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Delayed ejaculation
I have thyroid and cholesterol and testosterone 285 prolactin 42 I have no ejaculation during sex when masturbating it is hard to reach semen glans are very hard I smoke daily why is this because
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It needs proper evaluation and testing
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Low testosterone, elevated prolactin, thyroid issues, and smoking can all contribute to delayed/absent ejaculation and sexual dysfunction. A detailed evaluation is recommended.
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connect plz
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Can be treated ,please consult.
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It seems to be sexual dysfunction. It needs to be treated asap otherwise it may get complicated and can affect your personal and sexual life.
It can be well treated with counseling sessions and homeopathic medicine effectively and without any side effects.
It needs to be treated in a holistic approach for complete recovery.
You need an expert Sexologist who is a good homeopathic physician.
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I have been working as a sexologist and homeopathic doctor for the last 17 years of experience. You can contact me through an online appointment for further assistance.
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Can be due to several reasons...
Proper examination need to be done...
Accordingly treatment required..
To be sexually fit completely
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consult for prescription and guidance
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Need proper evaluation
Consult online
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●𝗬𝗲𝘀 𝗶𝘁 𝗰𝗮𝗻 𝗯𝗲 𝗽𝗲𝗿𝗺𝗮𝗻𝗲𝗻𝘁𝗹𝘆 𝗰𝘂𝗿𝗲𝗱 𝘄𝗶𝘁𝗵 𝗛𝗼𝗺𝗲𝗼𝗽𝗮𝘁𝗵𝘆 𝗧𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁 .
●𝗩𝗲𝗿𝘆 𝗲𝗳𝗳𝗲𝗰𝘁𝗶𝘃𝗲 𝗺𝗲𝗱𝗶𝗰𝗶𝗻𝗲𝘀 𝗮𝗿𝗲 𝘁𝗵𝗲𝗿𝗲 𝗶𝗻 𝗛𝗼𝗺𝗲𝗼𝗽𝗮𝘁𝗵𝗶𝗰
●𝗪𝗶𝘁𝗵 𝗺𝘆 𝘁𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁 𝗼𝗳 1.5 𝗺𝗼𝗻𝘁𝗵 𝘆𝗼𝘂 𝘄𝗶𝗹𝗹 𝗴𝗲𝘁 𝗽𝗲𝗿𝗺𝗮𝗻𝗲𝗻𝘁 𝗿𝗲𝗹𝗶𝗲𝗳.
●𝗪𝗶𝗹𝗹 𝗽𝗿𝗲𝘀𝗰𝗿𝗶𝗯𝗲 𝘁𝗵𝗲 𝗰𝗼𝗺𝗽𝗹𝗲𝘁𝗲 𝘁𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁.
●𝗬𝗼𝘂 𝗰𝗮𝗻 𝗰𝗼𝗻𝘀𝘂𝗹𝘁 𝗺𝗲 𝗻𝗼𝘄 𝘁𝗵𝗿𝗼𝘂𝗴𝗵 𝗼𝗻𝗹𝗶𝗻𝗲 𝗪𝗮𝗿𝗺 𝗿𝗲𝗴𝗮𝗿𝗱𝘀.
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Gi, will need further history regarding the same to advise appropriately. Consult online for treatment
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Dr. Mrinal Gautam
Psychiatrist
3 yrs exp
Kolhapur
Your absent ejaculation during intercourse and delayed ejaculation during masturbation are directly linked to clear hormonal imbalances shown in your lab values, compounded by lifestyle factors.
-The Clinical Triggers:
Hyperprolactinemia (Prolactin 42 ng/mL): Your prolactin level is significantly elevated. High prolactin directly suppresses the neurological and sexual pathways required for ejaculation.
Borderline Low Testosterone (285 ng/dL): This low baseline reduces sexual drive, stamina, and alters overall erectile and ejaculatory response.
Thyroid, Cholesterol & Smoking: Unmanaged thyroid dysfunction and high cholesterol alter blood flow and metabolism, while daily smoking damages penile vascular health, worsening delayed ejaculation.
Next Steps
Consult an Endocrinologist or Urologist: You need a specialized evaluation to find the root cause of your high prolactin (such as medication side effects or a microadenoma) and treat your thyroid and testosterone levels.
Initiate Smoking Cessation: Work on quitting smoking immediately, as nicotine severely constricts blood vessels and directly impairs sexual reflexes.
Optimize Cardiovascular Markers: Address your high cholesterol through dietary changes and regular exercise to improve pelvic blood flow.
Health Tips
Do not take over-the-counter vitality supplements or unprescribed testosterone boosters. They can disrupt your natural endocrine feedback loops and worsen your elevated prolactin levels. Focus strictly on correcting the hormonal baseline with a specialist.
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Dr. Jyoti Sharma
Homeopathic Practitioner
12 yrs exp
Rajkot
Due to hormonal disturbances so consult online through Practo
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Dr. Om Prakash L
Sexologist
8 yrs exp
Adilabad
Take consultation
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