I am suffering from nightfall. Problem.

✓ Your problem is severe and this level of nightfall is definitely excessive and abnormal. ✓Before moving directly to any definitive or permanent treatment follow the advice as given below. ✓You are indeed developing signs of ED - erectile dysfunction and PME- premature ejaculation, and night fall. You also suffer from exaggerated masturbation guilt. Around 90% males start masturbation before the age of 14. Rest 8-9 % start after age 14. Virtually every man masturbates. It is a normal male sexual behavior. But excess of everything is bad, there is no problem if masturbation is done in moderation. ✓We may need reports of following tests to rule out Physical causes of Erectile dysfunction & Pre-mature ejaculation. 1. CBC 2. T3, T4, TSH 3. HbA1c 4. Serum Testosterone 5. Serum Prolactin ✓To rule out Psychological causes, Answer Following Questions 1. How is your mood? 2. How are your energy levels? 3. How is your appetite? 4. Do you have any sleep disturbances or do you oversleep? 5. Any past history of anxiety or Depression? 6. Any family members suffering from anxiety or Depression? 7. Describe in detail any use of cigarettes, tobacco, Alcohol, cannabis or any other substances of abuse. ✓Please respond to above questions and send me reports to enable me to make a complete assessment of your condition and advise treatment accordingly. Depression can cause ED, PME and Masturbation Guilt/Compulsive Masturbation. ✓ Consult online on practo for the detailed Evaluation and Formal assessment. ✓All that you may require is a proper consultation and treatment about your sexual problems. (ED - erectile dysfunction; PME - premature ejaculation) Dr Rahul Kansal MBBS (AIIMS New Delhi), MD, CE (UCLA, USA) Neuro-psychiatrist Sexologist & De-addiction Expert Kansal Hospital : 120/238, Sector 12, Aggarwal Farm, Mansarovar, Jaipur. Regarding follow up: Follow up with Reports and answer to needed medical enquiry.