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Premature ejaculation and low libido
I have premature ejaculation — I ejaculate within about 5 seconds (4–5 thrusts). After ejaculation, it is difficult to maintain or regain erection, and most of the time I have low libido. Morning erections are not consistent.
These are my recent test results:
Fasting Blood Sugar – 87 mg/dL (70–100) – Normal
Post Prandial – 91 mg/dL (70–140) – Normal
Total Cholesterol – 214 mg/dL (<200) – Borderline high
LDL – 139 mg/dL (<100 optimal) – Borderline high
HDL – 47 mg/dL (40–60) – Normal
Triglycerides – 141 mg/dL (<150) – Normal
Prolactin – 14.04 ng/mL (2.5–15.9) – Normal
T3 – 1.31 ng/mL (0.60–1.81) – Normal
T4 – 5.89 µg/dL (5.48–14.28) – Normal
TSH – 0.99 µIU/mL (0.40–4.20) – Normal
Total Testosterone – 3.94 ng/mL (1.75–7.81) – Normal please advise further evaluation and treatment
Answers (11)
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To provide you with the most accurate prescription and ensure your satisfaction, I need to understand your history better. Please book a session so we can discuss this in detail and get you on the right track
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Relax it can be medically managed ..please consult.
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Answer by Dr. Jitesh Bhatt MD
Dear Patient,
At 28 years of age, premature ejaculation (within 5 seconds), difficulty maintaining erection after ejaculation, low libido, and inconsistent morning erections suggest a combined functional + possible hormonal component.
1️⃣ First Understanding Your Condition
Premature ejaculation (PE) and low libido can be due to:
Performance anxiety / psychological stress
Hypersensitivity of glans
Low serotonin activity
Hormonal imbalance (especially low testosterone)
Lifestyle factors (poor sleep, stress, excess masturbation, pornography dependence)
Early vascular changes (your borderline high cholesterol is relevant here)
Your blood sugar levels are normal, which is good.
However, Total Cholesterol 214 mg/dL and LDL 139 mg/dL are borderline high. At your age, this can start affecting penile blood flow over time.
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2️⃣ Important Tests You Should Do
Please get these investigations done:
Serum Total Testosterone (morning sample, 8–10 am)
Free Testosterone
Serum Prolactin
LH, FSH
Thyroid profile (TSH)
Vitamin D3
Vitamin B12
Low morning erections often correlate with low testosterone or poor sleep quality.
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3️⃣ Lifestyle Correction Plan (Very Important)
✔ 7–8 hours deep sleep
✔ Stop pornography completely
✔ Limit masturbation (not more than 1–2 times/week if needed)
✔ Regular exercise (45 min daily – mix of cardio + strength training)
✔ Weight control
✔ Reduce junk food and sugar
✔ Add nuts, seeds, fruits, leafy vegetables
✔ Omega-3 rich foods
Cholesterol improvement alone can improve erection quality significantly.
---
4️⃣ Premature Ejaculation Management
Behavioral Techniques:
Start–Stop technique
Squeeze technique
Pelvic floor (Kegel) exercises
Practice daily for 8–12 weeks.
⚠️ Do not self-medicate without consultation.
---
6️⃣ When to Be Concerned
Seek direct medical consultation if:
Erectile difficulty persists >3 months
Testosterone is low
You have depression symptoms
No morning erections at all
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Final Advice
Your condition is very common and completely treatable at this age.
With proper hormonal evaluation, lifestyle correction, and constitutional treatment, excellent recovery is possible.
Do not panic. Early correction gives best results.
Stay confident. This phase can be reversed. 💪
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U need proper ayurvedic medicine..
To get rid of this problem permanently without any side effects..
To increase discharge time..
To enjoy sexual activity and satisfy your partner completely
Next Steps
consult for prescription and guidance
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Hello Sir
This issue is commonly seen now a days amongst this age people
And good thing is it has good improvement with permanent cure with some medicines and counselling/ therapy
Avoid Sildenafil Tadalafil viagra or manforce tablets as it can cause permanent damage
Next Steps
kindly contact me on seven nine seven four six zero eight one nine nine or kindly consult online for further management and treatment
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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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Hi.. medicines and behavioral techniques can help. However will need further history regarding the same to advise appropriately. Consult online for treatment
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I understand your concern kindly make an appointment so I can help you better
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Dr. Moin Ahmad Siddiqui
Dermatologist
6 yrs exp
Lucknow
Consult online
Treatment is available
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Dr. Om Prakash L
Sexologist
8 yrs exp
Adilabad
Take consultation
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Dr. Yashwant Singh
Sexologist
32 yrs exp
Ghaziabad
You need to know about your condition and to know whether there is venous leak or not do visit us
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.