Recently Answered Questions
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I did not get an erection despite taking medication. Please help.
Query: Hello doctor, My girlfriend and I have sex about once a month, and we usually use Tadalafil 20 and Propranolol. This has been successful for us in the past. But, during this time, I took Tadalafil 20 and Propranolol 40 minutes before sex, but it did not work. I experienced an incomplete erection for... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concerns about your symptoms. Based on your complaints, you may be experiencing erectile dysfunction (ED). Potential reasons for erectile dysfunction include: Stress from work, family, or night duties - Regular exercise and yoga can help reduce ... Read Full »
I suffer from premature ejaculation. Please suggest.
Query: Hi doctor, I am a 28 year old unmarried male, who is suffering from premature ejaculation and erectile dysfunction. I do not get a hard erection during masturbation. And I ejaculate in less than 50 seconds. I once tried having sex, but I ejaculated during the foreplay itself, so I did not penetrat... Read Full »
Answer: Hi, Welcome to icliniq.com. Premature ejaculation is very common and is usually not associated with any disease, but it may be due to anxiety. Sometimes, there may be a problem with the prostate gland and thyroid hormone. Most often it is a chronic problem and you have to take medicines. Also, the... Read Full »
What are the treatments of benign prostatic hyperplasia?
Query: Hello doctor, I have attached a PDF containing the details of my recent visit with my urologist. I am trying to understand everything that he said for me to do. I think I understand all of it except this: What is he saying about one to nine? They seem to be related to what I am supposed to do. 1. Ta... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. I went through the PDF (attachments removed to protect the patient's identity), your questions, and the urologist's notes. For BPH (benign prostatic hyperplasia) with an overactive bladder, medications are offered and if they fail, endoscopic... Read Full »
I recently took the tablet Tadalafil. Will it affect my surgery?
Query: Dear doctor, I am undergoing a spinal anesthesia on the 11th for an inguinal hernia condition that I have. However, during a party with friends, I accidentally took a 5 mg Cialis tablet. I have heard that this may create complications in anesthesia. I am really tensed whether to go ahead with the su... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query regarding the spinal anesthesia. The Cialis tablet should not have any effect for the procedure on the 11th. Usually the drug effect lasts for only for 36 to 40 hours. Even spinal anaesthesia guidelines is for stoppage of such drugs for 24 hours pri... Read Full »
Query: Hi doctor,I have been taking 5 mg of Tadalafil daily for six months to help with urine flow due to enlarged prostate and erectile dysfunction. I have had excellent results until recently. Five days ago, I underwent a wisdom tooth extraction under general anesthesia. Since then, the Tadalafil has com... Read Full »
Dr. Kiran Kumar Kolla Gopalkrishna
Answer: Hi, Welcome to icliniq.com. I understand your concern. I understand you have undergone general anesthesia five days prior. You have restarted Tadalafil, and then there is no action. Please specify what symptoms are not being controlled. Is urine control not adequate? Tadalafil has little effect o... Read Full »
Are sexual dysfunction and lack of sensation in penis signs of neuropathy?
Query: Hello doctor, I have been experiencing sexual dysfunction for the past 2.5 years, and I believe it is neurogenic in origin. This is because not only do I lack sensation, and am not responsive to touch in my penis when getting it erect. I cannot feel heat or cold temperatures on the glans of my peni... Read Full »
Answer: Hello, Welcome to icliniq.com. Any psychological diagnosis needs evaluation for other causes and ruling out functional causes. So my recommendations would do a few investigations first : 1. Serum testosterone levels. 2. Thyroid profile. 3. Serum vitamin B12 assay. 4. MRI LS (magnetic resonance... Read Full »
I am not getting erection as before with premature ejaculation. Why?
Query: Hello doctor, I am a 34-year-old male in good general health. Until 20 years of age, I never experienced any issue with erections or sexual health. When I turned 20, I had an episode with my girlfriend where over two consecutive nights, we had no sex, but rather very prolonged foreplay. Due to the p... Read Full »
Answer: Hi, Welcome to icliniq.com. From the events you described, you had normal erection and ejaculation but over the years it has reduced. You have difficulty in maintaining erection and premature ejaculation. Have you recently changed the partner or stress in relationship? How much time do you take bef... Read Full »
Can I make my wife pregnant with my penis size?
Query: Hi doctor, Please help me get rid of the following issues. I got married before two months. I have 2.5 inch flaccid penis and when erected it is around 5 inches. Is this normal? Can I make my wife pregnant? While masturbating, I am able to erect up to 5 inches and also produce sperm. But during in... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read your problem. Penis size is not an issue. Because of penis size, your wife will not get any problem with pregnancy. So be relaxed. Your problem is delayed ejaculation, probably due to your anxiety. So I am prescribing you some medications for erectile dysfun... Read Full »
Why do PE occur inspite of enough foreplay?
Query: Hello doctor, I think I have a problem with premature ejaculation for the past five to six months because of stress. It lasts for only three to four minutes after almost 15 minutes of foreplay. What is an ayurvedic medicine you can suggest for immediate results? Will it cause any side effects? Al... Read Full »
Answer: Hi, Welcome to icliniq.com. For immediate result, PDE5 (phosphodiesterase type 5) inhibitor is the only option, but it has its own side effects. Kindly share more details so we can find the cause of your issue. There are many reasons for premature ejaculation. 1. Stressful work, night duties, 24... Read Full »
I do not have a stiff erection for the last one year. Please help.
Query: Hello doctor, There is no stiff erection for the last one year or so. What should I do? Read Full »
Answer: Hello, Welcome to icliniq.com. For providing you the proper suggestions, I need to know the answers to the following questions: What is your age? How long have you been in a physical relationship? Any sexual encounter with a commercial sex worker? Any history of diabetes and hypertension? Is the con... Read Full »