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Session Details
Guest Name Dr. Taha  Abd El-Naser
Profession Andrologist
Subject Live Clinic: Erectile Dysfunction
Date Sunday,Oct 19 ,2008
Time Makkah
From
... 04:00...To... 14:00
GMT
From
... 01:00...To...11:00
 
Name
nafeesa    - Angola
Profession housewife
Question Assalam Alaikum,
My husband has a problem that I think you could advise.

He just ejaculates too quickly and does not get another erection till the following day. What can be done to for him to get multiple erections in a day? What role can I play as a wife to help the situation? I really sympathise with him as he feels embarassed for his inability to fully satisfy me?

Salaams
Answer The problem of premature ejaculation is common among males, and if chronic prostatitis and neurological disease as DS is excluded, it can be treated with Serotonin inhibiting drugs, and some coital techniques as the stop start technique or the squeeze technique. About your role, it is very important to help support and co operate in behavioral techniques, also, he can receive PDE5 inhibitors as Viagra or others to prolong his erection, however, clinical assessment by a specialized physician is important to provide the plan for treatment.
 
Name
hussein    - 
Profession
Question Is Gliclazide and Metformin tablets the cause for erectile dysfunction in poeple suffering from diabetes?
Answer Erectile dysfunction associated with diabetes is multi-factorial, it may be vascular, neurogenic, endocrinal, endothelial dysfunction, psychogenic or due to corporeal fibrosis, but not due to anti-diabetic drugs. The problem should be assessed by the physician if present.
 
Name
Ahmed    - 
Profession
Question I know that ED has many reasons, but I'm interested to know if pollution is one of them. And how?
Answer Pollution is not a direct cause of ED, but may be an indirect one through its effect on general health. Smoking and alcohol abuse have a direct detrimental effect on sexual health.
 
Name
Ramd Abdul    - Tanzania
Profession HR Specialist
Question Just what to know what time is considered normal for a man to be in conjugal relations before ejacuation. How can it be prolonged because at times after discharge I could see that my wife really "wants" me more? Please advise as I don't want to be upsetting her.
Secondly, is there any adverse effect of the use of the delay creams and sprays on the market? Which brands are the best? Is the licking of the vagina healthy and what are the risks and how can they be prevented?

Ma'asalam.
Answer The normal intra-vaginal ejaculation latency time has been estimated to be 2 minutes, if the woman does not reach climax by that time, she should be evaluated.

If the male comes earlier than this, many medications and behavioral techniques could be advised by the physician. As regards to market available creams and sprays, it acts by decreasing the sensation of the genital skin, and should be used in the correct manner so as not to affect the wife.

Regarding your question concerning oral sex, it may transmit some infections to the wife due to oral pathogens, or to the male due to some vaginal organisms.
 
Name
Fadlullah    - 
Profession
Question I've heard that obesity can lead to ED, is this true? And if yes, is it a direct cause, or indirect through feeling tired?
Answer Yes, obesity can cause ED due to multiple factors such as depression, endocrinal disturbances or vascular due to the development of hypertension and Diabetes mellitus as well as mechanical factors.
 
Name
G    - 
Profession
Question I just want to know is ED genetic, or something that run in families or not.
Answer ED is an acquired disease due to many organic and psychological factors. Congenital diseases causing ED are rare. But it is not a genetic or familial disease.
 
Name
zainab    - 
Profession teacher
Question Assalam Alaykum,
My brother has been on drugs for more than 10 years and now. He used to take marijuana but now has become more serious as he is on cocaine.

Five years ago he fell seriously ill and after recovery he stayed away from the drugs for about a year and went back to the stuff.

Incidentally, 2 years ago too he had tetanus and was hospitalised for six weeks. When he returned home he stopped everything and his Islam became perfect. He was even the caretaker of our cmmunity mosque and called the Azan for prayers.

Things have again turned bad drastically as he has gone back to the stuff and does things that he was not doing - stealing neighbours goats, fowls, clothings and other possessions.

I am really disturbed and embarassed by his life style. I even fear more for our mother who is diabetic and hypertensive. He is just drugging the family's name in the mud.

How can this drug behavoiur be stopped? Are there drugs on the market for curing it no matter how expensive it is?

Ma'asalam
Answer This problem with your brother needs special treatment and rehabilitation in specific addiction treatment centers.
 
Name
Hamdy    - 
Profession
Question What factors are likely to cause erectile dysfunction?
Answer Many factors can cause ED,these include vascular, endocrinal, neurogenic, psychological and interpersonal causes, as well as smoking and drug abuse of recreational drugs and alcohol. Other causes may include systemic diseases and several drugs such as antipsychotics and antihypertensive drugs.
 
Name
Abdul    - 
Profession
Question What are the causes of Erectile Dysfunction?
Answer This question has been answered before
 
Name
NN    - 
Profession
Question Thanks for this session. I'm just curious about Viagra. I want to understand its mechanism, and how it treat Erectile Dysfunction. Thank you.
Answer This question has been answered
 
Name
Kaarim    - 
Profession
Question Everyday, we see a lot of advertisments about creams that will solve the erectile dysfunction problem, what could be the mode of action of such creams? And what possible ED causes that can be overcome by only creams?
Answer Only, nitroglycerin creams have been tried but with a very limited success rate. There are no other effective creams to treat ED.
 
Name
Mosa    - 
Profession
Question How do I know I have erectile dysfunction?
Answer Erectile dysfunction is the inability to obtain and or maintain an adequate erection to initiate and complete sexual intercourse, in the presence of adequate sexual stimulation.
 
Name
Maria    - 
Profession
Question How can a man know he has got Erectile Dysfunction before marriage?
Answer It is difficult to develop ED and then personally diagnose it, as it is usually an anxiety symptom due to external stress, so if a man feels a change in his erectile power, he should consult a specialized physician.
 
Name
Editor    - 
Profession
Question How Successful Are Medications Such as Viagra at Treating ED in Diabetics?
Answer Viagra is the first specific drug to treat ED of vascular or neurogenic cause. In diabetics it is a very successful drug provided that endothelial function is intact, and vascular affection is mild to moderate. If it is not effective then local injections or surgical intervention is the treatment.
 
Name
George    - 
Profession
Question Are there any herbs or alternative therapies to the ED problem?
Answer Herbal medicine is a non-specific therapy that may work in psychogenic cases, but it is advised as an approved treatment.
 

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