HomeAnswersSexologypremature ejaculationI am a 50-year-old and unable to last long in bed. Why?

What are the causes of longevity issues in bed?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At January 31, 2024
Reviewed AtFebruary 6, 2024

Patient's Query

Hello doctor,

I am 50 years old and not able to satisfy my partner and my stamina is down. I also have longevity issues in bed. Please suggest some treatment.

Answered by Dr. Raveendran S R

Hello,

Welcome to icliniq.com.

I can understand your concern about your symptoms. It can be due to

• Stress due to work or family-related, night duties – plan for regular exercise and yoga.

• Depression.

• Varicocele.

• Fear of failure - having one episode of ED (erectile dysfunction) once may make you feel you will end up with ED.

• Low self-esteem (chronic masturbation).

• Homosexuality.

• Religious constraints.

• Smoking and alcohol.

• Long-term illness – Cardiac disease, thyroid disease, kidney disease, or any other disease with long-term medication.

• Negative attitude towards your partner.

• Hormonal issue – thyroid issue, low testosterone.

• Long-term drug usage.

• Diabetes and hypertension.

You need to check the Doppler penis, USG (ultrasonography) pelvis, and scrotum, blood pressure, RBS (random blood sugar), free T3 and T4, testosterone, and TSH (thyroid stimulating hormone). Share more details regarding the above reasons so that I can suggest a diagnosis and treatment. For a temporary solution, you can use the tablet Mildfil (Tadalafil) 5 mg twice a day and the tablet Duralast (Dapoxetine) 30 mg 30 minutes before sex for 30 days. I hope this helps you.

Thank you.

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

Dr. Raveendran S R
Dr. Raveendran S R

Sexology

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