Hello Doctor,
I am a 31-year-old male, and my marriage is in about 3–4 months.
I have been experiencing what I think may be lifelong premature ejaculation for more than 10 years.
During masturbation with direct penile stimulation, I develop a very strong urge to ejaculate after about 30–40 strokes. I usually stop before ejaculation. If I wait for 30–60 seconds and start again, the strong urge returns almost immediately.
If I stimulate through clothing (without direct skin contact), I can continue much longer without reaching that point.
I also attempted vaginal intercourse once, and ejaculation occurred almost immediately when my penis touched the vagina.
My testosterone level is normal (488.51 ng/dL), and I have no erectile dysfunction.
My questions are:
Does this history suggest lifelong premature ejaculation?
What is the most effective first-line treatment?
Should I start with behavioral therapy, topical anesthetic (cream/spray), or medication?
I am 18 year old boy whenever I talk to a girl only normal talks makes me excited and precum starts to come out too much i don't know is is curable
Around 10-15 days ago, my libido was very high and i was getting erections normally, but last week, i noticed that my erections have become less in frequency, which made me anxious and to counter that anxiety, I tried to masturbate but i simply could not get an erection. But after 1-2 hours, I masturbated again and I was able to masturbate normally, then i decided to take a break from all this and i was getting erections normally again. Now, today I thought i should masturbate again, and when i tried to masturbate, i could not get a proper erection. My background: i have been masturbating for about 5 years and have been consuming porn for about 2-3 years. Is this a serious problem. Is it reversible.
Hello Doctor, I am a 24-year-old male. My height is 5'9" (175 cm), my weight is 100 kg, and my BMI is 32.6 kg/m². My recent morning total testosterone level is 321 ng/dL (reference range: 249–836 ng/dL). Although it is within the normal range, it seems low for my age. My HbA1c is 5.7%. Do I need any further evaluation? Do I need any treatment, medicine, or supplements? I have attached my testosterone report. Please advise.
Possible exposure 13 june 9pm
Ok here were events
I Started with Condom
It was semi erected when comdom was put and it was put by her only so I'm assuming there'll be no mistake as it's her daily work
I did not do in out, i was in entire time just small thrust forward and backward it was my first time so I think se held my penis with some muscel of her
My penis got little erected when it was inside her
I ejaculated inside her
When i was pulling out i felt something slipping from my penis
I was out in 3 seconds after i felt slip
What i observed was that my penis was dry, foreskin not pulled back, lips open or loose and drop of simen on it and condom wasn't on it it was inside her vargina
During entire thing i didn't feel any changes in sensations
Everything ended max 60 to 70 secs
Now tell me based on all this
I got 2 not detected HIV RNA Real time pcr qualitative tests at 11.5 and 16.5 days
Both not detected
