Sexual Health & Disorders Online Doctors Consultation — page 5

Hello Rahul , I can understand your problem. You can get paid consultation or you can directly contact on whatsapp for this problem. Patient Name: Rahul Age: 30 Sex: Male Chronic Illnesses: None Chief Complaint: Early ejaculation during sexual activity Diagnosis: Probable Premature Ejaculation (PE) Causes of Premature Ejaculation (PE) A. Psychological Causes Performance anxiety – Worry about sexual performance can trigger early release. Stress – Emotional or work-related stress can interfere with sexual response. Depression or mood disorders – May reduce control over ejaculation. Relationship issues – Conflict, lack of communication, or emotional distance with a partner. B. Biological Causes Hormonal imbalance – Low levels of serotonin or abnormal testosterone levels. Hypersensitive penile nerves – Increased nerve sensitivity can cause quick ejaculation. Erectile dysfunction (ED) – Men with ED may rush ejaculation due to fear of losing erection. Prostatitis or Urethritis – Infections/inflammation in the prostate or urinary tract. C. Behavioral Causes Masturbation habits – Habit of quick ejaculation (e.g., due to fear of being caught) can condition the body. Lack of sexual experience – Less control over sexual arousal and response. Irregular sexual activity – Long gaps may cause overexcitement. D. Neurological or Genetic Factors (less common) Certain nerve conditions Family history of PE (genetic predisposition) Lab Investigations Ordered A. Hormonal Profile Serum Testosterone Serum Prolactin T3, T4, TSH (Thyroid Function Test) B. Metabolic Panel Fasting Blood Sugar (FBS) HbA1c Lipid Profile C. Urinalysis Urine Routine & Microscopy Urine Culture & Sensitivity D. Semen Analysis (if fertility assessment needed) Thank you Dr Shayeque Reza MD 9800280276

Need to do counselling of yours before starting treatment. This could be due to the use of few drugs .

Hello sonu, I can help you with your problem. The treatment requires proper monitoring and follow up. You can get my individual consultation here or on Whatsapp too. Dr Shayeque Reza MD 9800280276

Dear Deep, Thank you for reaching out. The symptoms you described — loss of interest in sex, weak erections, reduced emotional connection or feeling during touch, irritability, and poor sleep — may be signs of an underlying psychological issue like depression, anxiety, or stress-related burnout. Yes, it is absolutely possible to bring back your normal sexual functioning and emotional connection, but the first step is a proper evaluation to understand the root cause — whether it’s hormonal, psychological, or a combination of both. Once we identify the cause, treatment may include: - Addressing any mood or anxiety issues - Temporary medication support if needed - Guidance on restoring emotional and physical intimacy With the right help, full recovery is very much achievable. Warm regards, Dr. Aman Shaba Consultant Psychiatrist

Thank you for sharing your concern. Semen that appears too transparent and ejaculation within 1–2 minutes are common concerns in young men and often relate to premature ejaculation (PE) and possibly lower semen concentration or volume, though this varies naturally. Since you've been experiencing this for 3 years, we need to first make a proper diagnosis to rule out: Psychological factors like performance anxiety or stress Any hormonal imbalance Lifestyle factors (poor sleep, excessive screen time, lack of exercise, etc.) Management includes: Techniques to delay ejaculation (like the stop-start method) Temporary medication support, if needed Improving lifestyle habits In some cases, a semen analysis to check quality if planning for fertility With the right treatment plan, both PE and semen-related concerns can improve. Warm regards, Dr. Aman Shaba Consultant Psychiatrist 7992489808

Ujjwal, you're 21 and concerned about your penis size and early erection timing during sex. You also have a history of epilepsy, which needs to be considered while planning any treatment. First, it's important to know that most men who worry about size actually have normal size. Also, sexual satisfaction depends more on confidence, communication, and technique than size alone. Low timing or quick erection may be due to performance anxiety, overthinking, or early stimulation. A detailed evaluation is needed to assess psychological and physical factors, especially considering your epilepsy. Treatment is tailored, combining therapy, sexual techniques, and safe options to improve timing. I recommend booking an audio or video consultation for proper guidance and a safe, effective plan. Dr Aman Shaba Consultant Psychiatrist 7992489808

Moksh, you're 21 and have valid questions regarding masturbation, fertility, stamina, and sexual performance. These concerns are quite common and understandable at your age. Masturbation is a normal and safe activity when done in moderation. There is no specific limit, but if it starts affecting your daily routine, focus, or energy levels, it’s advisable to reduce the frequency. Masturbation does not lead to infertility. Fertility is influenced by hormonal balance, overall health, and lifestyle factors. To improve stamina and sex duration, focus on regular exercise, good sleep, stress management, and a healthy lifestyle. In many cases, performance anxiety can reduce timing more than any physical cause. As for penis size, most men fall within the medically normal range. Sexual satisfaction is more about confidence, emotional connection, and communication rather than size alone. If these concerns are affecting your confidence or mental health, I recommend a consultation for proper evaluation and guidance. Dr Aman Shaba Consultant Psychiatrist 7992489808