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Urology  (Expert Forum)
 | 
ejaculation
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

ejaculation

by Duncaolo, Jun 14, 2004 12:00AM
Dear Doctor,



I do not ejaculate or have great difficulty ejaculating during intercourse.  This is not a problem during masturbation.  I am 62 years of age and am not on any medications.  



The makers of Viagra, Levitra etc claim that as a side effect their product counteracts premature ejaculation.  Is there a medicine, cream etc. that, taken orally or topically applied, has the opposite effect, that is to precipitate or hasten ejaculation?  Or a cream etc. that, topically applied, increases sensitivity of the glans.



I am interested to have your advice.



Yours sincerely,



Duncaolo

by Kevin Pho, MD, Jun 17, 2004 12:00AM
I would suggest further testing to ensure there are no anatomic abnormalities.  A urology visit can ensure that the pulses and the vasculature of the penis is intact.  A penile ultrasound can be considered to evaluate the vasculature.  I would also test the total testosterone level to ensure proper levels - which can affect ejaculation.  



Without knowing the cause of your symptoms, it is diffcult to recommend treatment.



I would suggest a urology referral to discuss the aforementioned tests.  



Followup with your personal physician is essential.



This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.



Kevin, M.D.

Medical Weblog:

kevinmd_b
Member Comments

by MaryleeCan, Jul 11, 2004 12:00AM
To: Sexual Problem
0

by shadoli, Aug 03, 2004 12:00AM
To: Sexual Problem
0
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