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How to overcome premature ejaculation?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have early discharge issues. I ejaculate within a little time. There is no reaction when trying again after some time.

Please guide.

Answered by Dr. Raveendran S R

Education:

MBBS

Professional Bio:

Dr. Raveendran S R is a dedicated diabetes specialist and sexual medicine expert committed to providing evidence-based, confidential, and patient-centered care. With strong clinical and academic experience, he specializes in managing diabetes, erectile dysfunction, male infertility, performance concerns, and other men’s health conditions through structured and scientifically guided treatment approaches. Dr. Raveendran focuses on accurate diagnosis, personalized treatment plans, and long-term health improvement while ensuring patient comfort and privacy. Known for his compassionate and professional approach, he believes in clear communication and helping patients make informed decisions to improve their overall health, confidence, and quality of life.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I read your query and understand your concerns.

I understand your concerns about your symptoms. Here are some common reasons for premature ejaculation:

  1. Stress from demanding jobs, such as night shifts or 24-hour roles.

  2. Medical conditions like diabetes, hypertension, and thyroid issues can affect premature ejaculation. Keeping your blood sugar, blood pressure, and thyroid hormone levels under control can help.

  3. Long-term use of medications related to hypertension and psychiatric conditions may contribute to the issue.

  4. Frequent or compulsive masturbation.

  5. Excessive consumption of pornography.

  6. Insufficient foreplay from a partner, or a lack of knowledge about foreplay and female masturbation.

  7. Feelings of guilt, especially if you are involved in an affair.

  8. Lack of exercise and obesity.

To address these concerns, it is advisable to check your fasting blood sugar (FBS) and postprandial blood sugar (PPBS) to rule out diabetes, monitor your blood pressure, and test your free T3 (triiodothyronine), T4 (tetraiodothyroxine), and TSH (thyroid-stimulating hormone) levels for thyroid function. As a temporary solution, consider using Duralast (Dapoxetine Hydrochloride) 30 mg.

For a more natural approach, I suggest the following tips:

  1. To enhance foreplay, women should ideally receive 15 to 20 minutes, while men should enjoy 10 to 15 minutes of foreplay, as this helps ensure good blood flow to the penis for a long-lasting erection.

  2. Foreplay should be a relaxed experience.

  3. It is important for your partner to learn how to provide foreplay in a way that minimizes the risk of premature ejaculation, allowing both partners to enjoy the experience.

  4. You might also try listening to relaxing music during intimacy, and using delayed condoms can be helpful as well.

Remember, sexual intimacy is not solely about penetration; it is not a race. The duration of sex does not necessarily equate to your partner's satisfaction.

Focus on loving your partner, learning about female masturbation, and ensuring your partner experiences orgasm.

I hope this explanation clarifies the situation.

If you have any questions or require further assistance at any time, please do not hesitate to contact us. We are here to help.

Thank you.

Medically reviewed by iCliniq medical review team
Published At February 12, 2026
Reviewed At February 13, 2026

Education:

MBBS

Professional Bio:

Dr. Raveendran S R is a dedicated diabetes specialist and sexual medicine expert committed to providing evidence-based, confidential, and patient-centered care. With strong clinical and academic experience, he specializes in managing diabetes, erectile dysfunction, male infertility, performance concerns, and other men’s health conditions through structured and scientifically guided treatment approaches. Dr. Raveendran focuses on accurate diagnosis, personalized treatment plans, and long-term health improvement while ensuring patient comfort and privacy. Known for his compassionate and professional approach, he believes in clear communication and helping patients make informed decisions to improve their overall health, confidence, and quality of life.

This doctor is not available for online consultations on the platform anymore.

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

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Premature Ejaculation Factors Decision Helper

Concerned about premature ejaculation?

Answer a few questions to understand potential factors that may be contributing to premature ejaculation and when it might be beneficial to talk to a doctor.

  • Understand common factors that can contribute to premature ejaculation.
  • Identify potential underlying medical or lifestyle influences.
  • Determine when it's appropriate to seek professional medical advice.

This tool provides educational information only and does not diagnose, treat, or replace professional medical advice. Consult a qualified healthcare professional for personalized medical guidance.

Education:

MBBS

Professional Bio:

Dr. Raveendran S R is a dedicated diabetes specialist and sexual medicine expert committed to providing evidence-based, confidential, and patient-centered care. With strong clinical and academic experience, he specializes in managing diabetes, erectile dysfunction, male infertility, performance concerns, and other men’s health conditions through structured and scientifically guided treatment approaches. Dr. Raveendran focuses on accurate diagnosis, personalized treatment plans, and long-term health improvement while ensuring patient comfort and privacy. Known for his compassionate and professional approach, he believes in clear communication and helping patients make informed decisions to improve their overall health, confidence, and quality of life.

This doctor is not available for online consultations on the platform anymore.

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