ejaculation

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 (glands).

I am interested to have your advice.

Yours sincerely,

Duncaolo

[Kevin Pho, MD]

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

[MaryleeCan]

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[shadoli]

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