Can you provide guidance for my seven-year struggle with premature ejaculation?

Hello,

Welcome to icliniq.com.

I understand your concerns regarding your symptoms.

Premature ejaculation can have various underlying causes, including:

1. Stressful work schedules, such as night duties or long working hours.
2. Medical conditions like diabetes, hypertension, and thyroid issues, which can affect ejaculation.
3. Long-term use of medications, particularly those for hypertension and psychiatric conditions.
4. Habits like frequent or prone masturbation.
5. Excessive consumption of pornography.
6. Lack of sufficient foreplay from your partner or a lack of knowledge about foreplay and female masturbation.
7. Guilt associated with infidelity.
8. Lack of exercise and obesity.

To address your concerns, I would suggest you check your fasting and postprandial blood sugar levels (FBS/PPBS) to rule out diabetes, monitor your blood pressure, and assess your thyroid function by checking Free T3, T4, and TSH levels.

In the short term, you can consider using the tablet Duralast (Dapoxetine) 30mg as a temporary solution. For a more natural approach, focus on increasing foreplay duration during sex. Women should receive 15 to 20 minutes of foreplay, while men should have 10 to 15 minutes of foreplay to ensure a good blood supply to the penis for a longer and harder erection. Foreplay should be relaxed and enjoyable. Relaxing music can also enhance the experience. Delayed condoms may assist in prolonging ejaculation.

Remember, sex is not a race, and the duration is not the only indicator of your partner's satisfaction. It is important to love and connect with your partner, understand female masturbation, and prioritize your partner's orgasm and climax for a fulfilling sexual experience.

Thank you.