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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.

If any of the partners is not satisfied we can assume that there is a problem. Inability to control the ejaculation may be due to several reasons. Sometimes this may be a habit. In some other cases such problems may be due to infection, inflammation, hypersensitivity, 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.No time frame can be given.

Erectile dysfunction is treatable. Treatment varies from sex therapy, medicines or surgery. It can be planned only after appropriate investigations and physical examination. Without  this we are unable to give an opinion.

It is risky to take any medicine for premature ejaculation without the advise of a Andrologist/Urologist.Viagra is available in our hospital and should be taken under medical supervision only.

Your question needs more clarity. Please explain what is your actual query.

It appears that your husband is having Varicocele

Varicocele causes progressive and duration dependent damage to the testis. As a result sperm motility will be reduced first followed by count. Over the years testis become atrophied and the production of male hormone (testosterone) will reduce. It will cause loss of sexual desire and erection. In other words you may develop an early andropause.

The most common complications of conventional varicocele operations are hydrocele, varicocele recurrence, and injury to testicular artery, spermatic cords etc. This may the reason why your Gynecologist advised against the surgery and advised for ICSI. A person having varicocele should undergo microsurgical varicocelectomy before going for IUI, IVF or ICSI to improve the sperm quality. It will reduce or nullify the adverse effect of ROS (reactive oxygen species) on the sperms. Presence of varicocele will reduce the percentage of success when going for artificial reproduction techniques.

In microsurgery the use of the operating microscope allows for reliable identification of spermatic cord, lymphatics, internal spermatic veins and venous collaterals, and the testicular artery or other arteries. So that chances for these complications are almost reduced to less than 1 percent. Repair of varicocele results in greater improvement in sperm motility and count.

Microsurgical varicocelectomy provides a safe and effective approach to varicocele repair with preservation of testicular function, improvements in semen quality, and improvements in pregnancy rates. So in your case the best solution is bilateral microsurgical varicocelectomy.

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.The problem will be solved if you undergo the surgery.

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.

Erectile dysfunction is treatable. Treatment varies from sex therapy, medicines or surgery. It can be planned only after appropriate investigations and physical examination. Without  this we are unable to give an opinion.

Usually the curvature of penis occurs due to the development of plaques inside the penis. It will lead to curvature and pain during erections. You may be able to feel a hard area on the penis at the site of the curvature or on the opposite side. This condition is known as Peyronie's disease. If it is at the early stage it can be treated with medicines. Otherwise you may need a surgery to remove the plaques. It all depends on the extent and severity of the disease. In our hospital we do scanning and other relevant investigations before planning any treatment. Depending on the results we plan the treatment. In certain cases if the plaque is large and situated in the corpus cavernosa or corpus spongiosum there is a risk of losing erectile ability as a complication of the surgery. One can predict any such risk after appropriate evaluation. Before planning any surgery this has to be considered and sufficient precaution should be taken to solve if any such emergency occurs. You can consult an andrologist for this treatment.

Usually night emission is not considered as a disease. When a boy reaches the adolescent age night emission begins as a sign of maturity.  It indicates that he has achieved reproductive ability. The frequency is more till the age of 25 to 30 yrs, after that frequency decreases. If the person engages in regular masturbation or sexual contacts night emission may not occur very frequently. If there is any pain, burning sensation or discomfort after ejaculation there may be a chance for infection or inflammation of prostate gland or seminal vesicles. In such condition treatment is required.