instruction: hello doctor I am a 34 year old male I do not have any diseases or ailments I am married for 10 years with two children my wife is 34 years old with no diseases I am suffering from pe for the past 12 months and use ot desensitizing lidocaine spray which has wonderfully worked until now I never had erection issues and the intercourse totally satisfied me and my partner but now I am losing erection when sprayed we are a healthy loving couple with zero habits no smoke alcohol I saw a sexologist who advised so profile duralast 30 lox jelly I want to hold on for a month before getting the complete hormonal and semen tests is this pointing towards andropause do you suggest I get the tests done please advise
output: hello welcome to icliniq com I do not get what so profile is in most cases it is not hormonal so I would never suggest my patients to go for it for providing you the proper treatment I need to know the answers to the following questions what is your age how long you had been in physical relationship any sexual encounter with commercial sex workers any history of diabetes and hypertension is the condition persistent or deteriorating with time is the condition remain constant with other sexual partners if any smoking alcoholic hyperlipidemia on any medications or hormonal therapy any marked curvature in the penis any history of trauma surgery or neurological disorder do you have any of these following features persistent low mood loss of interest in work low energy lack of concentration disturbed sleep ideas of hopelessness helpless guilt or suicide change in appetite headache forgetfulness excessive sweating or shakiness of hands I look forward to hearing from you soon in order to find out the proper cause and thus to provide a proper treatment