What are the effective ways to manage premature ejaculation if Sildenafil pills are ineffective?

Question

Hi doctor,

Early discharge is my problem even during intimate moments. I am also a patient with diabetes and suffer from anxiety, depression, and stress. Initially, I believed these issues were all a result of my mental state, but now I feel that I need some specialized guidance. I attempted using Cobra pills, but even these timing pills did not work for me, and I experienced some side effects, such as feeling as if someone were using a hammer in my brain. Please help.

Answer 1

Hi,

I am glad you chose icliniq for your medical-related queries.

I understand your concern.

There are many reasons for premature ejaculation:

Stressful work, such as night duties and twenty-four-hour jobs.
Conditions like diabetes, hypertension, and thyroid issues can affect premature ejaculation. Keeping your blood sugar, blood pressure, and thyroid hormones under control can be helpful.
Long-term use of medication related to hypertension and antipsychotic drugs.
Frequent masturbation or prone masturbation.
Watching excessive porn.
Insufficient foreplay from a partner or a lack of knowledge about foreplay and female masturbation.
Engaging in an affair leading to feelings of guilt.
Lack of exercise and obesity.

You should check your FBS (fasting blood sugar) or PPBS (post prandial blood sugar) to rule out diabetes, monitor your blood pressure, and check your free T3 (triiodothyronine), T4 (thyroxine), and TSH (thyroid stimulating hormone) levels to rule out thyroid issues. You can use the tablet Duralast (Dapoxetine) 30 mg as a temporary solution. Natural methods to increase foreplay duration include:

To increase the duration of foreplay during sex, women should receive 15 to 20 minutes of foreplay, while men should receive 10 to 15 minutes for optimal blood supply to the penis, ensuring long-lasting and firm erections. Foreplay should be conducted in a relaxed manner. Your partner should learn to provide foreplay in a way that allows you to enjoy the experience without premature ejaculation.
You can try using relaxing music.
Delay condoms can also be helpful.
Remember, inserting the penis into the vagina is not the only important aspect of sex. Sex is not a race; the duration does not determine your partner's satisfaction. Show love to your partner, educate yourself about female masturbation, and ensure your partner achieves orgasm or climax.

I hope you are satisfied with my answer. For further queries, you can consult me at icliniq.

Thank you.