Q: I am a 20 years old male suffering from premature ejaculation. I ejaculate in about 20-30 seconds after penetration, which is quite annoying for me as well as my partner. A friend of mine asked me to use Viagra (100 mg). I swallowed the tablet with a Revital capsule 30-40 minutes before starting intercourse. This didn’t help me at all. How do I treat my problem?

A:You have got three problems:

1. Premature ejaculation
2. Erectile dysfunction
3. Penile dysmorphophobia

For your premature ejaculation, you will need prescription medication from your andrologist. The new drugs are very effective in many cases. For the erectile dysfunction, you have already been prescribed erectogenic drugs (e.g. Viagra). These drugs work in 70 to 75% of cases. In younger patients without organic disease, the efficacy rates are even higher. However, it is important to understand that these drugs will not induce erections by themselves. They will only potentiate (enhance) an erection that the man has already obtained by himself with his own/partner stimulation. You are probably swallowing a pill and expecting to see an erection first before you start love-making. This will not happen.