My age is 40 years. I am facing erectile dysfunction and early ejaculation. I am taking surbex z tab. I need some suggestions ti enhance sexual capacity. Please.mohammed kaleem khan, pakistan.

Dr. Satyajeet P PattnaikUrologist14yrs exp

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Common causes of erectile dysfunction include: physical problems, such as injury to nerves or loss of blood supply to the penis. Other health problems, such as diabetes, high blood pressure, anxiety, and depression. Side effects of certain medicines. Stress. Drinking too much alcohol or smoking. Depending on the cause and severity of your erectile dysfunction and any underlying health conditions, you might have various treatment options. You need to understand the risks and benefits of each treatment and will consider your preferences. Oral medications oral medications are a successful erectile dysfunction treatment for many men. They include: sildenafil (viagra) tadalafil (adcirca, cialis) vardenafil (levitra, staxyn) avanafil (stendra) if medications aren't effective or appropriate in your case, you may go ahead and use a penis pump a penis pump (vacuum erection device) is a hollow tube with a hand-powered or battery-powered pump. The tube is placed over your penis, and then the pump is used to suck out the air inside the tube. This creates a vacuum that pulls blood into your penis. Once you get an erection, you slip a tension ring around the base of your penis to hold in the blood and keep it firm. You then remove the vacuum device. The erection typically lasts long enough for a couple to have sex. You remove the tension ring after intercourse. Bruising of the penis is a possible side effect, and ejaculation will be restricted by the band. Your penis might feel cold to the touch.  

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