How to initiate & titrate Paroxetine for patient presenting with complaints of Premature Ejaculation

44 y with history of itching and little burning only on penis, fowl smell during urination, non diabetic, sperm discharge faster during sexual participation. plz suggest the diagnosis and treatment??

Always be young if you eat 10 grams of raisins every morning, these benefits owl.opera.com Apr 29, 2018 4:59 AM The raisins may look younger even though it looks. But, there are many properties hidden in it. Often people do not eat it much because it is very hot.  But, if shallow raisins are eaten, it will surely benefit you. Because, raisins have plenty of iron, potassium, calcium, and magnesium. Apart from this, there is also a good source of raisin fiber. According to Dr. Ashutosh Garg, Diet Expert, there are many nutrients in it. Many of its diseases can be overcome from the root. Beneficial to health According to the Expert, instead of dry raisins, eating leavened raisins gives a lot of benefits. There is a high amount of carbohydrate in it. This gives the body energy. Soak 10-15 raisins in water at night and eat plenty of empty stomach in the morning. Effective in weight loss Raisins are sweet, so the amount of sugar is high in it, but it does not do harm if it consumes raisin raisins and benefits. Hardly anyone knows that eating too many raisins also helps in weight loss. Regularly eating raisins with exercise, weight decreases and rapidly decreases. What are the benefits of eating too many raisins? Wrinkles will be away: eating raisins increase your age. But, along with this, it also removes wrinkles in your skin. Always be young: Boil by adding raisins in water at night and drinking the raisins water every morning you will always be young. The high amount of fiber: The amount of fiber in raisins is very high, this strengthens our digestion power and does not have constipation problems. Beneficial for eyes: Raisins contain antioxidants. Extra-raised raisins with elements such as vitamin A and beta-carotene are very beneficial for the eyes. Do the body detox: Raisin helps to detox the body. It is a kind of do fruit, which can cause the toxin of the body to be taken out. Stronger bones: Calcium and Micro Nutrients are found in raisins. This keeps bones and joints strong. Helpful in throat infection: Raisins have antibacterial properties. Chewing it does not lead to bad odor and also provides relief from a throat infection. Cholesterol remains Control: Fiber and other nutrients are abundant in raisins which control cholesterol levels and also protect against heart diseases.

ABC OF : MALE INFERTILITY. ( I ). MAY BE USEFUL. ** Reproduction (or making a baby) is a simple and natural experience for most couples. However, for some couples it is very difficult to conceive. ** A man’s fertility generally relies on the quantity and quality of his sperm. If the number of sperm a man ejaculates is low or if the sperm are of a poor quality, it will be difficult, and sometimes impossible, for him to cause a pregnancy. ** Male infertility is diagnosed when, after testing both partners, reproductive problems have been found in the male. KNOWN CAUSES OF MALE INFERTILITY :- 1. SPERM PRODUCTION PROBLEMS : • Chromosomal or genetic causes • Undescended testes (failure of the testes to descend at birth) • Infections • Torsion (twisting of the testis in scrotum) • Varicocele (varicose veins of the testes) • Medicines and chemicals • Radiation damage • Unknown cause 2. BLOCKAGE OF SPERM TRANSPORT : • Infections • Prostate-related problems • Absence of vas deferens • Vasectomy 3. SEXUAL PROBLEMS (ERECTION and EJACULATION problems) : • Retrograde and premature ejaculation • Failure of ejaculation • Erectile dysfunction • Infrequent intercourse • Spinal cord injury • Prostate surgery • Damage to nerves • Some medicines 4. HORMONAL PROBLEMS : • Pituitary tumours • Congenital lack of LH/FSH (pituitary problem from birth) • Anabolic (androgenic) steroid abuse 5. SPERM ANTIBODIES : • Vasectomy • Injury or infection in the epididymis • Unknown cause

A 30 year old man suffering from premature ejaculation problem and erectile dysfunction problem all respected doctors please suggest ayurveda and Homeopathic remedies thank

Resp doctors Pt age -40 .can't maintain Erection during intercourse,premature ejaculation. Treatment??