Sexual Health & Disorders Online Doctors Consultation — page 7

Hi Varun, Thanks for reaching out. Given your concerns—low stamina, low libido, premature ejaculation, history of excessive masturbation, and existing health issues like oral cancer and BPD—a detailed evaluation is very important. Both physical and mental health factors can affect sexual health, so we need to assess hormone levels, psychological factors, and overall wellbeing before planning any treatment. Please consult a psychiatrist and a urologist/sexologist for a complete evaluation. With the right care, these issues can be managed. You can also book for online consultation. Take care, Dr. Aman Shaba Consultant Neuropsychiatrist 7992489808

Erectile dysfunction (ED) is a common problem in men with diabetes, especially as they get older. Diabetes can affect the nerves and blood vessels that are necessary for achieving and maintaining an erection. First get an ultrasound KUB done , pre and post urine by a radiologist. Treatment may include lifestyle changes such as improving blood sugar control, losing weight, and increasing physical activity. Medications like phosphodiesterase-5 inhibitors (such as sildenafil, tadalafil, or vardenafil) may also be prescribed to help improve erectile function. In some cases, other treatments such as vacuum devices, penile injections, or surgery may be recommended. Get your HBA1C done and monitor your blood sugar regularly

Dear Sushil ji, Jo symptoms aap bata rahe hain jaise balls me jyada latakpan, nse jyada dikhna aur timing ki problem – inke peeche kai wajah ho sakti hain, jaise nerves ki kamzori, hormonal changes, ya stress. Iska sahi treatment tabhi possible hai jab proper diagnosis ho. Aapko ek baar urologist se physical check-up karwana chahiye, aur agar zarurat ho to sexologist ya psychiatrist se bhi consult karna chahiye. Sirf symptoms dekh kar dawai lena sahi approach nahi hai. Pehle reason clear karna zaroori hai, tabhi long-term solution milega. Take care, Dr. Aman Shaba Consultant Neuropsychiatrist 7992489808

How long is the duration you are suffering with this condition ?

Hi Gaurav, Nightfall at 18 is normal and not a disease. It happens due to hormonal changes, sexual thoughts, and semen buildup, especially if you're not ejaculating regularly. To reduce nightfall: - Avoid watching adult content. - Stay engaged in studies, hobbies, or exercise. - Don’t sleep on your stomach. - Plan scheduled masturbation to reduce semen pressure. - Practice relaxation before sleep. It usually settles with time and doesn’t harm your health. If you have more questions about nightfall or masturbation, you can consult me online or in person. – Dr. Aman Shaba MD (Psychiatry) Consultant Psychiatrist 7992489808

Hi Dhivya, there is too little information to come to a conclusion. But from whatever you are saying, I suppose that you find solace in taking female role. This is not uncommon. But I want to know if you also feel any strong emotions such as disgust or anger for being a male. Do you feel like a female trapped in a male body? If so, it could indicate Gender dysphoric disorder and might lead to psychiatric problems if left unattended. This condition is rather biological in nature and requires acceptance on your part. Other management includes therapy to explore sexuality and to open up. Kindly contact any psychiatrist for further evaluation and assessment. Kindly let me know if you need online consultation with me. Regards, Dr. Charan Kumar, MD Psychiatry (NIMHANS),

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