Suggest remedy for erectile dysfunction and premature ejaculation
Patient: Dr. I have promblem ED & PE also since seven years. So far no cure has given me satisfaction..I have taken lot of herbal, unani, hamdard and many more.. and since three years I consulted English Dr. he examined prolact & Tes. and told that it is low..for that he perscribed the medicines of Testorin gel, adnrivel, seroxat tab, two injection of NIBIDO and four tab of LEVITRA...Still I have no improved at all..my erection sustainied less than one minute only and immediately ejaculation...pls help and to come out this promblems permanently..thnaks waiting your suggestions and remdey Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.  Well first of all you need to understand that premature ejaculation and erectile dysfunction often occurs together and they have more common causes rather than hormonal disturbances for example high uric acid levels, high lipid levels and diabetes. When a patient come to me with erectile dysfunction i always order these tests serum uric acid , fasting lipid profile and HbA1c levels and if something comes wrong in them then i would treat it first then i will go for treatment of PE and ED. If everything comes out to be fine then i mostly state my patients on tablet Tadalafil 20 mg half tablet 1 hour before sex and tablet Dapoxitene 30 mg before 1.5 hours before intercourse.  Hope I have answered your query. Let me know if I can assist you further.