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