I am having premature ejaculation as I used to smoke weed for about four years. Kindly help me.

Hi,

Welcome to icliniq.com.

I can understand your concern about your symptoms. You might have erectile dysfunction (ED).

It can be due to the following reasons:

1) Depression.

2) Varicocele.

3) Fear of failure. Having one episode of ED once may make you feel you will end up with ED.

4) Low self-esteem (chronic masturbation).

5) Homosexuality.

6) Religious constraints.

7) Smoking and alcohol.

8) Long-term illness like cardiac disease, thyroid disease, kidney disease, or any other disease with long-term medication.

9) Negative attitude towards your partner.

10) Hormonal issues like a thyroid issue, low testosterone, etc.

11) Long-term drug usage.

12) Diabetes and hypertension.

You need to check the doppler penis, USG (ultrasonography) of pelvis and scrotum, blood pressure, RBS (random blood sugar), free T3 and T4, testosterone, and TSH (thyroid-stimulating hormone). Please share more details regarding the above reasons. We can work on diagnosis and treatment.

For a temporary solution, I suggest using tablet Mildfil (Tadalafil) 5 mg twice a day and tablet Duralast 30 mg (Dapoxetine) 30 minutes before intercourse. This premature ejaculation prescription will be significantly helpful for you since Dapoxetine improves the time it takes for ejaculation and the overall ejaculation control.

I hope this was helpful.