Chronic diabetes mellitus is one of the most common causes of erectile dysfunction. 21 years is a pretty long period. It is quite possible that some diabetogenic changes might have occurred in the corpus cavernosum inside the penis which can lead to an erectile problem. It has to be evaluated first and the treatment should be planned based upon the findings. In certain cases medicines may be effective. In such instances it can be treated with a combination of medication. In other cases where medicines are not effective surgery is the only answer and it the best as well as a life long remedy. In your case it can be planned only after the evaluation.

There are different causes for premature ejaculation. This may be due to infection, inflammation, hypersensitivity, habituation or any other factors. First the etiology should be identified. Treatment may vary from medication to sex therapy or a combination of both based on the etiological factors. To decide the treatment you need to undergo a clinical evaluation including physical examination and investigations. With out that it cannot be treated. Definitely there is a cure for this problem. So please consult a doctor practicing modern medicine. So please consult a doctor practicing modern medicine. If not satisfied please consult our hospital.

All sexual problems are treatable. Problems may be due to various reasons and has to be identified before planning the treatment.  Treatment may vary from sex therapy, medicines or surgery. It can be planned only after appropriate investigations and physical examination.  For further details you may contact to 0484 - 2555301 or 0484 - 2555304 between 9.00am and 5.00pm from Monday to Saturday.

Sorry, we don’t provide any telephonic or E mail consultations. As this is a hospital practising modern medicine we don’t give any treatment without appropriate physical examination, investigations and final diagnosis. If you are interested you  may come for a consultation.

It appears from your description that you have azoospermia a condition with complete absence of sperm in the semen.  It can be due to various reasons. One of the common causes is an obstructive azoospermia which means an obstruction in the reproductive tract or passage of sperms. Matured sperms are collected in the epididymis and carried through the vas deference to the ejaculatory duct. Any obstruction in this path can cause azoospermia. In a few men vas deference is absent by birth. This is another cause of obstructive azoospermia. Absence of spermatogenesis (Spermatogenesis is the process that creates sperm from initially undifferentiated germ cells) or maturation arrest is another cause.  Maturation arrest is the cessation of the development of spermatogonia to sperm cell.

It is better to test your semen in another laboratory with 3-5 days abstinence. If the result is the same you have to undergo complete evaluation to find out the cause. Evaluation includes physical examination, semen analysis and sonological evaluation. Only after detecting the actual cause, an opinion about treatment can be given. We have all the facilities to evaluate such conditions.

From your description it appears that you may have a tight frenulum. Without examination an opinion cannot be given. Please consult doctors who can advice whether you require a circumcision or frenuloplasty.It can be done under general/local anesthesia depending upon the case as an outpatient.

It appears that you are suffering from premature ejaculation. This may be due to various causes such as infection, inflammation, hypersensitivity, habituation or any other factors. First we have to find out the cause. Treatment may vary from medication to sex therapy or a combination of both based on the causes. To plan the treatment you need to undergo a clinical evaluation including physical examination and investigations. Based on the results it can be successfully treated.

Sorry, we don’t provide any telephonic or E mail consultations. As this is a hospital practising modern medicine we don’t give any treatment without appropriate physical examination, investigations and final diagnosis. If you are interested you  may come for a consultation.

We do treatment for trans-gender cases. For further details you may contact to 0484 - 2555301 or 0484 - 2555304 between 9.30am and 5.00pm from Monday to Saturday.

Treatment is available in our hospital.For further details you may contact to 0484 - 2555301 or 0484 - 2555304 between 9.30am and 5.00pm from Monday to Saturday.