My husband is having erectile problems. He has premature ejaculations. He has extra not stretchable foreskin. Kindly guide me for this.

Dr. Jagadeesan M.S.Psychiatrist13yrs exp

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ED and PE can co exist, kindly read below madam. Erectile dysfunction (ED) used to be called impotence. It is the inability to attain and maintain an erection sufficient for satisfactory sexual performance. Although a benign disorder, it can have a significant impact on the quality of life of sufferers, partners and families. It is important also to consider the physical and psychosocial health of the person who has the condition. Patients should be properly assessed and investigated before embarking on treatment. Risk factors are:- Lack of exercise Obesity Smoking Hypercholesterolaemia Hypertension Metabolic syndrome Diabetes mellitus Causes are 1. Psychological 2. Neurological 3. Urological 4. General medical illness 5. Vascular 6. Anatomic defects 7. Hormonal Premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration or foreplay. It happens with minimal sexual stimulation and before the person wishes. It may result in unsatisfactory sex for both partners. This can increase the anxiety that may add to the problem. It is one of the most common forms of male sexual dysfunction. It has probably affected every man at some point in his life. Most cases of premature ejaculation do not have a clear cause. With sexual experience and age, men often learn to delay orgasm. Psychological factors such as anxiety, guilt, or depression can also cause it. In some cases, it may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines. Consult a psychiatrist online or in person Your doctor will discuss your medical and sexual history with you. He or she will do a thorough physical exam. Your doctor may want to talk to your partner also. Premature ejaculation can have many causes. So your doctor may order lab tests to rule out any other medical problem. In many cases premature ejaculation gets better on its own over time. Treatment may not be needed. Practicing relaxation techniques or using distraction methods may help you delay ejaculation. Your doctor may recommend that you and your partner practice certain techniques to help delay ejaculation, as well as medications are there to help. All the best.  

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