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Why do I have premature ejaculation, and how can I manage it?

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 a premature ejaculation problem. Sometimes, I also have lower back pain and have difficulty getting full enjoyment during sex due to early ejaculation.

Please help.

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 can understand your concern about your symptoms.

There are many reasons for premature ejaculation. Following are a few of them:

  1. Stressful work like night duties and 24-hour jobs.

  2. Diabetes, hypertension, and thyroid issues have an effect on premature ejaculation. Keeping your blood sugar, blood pressure, and thyroid hormones under control will help you.

  3. Long-term medication related to hypertension and antipsychotic medications.

  4. Frequent or prone masturbation.

  5. Excess pornography.

  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 and obesity.

I suggest you check blood pressure, FBS (fasting blood sugar) or RBS (random blood sugar), free T3, T4 testosterone, and TSH (thyroid stimulating hormone) to rule out thyroid issues. I suggest you use tablet Dapoxetine 30 mg as a temporary solution.

Natural method

  1. To increase the foreplay duration during sex, women should receive 15 to 20 minutes of foreplay, and men should receive 10 to 15 minutes of foreplay for a good blood supply to the penis for a long and hard erection.

  2. Foreplay should be relaxed. Your partner should learn to give foreplay in a way you do not ejaculate and enjoy.

  3. You can try relaxing music. Delayed condoms can help you.

  4. Inserting the penis into the vagina is not everything in sex. Sex is not a race, and duration does not mean your partner is happy.

  5. Love your partner, learn about female masturbation, and give your partner an orgasm or allow her to climax.

I hope this helps you.

Revert in case of queries.

Regards.

Medically reviewed by iCliniq medical review team
Published At June 27, 2024
Reviewed At March 24, 2025

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!

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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