How can I overcome premature ejaculation and regain confidence?

Question

Hello doctor,

I have been suffering from premature ejaculation and erectile dysfunction at the same time. Whenever I start, I ejaculate within 10 seconds. In the second round, my erection is not as strong as before ejaculation. This constantly causes performance pressure in my mind and disappoints my partner. I kindly ask for an analysis of my situation.

Please guide.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

From your description, it sounds like these two problems may be related. The fear of not being able to satisfy their partner often causes men who ejaculate prematurely to lose confidence, and this can make it difficult to get an erection the next time.

A less firm erection on the second attempt does not mean there is a medical problem; in fact, it is normal for many men to experience a refractory period after ejaculation. But if you have a lot of performance anxiety, this stage can be more pronounced.

You may be helped by behavioural techniques, lots of foreplay, stress reduction, and sometimes medication. For the time being, Duralast (Dapoxetine) 30 mg, about an hour before sex, may be an option, after consulting your doctor.

It would be helpful to know if you have normal morning erections and if your erection during the first attempt is hard enough for penetration before ejaculation occurs. Have you experienced any weakness in your erection before ejaculation?

I hope you find this information helpful. If you have any further questions, feel free to reach out.

Thank you.