Dr. From Sukhumvit 51, dear doctor.
I am 53 years old and I have a family. When he was a young man, he was a good man and he was good at pleasing girls, so many women came into his life. They had 4 wives in total, but 3 of them have broken up but they still give the same usual care, just not engaging in sex. The last remaining wife is 44 years old We have been together for almost 10 years They have 1 child together.
Currently, I am working as a private business. You have health problems with high blood pressure and slightly high blood fat I do not have diabetes. I am a person who likes to drink a lot. But I never smoked a cigarette. In the past, my wife and I used to have sex 2-3 times a week, and every time it took almost half an hour to ejaculate.
But I don’t know what unusual happened. In the last few months, he has been able to reach faster, taking a much shorter time to have intercourse, less than 10 minutes, sometimes 5 minutes, which makes it not his wife can climax at all. So I went to talk to a friend. A friend suggested I take medicine. It is a spray that is applied to the head of the penis to delay ejaculation. Used for about 1 month, got good results at first. But now I found that I had no sense of the tip of my punishment. and he couldn’t vomit at all, even though the drug was stopped. My wife and I were shocked and scared. So, I would like to get some good advice from the doctor as to what is causing this.
Best wishes
William
Answer: Willie
Problems of a 53-year-old man with premature ejaculation That is, after using medication to prolong ejaculation for 1 month, there was no sensation at the tip of the penis. As a result it is not possible to reach the height. The reason is due to the type of medicine used and there may be a combination of specific anesthetics when used.
Prolonged use can damage the sensory nerves in the penis. It does not cause sexual feelings when sexually stimulated by touch.
In addition, using the drug incorrectly means using it not according to the product’s instructions, such as leaving it on for too long and not washing it off. Because I’m afraid it won’t work. or use an amount that is too much from the instructions If you continue to do this, it may cause numbness. or damage the nerves to feel easier These are the side effects of using medications to delay ejaculation. Lack of expert advice
Treatment of premature ejaculation in the elderly The doctor must also look for the cause of the erectile dysfunction. It is often found in elderly people who have problems with erectile dysfunction and if they do not receive treatment, the symptoms of premature ejaculation always appear later. Especially in men with chronic diseases such as diabetes and high blood pressure. including high blood fat This increases the risk of incomplete erection. Therefore, the treatment of premature ejaculation in the elderly with or without the disease is a specialist must perform a detailed physical examination. For symptoms of premature ejaculation, experts encourage you to use topical medication. It has been around for a long time because there are few downsides. Excellent quality It does not cause contact allergies or if there are any, it is easy to repair. As for oral medicine, there are many dosages, each with many types. For example, drugs that work on the brain to help change mood to respond to ejaculation. There are many details about the pros and cons of each oral medication. And there are new ones, but experts need to consider them as best as possible on a case-by-case basis to prevent problems like the one you’re having now. It is best to use medication for the best and safest results with professional advice. And there is an opportunity to control ejaculation as desired, that is, by extending the tolerance time for 10-20 minutes, or not to control ejaculating yet.
Dr. O Sukhumvit 51
2024-11-24 17:15:00
#man #stressed..his #younger #brother #feelings #unable #ejaculate
**Based on William’s experience, what ethical considerations should be addressed when prescribing topical medications for premature ejaculation, particularly regarding potential side effects and informed consent?**
## Interview: Premature Ejaculation and its Treatment
Welcome to World Today News, where we delve into important health issues affecting individuals and families. Today we’re discussing a sensitive topic: premature ejaculation, with a focus on its treatment and the potential risks of certain medications.
Joining us are Dr. Sukhumvit Rogers, a renowned urologist with over 20 years of experience, and William, a 53-year-old gentleman facing challenges related to premature ejaculation.
**Part 1: Understanding Premature Ejaculation**
* **Dr. Rogers, can you briefly explain what premature ejaculation is and why it can be so distressing for individuals and couples?**
* **William, you mentioned that you experienced a change in your ability to ejaculate. When did you first notice this, and how did it impact your relationship with your partner?**
**Part 2: Addressing the Root Cause**
* **Dr. Rogers, in William’s case, he mentioned having researched and tried a topical medication. Is this a typical first step in treating premature ejaculation? What are the pros and cons of this approach?**
* **William, what led you to choose a topical spray? Were there any other treatment options you considered?**
* **Dr. Rogers, besides medications, are there other potential underlying factors that could contribute to premature ejaculation in men, especially those over 50 like William?**
* **William, you mentioned age and a history of high blood pressure. Do you think these factors could have played a role in your experience?**
**Part 3: Navigating Treatment and Potential Side Effects**
* **Dr. Rogers, what other treatment options are available for premature ejaculation? What factors would you consider when recommending a particular treatment for a patient?**
* **William, you experienced numbness and inability to ejaculate after using the spray. What was your reaction to this, and what did you do next?**
* **Dr. Rogers, your article highlights the importance of seeking professional medical advice and using medication responsibly. What messages do you want to convey to men experiencing premature ejaculation? Where can they get reliable information and support?**
**Part 4: Open Discussion and Support Resources**
* **What advice would you offer to couples facing struggles with sexual intimacy related to premature ejaculation? How can they communicate effectively and seek support together?**
* **Dr. Rogers and William, Thank you both for sharing your expertise and personal insights on this important topic. We hope this discussion helps raise awareness about premature ejaculation and encourages open communication regarding sexual health.**
This interview format divides the topic into relevant sections, encouraging discussion based on the provided article. Open-ended questions promote deeper understanding and allow guests to share their unique perspectives.
