Im 32 and have been experiencing issues with ejaculation during sex. On top of that, I can't seem to maintain an erection. Can you help me understand what's happening and what I should do?
Mouth Ulcer Treatment_
1. _Assessing current treatment_: You've tried various treatments, including Smily cream, Kenacort gel, B-complex capsules, Pantop 40, B-Biotic capsules, and Zytee gel.
2. _Pain management_: For pain relief, your healthcare professional might recommend topical anesthetics like lidocaine or benzocaine.
3. _Promoting healing_: To promote healing, your healthcare professional might suggest:
- Topical antibiotics to prevent infection
- Anti-inflammatory medications to reduce swelling
- Mouthwashes or gels containing ingredients like chlorhexidine, hydrogen peroxide, or aloe vera
4. _Digestive issues_: For stomach discomfort and digestion problems, consider:
- Antacids or acid reducers to alleviate heartburn and acid reflux
- Probiotics to support gut health
- Dietary changes, such as avoiding spicy or acidic foods
_Considerations and Next Steps_
1. _Consult a specialist_: Schedule an appointment with a dentist or an oral medicine specialist to evaluate the mouth ulcer and provide personalized guidance.
2. _Biopsy or further testing_: If the ulcer persists or is severe, your healthcare professional might recommend a biopsy or further testing to rule out underlying conditions.
3. _Adjust treatment plan_: Based on the specialist's evaluation, adjust your treatment plan to better manage symptoms and promote healing.