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 6-12 months and use OTC 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 SM profile, Duralast 30, LOX 2% 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.
Hello,  Welcome to icliniq.com. I do not get what SM 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.