✓ Both of your problems may be different and may affect each other.
✓ Depression can cause low testosterone and low testosterone can cause depression. You require a thorough evaluation.
✓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. 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.
You said you r having low testosterone and hormonal imbalance do you have the reports If yes please send us the reports
and if you are taking any medicine from any doctor also give that prescription
till then do exercise 1 hour daily may b yoga Pranayam Dhyan aur walking
don't take much spicy Chili and junk food take one glass of hot milk in the morning and one glass of milk in the evening
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.
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.
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