Patient's Query
Hi doctor,
I am a married 33-year-old male. I have been suffering from weakness during sex. In the last months, I had nightfall for about two times. I want to know the reason and remedy as well.
Please help.
Hi,
Welcome to icliniq.com.
Thank you for sharing your concern.
Sexual and general weakness can occur due to several underlying causes. One of the most important conditions to rule out is diabetes mellitus, as high blood sugar levels can damage nerves and blood vessels, leading to fatigue and impotence. Therefore, checking blood sugar levels is essential.
In addition, endocrine disorders such as Addison’s disease and hypogonadism (testosterone deficiency) can also contribute to these symptoms. A thorough physical examination and detailed investigations by a qualified physician are strongly recommended to identify the exact cause and guide appropriate treatment.
Diabetes mellitus is a common cause of general weakness and sexual dysfunction due to its effects on nerves, blood vessels, and energy metabolism, and poorly controlled blood sugar can gradually impair stamina and sexual performance.
Hence, blood sugar testing (fasting, postprandial, or HbA1c) is essential to confirm or rule out diabetes, while serum ACTH levels help assess adrenal function and other endocrine causes.
Addison’s disease should be considered as a differential diagnosis, as adrenal hormone deficiency can lead to chronic fatigue, muscle weakness, low libido, and sexual dysfunction, especially when associated with weight loss, low blood pressure, or skin pigmentation.
I hope this help you.
Thankyou
Patient's Query
Thank you doctor,
What are the reasons for nightfall? It seems weird and very serious.
Hi,
Welcome back to icliniq.com.
The reasons for nightfall are many, but most commonly it is seen due to weak nerves and excessive masturbation practice. Smoking, alcoholism and sedentary lifestyle are a few other causes of it. Avoiding cigarette and alcohol, regular exercise and herbal products can help prevent nightfall.
Patient's Query
Thank you doctor,
Let me tell you that I am a non-smoking and non-alcoholic person. I am married and sometimes masturbate in a different way. I never had this concern before. I feel difficult and shy to speak this in a face-to-face discussion with my physician.
Hi,
Welcome back to icliniq.com.
In your case, it can be masturbation which is indeed one of the most common causes of nightfall in men. Do not be shy as it is an ailment and you must talk to your doctor. Here, I can tell you few home remedies and natural ways to treat it. Use bitter gourd juice, honey, and yogurt and try to take garlic daily.
Regarding medical therapy, antidepressant drugs like Imipramine will decrease sex drive, but they have their adverse effects. So, my suggestion will be to try natural remedies first, and they are helpful many times.
Patient's Query
Hi doctir,
No, I meant I do not masturbate regularly. I do it only a few times when I really feel and not really willing to do with wife. It is strange but true. I cannot afford to reduce sex drive.
Hi,
Welcome back to icliniq.com.
I think you need a thorough physical examination and evaluation. I will suggest that you see some a good physician in your vicinity.
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Answered byDr. Erfana Malik
Medically reviewed byiCliniq medical review team
Same symptoms don't mean you have the same problem. Consult a doctor now!
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