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Hello Mohit Ji,

Premature ejaculation (PE) is a common issue that can often be managed effectively. Since you are 19, it is important to evaluate if this is a persistent problem or just occasional. Here’s what you can do:

Step-by-Step Approach

1. Self-Assessment:

   • Has this been a consistent issue since you became sexually active?
   • Do you experience PE during solo activity as well?
     
     

2. Possible Causes:

   • Anxiety, stress, or overthinking during intimacy
   • Over-sensitivity of penile nerves
   • Hormonal imbalance or low serotonin levels
   • Lack of experience and excitement-related response
     
     

3. Treatment & Management:

   • Behavioral Techniques: Try the start-stop method or squeeze technique to improve control.
   • Distracted Thinking: Instead of focusing entirely on performance, shifting your thoughts to non-sexual topics can help delay ejaculation.
   • Pelvic Floor Exercises: Kegel exercises can strengthen muscles that help delay ejaculation.
   • Lifestyle Changes: Reduce stress, avoid smoking, alcohol, or excessive masturbation.
   • Medications & Topical Solutions: If needed, certain prescription medications or topical numbing creams can help reduce sensitivity and delay ejaculation.
   • Counseling & Therapy: If anxiety or psychological factors are involved, speaking to a sex therapist or counselor can provide long-term benefits.
     
     

4. Specialist Consultation: If the problem persists, consulting a urologist or sexologist is advisable to rule out medical causes and receive personalized treatment.

At HexaHealth, we can connect you with experienced specialists for expert guidance and treatment. Feel free to reach out for further assistance.

Hello,

Genital warts are caused by the Human Papillomavirus (HPV).

Suggested Treatment for Genital Warts

1. Topical Treatments
   • Medications may be prescribed to help remove warts.
     
     
2. Procedural Options
   • Cryotherapy: Freezing the warts with liquid nitrogen.
   • Electrocautery: Burning the warts using an electric current.
   • Laser Therapy: Using a laser to remove warts.
   • Surgical Removal: For larger or persistent warts.
     
     
3. Other Considerations
   • HPV vaccination is recommended to prevent further infections.
   • Use protection during sexual activity to prevent transmission.
     
     

Additional Information Needed

1. How long have you had these warts?
2. Any symptoms such as pain, itching, or bleeding?
3. Any history of sexual activity or other medical conditions?
   
   

How HexaHealth Can Help?

We can connect you with experienced dermatologists and urologists who specialize in treating genital warts. HexaHealth provides:

• Expert consultation for proper diagnosis and treatment.
• Access to advanced procedures at leading hospitals or clinics.
• Assistance with insurance and cost transparency.

Feel free to reach out for a consultation or more information. We are here to help you regain your health and comfort.

Hello Ajay Ji,

Dorsal neurectomy is a surgical option that aims to reduce penile sensitivity by severing specific nerve branches. However, it is important to note that most medical guidelines do not recommend surgery as the primary treatment for PME. This is because:

• Surgery is generally considered only in specific and severe cases where other treatments have failed.
• There is a lack of robust clinical evidence supporting its long-term effectiveness.
• The procedure carries risks, including sensory loss, altered sexual experience, and complications.

Instead, first-line treatments for PME often include

• Medications (e.g., SSRIs or topical anaesthetics),
• Behavioural therapy and counselling,
• Lifestyle changes to manage contributing factors like stress or anxiety.

To provide more specific advice, could you share

1. How long have you been experiencing PME?
2. Have you tried non-surgical treatments such as medications or therapy?
3. Are there any ongoing medical conditions or previous treatments?

How HexaHealth Can Help

At HexaHealth, we ensure a thorough evaluation of your condition by connecting you with leading urologists and sexual health experts. We can assist you with:

• Comprehensive consultation to explore all treatment options.
• Expert second opinions to determine if surgery is appropriate in your case.
• Guidance on procedures, costs, and insurance.

Feel free to reach out for further assistance. Our goal is to help you make the best-informed decision for your health.