxetine BLINDLY but it is not permanent solution for your age. u can manage ur problem by diet exercise lifestyle changes and natural resources without sideeeffrcts

It all depends on ur age and internal systemic problems so need detailed history to prescribe u .. plz contact on line for further treatment..