Patient Story 09: Are You Newly Married and Unhappy with Your Performance? Read the Story of a Man Who Overcame Premature Ejaculation and Performance Anxiety

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Dr Pratyusha Kaipa holds an MBBS degree from Vydehi Institute of Medical Sciences and Research Centre. She has 1 year of clincal experience.
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Updated on 26 February, 2025
- Article was updated as part of our commitment to diversity, equity, and inclusion.
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Follow Prabhat’s path to improved sexual health, overcoming hurdles like premature ejaculation, performance anxiety, and foreskin tightness. Explore how expert guidance transformed his life, highlighting the significance of seeking professional help and open health discussions.
Struggle with Sexual Health
Prabhat (name changed), a 29-year-old man living in Bangalore, recently got married. However, his new journey into married life came with unexpected challenges. He noticed that he couldn’t last long during sex, which not only affected his satisfaction but also made him and his wife unhappy. This realisation was a source of concern and frustration for Prabhat, leading him to acknowledge that there was indeed a problem with his sexual health.
Before seeking help, Prabhat tried various health supplements in hopes of resolving his issues. However, none of these attempts brought the desired results. The impact of his sexual difficulties extended beyond the bedroom, affecting his overall well-being and causing him significant distress. This prompted Prabhat to search for a solution, eventually leading him to discover avenues for assistance.
Discovering Professional Help for Sexual Health
Prabhat’s journey towards better sexual health involved a pivotal moment when he noticed a sign for Allo Health during his daily commute. Intrigued by the possibility of finding a solution to his problems, he researched Allo Health on Practo, a healthcare platform, and was pleased to see positive reviews. This led him to schedule an appointment with Dr. Pratyusha in December 2023.
Dr. Pratyusha Kaipa, with an M.B.B.S. degree, is a renowned expert in sexual health, specializing in various areas like premature ejaculation, erectile dysfunction and couple sex problems among others. Her treatment philosophy centres on a patient-centric approach, emphasizing the importance of involving the patient actively in the decision-making process. Dr. Pratyusha believes that understanding and addressing the unique needs of each patient is crucial for effective treatment and better health outcomes. Her approach not only focuses on prescribing medication but also includes holistic measures, ensuring comprehensive care. This dedication to her patient’s well-being and her expertise in the field has made her a trusted figure in sexual health care.
Prabhat went to the Indiranagar Clinic of Allo Health. During his first meeting with Dr. Pratyusha, he candidly discussed his sexual concerns and foreskin issues. This openness allowed Dr. Pratyusha to grasp the depth of Prabhat’s situation.
Dr. Pratyusha’s assessment was reflected in her advice to Prabhat: “I believe you have premature ejaculation and performance anxiety. To help you, I will prescribe some medicines for premature ejaculation. You should also see a therapist for your anxiety.”
This understanding of Prabhat’s condition and personalised treatment plan marked the beginning of his journey toward improved sexual health with the guidance and support of Allo Health.
Understanding Root Cause and Diagnosis
Prabhat’s journey to better sexual health involved understanding the root cause of his issues along with contributing factors, leading to a proper diagnosis. During his discussions with healthcare professionals, Prabhat shared insights into his experiences and feelings.
Prabhat mentioned, “I realized I couldn’t last long during sex, and this made me and my wife unhappy. I also had issues with my foreskin being too tight, causing pain and swelling after sex.” These symptoms, along with his concerns, helped in identifying potential factors contributing to his condition.
Upon examination and discussions with Dr. Pratyusha, Prabhat’s diagnosis included premature ejaculation, performance anxiety, and a tight foreskin causing discomfort. This comprehensive understanding allowed for targeted treatment and management strategies to address each aspect of Prabhat’s sexual health challenges.
Detailed Treatment and Immediate Actions Taken
Upon understanding Prabhat’s condition, Dr. Pratyusha took immediate action to address his concerns. She prescribed specific medicines tailored to Prabhat’s needs, categorizing them into different buckets for effective treatment:
- Medicines for Premature Ejaculation: Dr. Pratyusha prescribed medications aimed at addressing Prabhat’s premature ejaculation, helping him improve his sexual stamina and satisfaction.
- PDE5 Inhibitors: This group of medications was recommended to enhance blood flow to the genital area, aiding in achieving and maintaining erections.
- Selective Serotonin-Reuptake Inhibitors (SSRIs): As part of the treatment plan, Dr. Pratyusha included SSRIs, a class of medications used to treat depression and other mental illnesses by increasing the amount of serotonin. This addition aimed to address any underlying anxiety or mental health issues contributing to Prabhat’s condition.
- Referral to Urologist: Recognizing Prabhat’s foreskin issue, Dr. Pratyusha referred him to a urologist for specialized care and treatment.
- Therapy Sessions: Prabhat wanted a male counsellor, so therapist Mr. Nihit Verma, was recommended by Dr. Pratyusha, who specializes in Cognitive Behavioral Therapy (CBT) for sexual performance anxiety. Nihit’s approach focuses on identifying and altering negative thought patterns, providing strategies to enhance self-confidence and reduce anxiety in intimate situations. His expertise in CBT and understanding of sexual health issues make him an ideal choice for clients like Prabhat, seeking to improve their sexual well-being through therapy.
These immediate actions and personalized treatment plans, including PDE5 inhibitors and SSRIs, played a crucial role in Prabhat’s journey toward better sexual health. As he diligently followed the prescribed medications and attended therapy sessions, Prabhat began experiencing gradual improvement and reported positive outcomes during follow-up sessions with Dr. Pratyusha.
Follow-ups and Adjustments in Treatment
Prabhat’s journey towards better sexual health involved multiple follow-up sessions with Dr. Pratyusha, where his progress was closely monitored, and necessary adjustments were made to his treatment plan.
During these follow-up sessions, Dr. Pratyusha assessed Prabhat’s response to the prescribed medicines and therapy. She noted his improvements and challenges, ensuring a comprehensive understanding of his evolving condition. Dr. Pratyusha emphasized the importance of open communication, stating, “It’s crucial to keep me updated on how you’re feeling and any changes you notice.”
Based on Prabhat’s progress reports and feedback, Dr. Pratyusha made the necessary changes to his prescription to adapt to his evolving needs. She explained, “Since you’re responding well to the current medications, we can adjust the dosage for better efficacy.” This personalized approach to treatment aimed to optimize Prabhat’s outcomes and ensure continued improvement.
Through consistent follow-ups and adjustments in his treatment plan, Prabhat experienced significant improvements in his sexual health and overall well-being. The collaborative efforts between Prabhat and Dr. Pratyusha, along with the support of Allo Health, played a crucial role in his successful journey toward better sexual health.
Prabhat’s journey to better sexual health with the support of Allo Health and Dr. Pratyusha showcases the importance of seeking professional help and discussing health concerns openly. Through a personalized treatment plan including medications, therapy sessions, and follow-ups, Prabhat experienced significant improvements in addressing issues like premature ejaculation, performance anxiety, and foreskin problems.
The collaborative efforts between Prabhat and his healthcare team led to positive outcomes, highlighting the effectiveness of tailored treatments and continuous monitoring in addressing sexual health challenges. This experience serves as a reminder of the importance of proactive healthcare management and the positive impact it can have on individuals’ well-being and quality of life.
