I need to get a medical fitness certificate for my driving license application, and I'm supposed to submit it at the RTO in Pune on the day of my appointment. Could you tell me how I should go about getting this certificate? Do I need to visit a specific clinic or doctor in Pune? Also, are there certain tests or checks that I should expect during this process? Just want to make sure I have everything ready and don't run into any surprises.

Dr Chandra P

General Practitioner

• MBBS
• 5+ Yrs

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Concerns with Masturbation, Erection, and Premature Ejaculation

Symptoms

1. Erection issues: Difficulty achieving or maintaining an erection for 4.5 years.
2. Penile weakness: Feeling of weakness in the penis.
3. Premature ejaculation: Early discharge during masturbation or intimacy.

Possible Causes

1. Over-masturbation: Frequent masturbation can lead to desensitization, affecting erection and ejaculation.
2. Performance anxiety: Stress and anxiety about sexual performance can contribute to premature ejaculation and erection issues.
3. Physical or psychological factors: Underlying medical conditions, such as hormonal imbalances, or psychological factors, like depression or stress, may be contributing to these symptoms.

Recommendations

1. Consult a doctor: Schedule an appointment with a urologist or a sexologist to discuss your symptoms and rule out any underlying medical conditions.
2. Reduce masturbation frequency: Try to limit masturbation to once or twice a week to help your body recover and regain sensitivity.
3. Practice relaxation techniques: Engage in stress-reducing activities, such as meditation, deep breathing, or yoga, to help manage performance anxiety.
4. Consider pelvic floor exercises: Kegel exercises can help strengthen the muscles involved in ejaculation and erection.
5. Counseling or therapy: If your doctor suspects an underlying psychological cause, consider seeking counseling or therapy to address these issues.

Answered 04/07/2025