I am 64 years old. I am currently taking Repilif tablet due to the possibility of prostate. I have a lot of sex problems. Please tell me the treatment

Dear Abhijeet,

Based on your concerns, consulting a urologist is the best option. A urologist specializes in both premature ejaculation (PE) and frequent urination and can provide the right diagnosis and treatment plan. Additionally, for drug addiction, a psychiatrist can help you with de-addiction therapy and mental health support.

Treatment for Premature Ejaculation (PE)

• Behavioral Therapy: Techniques like the start-stop method and squeeze technique can help delay ejaculation.
• Counseling & Therapy: Cognitive Behavioral Therapy (CBT) can help manage anxiety and stress related to sexual performance.
• Medical Treatment: After proper evaluation, a urologist may prescribe topical creams, selective serotonin reuptake inhibitors (SSRIs), or other medications. Do not take any medication without a doctor’s advice.
• Surgical Options: In rare cases, dorsal nerve desensitization surgery may be recommended for persistent PE that does not respond to other treatments.

Lifestyle Tips for Better Sexual Health

• Maintain a Healthy Diet: Include zinc- and magnesium-rich foods like nuts, spinach, and seafood to improve sexual health.
• Regular Exercise: Pelvic floor exercises (Kegels) can strengthen muscles and improve ejaculatory control.
• Stress Management: Practice meditation, yoga, and deep breathing techniques to reduce anxiety.
• Avoid Smoking & Alcohol: These can negatively impact sexual performance.
• Quality Sleep: Ensure 7-8 hours of restful sleep to maintain hormonal balance.

Hello Ajaj Ji,

As per your sperm analysis report:

• Sperm Count: 10 million/mL (Oligospermia) → Lower than normal (≥ 15 million/mL).
• Motility: 15% (Asthenozoospermia) → Reduced from normal (≥ 32%).

This may impact natural conception.

Before suggesting treatment, I need to know:
✔️ Any history of testicular injury, infections, or surgeries?
✔️ Any chronic conditions like diabetes, thyroid issues, or varicocele?
✔️ Current medications or use of steroids, tobacco, or alcohol?
✔️ Any recent history of fever, stress, or excessive heat exposure?

Recommendations:

1. Lifestyle Modifications:

✅ Eat a high-antioxidant diet (nuts, berries, leafy greens).
✅ Avoid smoking, alcohol, junk food, and excessive caffeine.
✅ Exercise regularly but avoid overtraining.
✅ Reduce stress with meditation/yoga.
✅ Maintain a healthy BMI.

2. Medical Tests Recommended:

🩸 Hormonal Profile: FSH, LH, Testosterone, Prolactin
🩺 Scrotal Doppler Ultrasound: To check for varicocele
🦠 Semen Culture: To rule out infections

3. Treatment Plan (Based on Test Results):

💊 Antioxidants
💉 Hormonal therapy (if required)
⚕️ If varicocele is present → Surgery may be advised
🔬 Assisted Reproductive Techniques (IUI, IVF, ICSI) for severe cases and to help in conception

📅 Follow-up: After 3 months of lifestyle modifications, repeat semen analysis. Consult an Andrologist or Fertility Specialist for further evaluation.

Would you like assistance in scheduling a consultation?

Hello Ajaj Ji,

As per your sperm analysis report:

• Sperm Count: 10 million/mL (Oligospermia) → Lower than normal (≥ 15 million/mL).
• Motility: 15% (Asthenozoospermia) → Reduced from normal (≥ 32%).

This may impact natural conception.

Before suggesting treatment, I need to know:
✔️ Any history of testicular injury, infections, or surgeries?
✔️ Any chronic conditions like diabetes, thyroid issues, or varicocele?
✔️ Current medications or use of steroids, tobacco, or alcohol?
✔️ Any recent history of fever, stress, or excessive heat exposure?

Recommendations:

1. Lifestyle Modifications:

✅ Eat a high-antioxidant diet (nuts, berries, leafy greens).
✅ Avoid smoking, alcohol, junk food, and excessive caffeine.
✅ Exercise regularly but avoid overtraining.
✅ Reduce stress with meditation/yoga.
✅ Maintain a healthy BMI.

2. Medical Tests Recommended:

🩸 Hormonal Profile: FSH, LH, Testosterone, Prolactin
🩺 Scrotal Doppler Ultrasound: To check for varicocele
🦠 Semen Culture: To rule out infections

3. Treatment Plan (Based on Test Results):

💊 Antioxidants
💉 Hormonal therapy (if required)
⚕️ If varicocele is present → Surgery may be advised
🔬 Assisted Reproductive Techniques (IUI, IVF, ICSI) for severe cases and to help in conception

📅 Follow-up: After 3 months of lifestyle modifications, repeat semen analysis. Consult an Andrologist or Fertility Specialist for further evaluation.

Would you like assistance in scheduling a consultation?