Husband:
The issue of Premature ejaculation &
low density and poor sperm parameters:- Clinical examination by
Gynaecologist himself/ herself if unaffordable to attend an clinical
Andrologist. If andrologist is unavailable at least a genl surgeon maybe
consulted if not available in the locality Andrologist. Sexologist consultation,
and later not before some drugs to promote ILT i.e. ( Intra vaginal latency
time ) . Regarding PE(premature ejaculation ) the tr mainly lies with sex
counselor but if unavailable / unaffordable then one can prescribe Dejact-T
kind of drugs which will serve the
purpose temporarily .
Premature ejaculation –not
responding to behavioural therapy:-The recognised drugs for amelioration of premature ejaculation
if he really reluctant to vist a
sexologist then he can take SSRI drugs, like : A) Fluoxetine, 20mg OD B) Paroxetine 12.5 / 25
mg C) Dapoxetine 30/ 60mg -D) sertraline
25—50mg-ven100 mg (not to drive himself next mooring) for (erectile
disorders which is now approaching 40% in Indian males 20-50 yrs) ) –then again
one has to seek help of a professional sex counselor. But, in reality, as
happens the male partner denies going or stops visiting to such specialist for
social stigma. In such cases it is the responsibility of Gynaecologist to offer
some drugs rather than allowing the couple to “suffer in silence.”
I think it won’t be out of context to mention the
magnitude of problem of erectile
disorders & variety of so called safe
drugs for ED (erectile disorders):-There are some common drugs used for
3 decades with repute and satisfactions are (Phospho diesterase Inhibitors- PDE
5 Inhibitors) which will take care of
erection –A) Sildenafil, B) Tadalafil, C) Vardenafil,(Brand name). Hwever the sildenafil is sold under the brand names of Androz(Sandoz):
Juan(Cadila), Viralkes(Pfizer), Manforce(Mankind), Edegra(Sun) & recent
addition is Levitra 10/ 20 mg( Filmtableten-Bayer
). .
s is Edafil-20 –Ajanta Phrama)
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