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HomeAnswersSexologyerectile dysfunctionI am approaching 40 and have performance issues in bed. Can any medication be used to treat it?

Can erection issues be treated with medications?


The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At August 28, 2023
Reviewed AtJanuary 19, 2024

Patient's Query

Hello doctor,

I am approaching 40, my height is 5 feet and 7 inches, and my weight is 171 pounds. For the last two months, I am facing performance issues in the bedroom and cannot hold onto the erection for long as I used to. I do not drink or smoke. My purpose of this consultation will be to understand if any medication can make a difference. Kindly suggest.

Answered by Dr. Raveendran S R


Welcome to icliniq.com.

I can understand your concern about your symptoms. There are many reasons for premature ejaculation. These include the following.

  1. Stressful work like night duties, and twenty-four-hour jobs.
  2. Diabetes, hypertension, and thyroid issue have an effect on premature ejaculation. keeping your blood sugar, blood pressure, and thyroid hormones under control will help you.
  3. Long-term use of medications related to hypertension and anti-psychiatric medications.
  4. Frequent masturbation or prone masturbation.
  5. Watching excess porn.
  6. Receiving less foreplay from a partner or lack of knowledge regarding foreplay and female masturbation.
  7. Having an affair gives you a guilty feeling.
  8. Lack of exercise or obesity.
  9. You need to check FBS (fasting blood sugar) and PPBS (post-prandial blood sugar) levels to rule out diabetes, check your blood pressure, and free T3, T4, and TSH (thyroid stimulating hormone) levels to rule out thyroid issues.
  10. I suggest you take a tablet of Duralast (Dapoxetine) 30 mg as a temporary solution. Consult your specialist doctor, discuss with them, and take medications with their consent.

Natural methods to treat premature ejaculation include the following.

  1. To Increase the foreplay duration during sex women should receive 15 to 20 minutes of foreplay and men should receive ten to fifteen minutes of foreplay for a good blood supply to the penis for a long and hard erection. Foreplay should be relaxed manner. Your partner should learn to give foreplay in a way you don’t ejaculate and enjoy.
  2. You can try relaxing music.
  3. Delay condoms can help you.

Inserting the penis into the vagina is not everything in sex. Sex is not a race duration and it does not mean your partner is happy. Love your partner, learn about female masturbation, and give your partner an orgasm or climax.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Raveendran S R
Dr. Raveendran S R


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