Q. What causes premature ejaculation and how can it be cured?

Answered by
Dr. Seikhoo Bishnoi
and medically reviewed by Dr. Divya Banu M
This is a premium question & answer published on Feb 10, 2020

Hello doctor,

I am married from last 8 years and I am suffering from sever premature ejaculation (sometime ED also) from beginning (mostly ejaculate in less then 1 minute), I used prosolution pills, Boostero, Climaxagen Pills. Nothing works for me only promescent sprays works for delay but it will cause erectile problem. Below are my details, also I am attaching my complete lab test including ultrasound, LFT, testerone, CBC, Cholestrol.Gender: Male

Age: 34

Height: 5 Feet 9 Inches

Weight: 78 kg

Please recommend some medicine to solve the problem permanently.

Dr. Seikhoo Bishnoi

Psychiatry Psychotherapy Sexology
#

Hello,

Welcome to icliniq.com.

I can understand your concern. I have gone through the reports you have uploaded and almost all reports are normal except low testosterone (relative to your age), low vitamin D levels and slightly altered lipid parameters (attachment removed to protect patient identity).

You are 35 and your height is around 175 cmand your weight is also in normal range. In a lot of individuals obesity is one of main reasons for low testosterone. But your BMI is normal and also your main issue is PME and not ED. PME is not related to testosterone levels and in most of individuals hyper excitation, poor experience and anxiety are main reasons for early discharge. I would advise you to start taking Vitamin D supplements (60k IU per week for at least 3 months) and this will bring the levels to normal range. For PME, drugs like Dapoxetine can be utilized. You can use the drug on SOS basis about one hour before sex and this will surely help to delay the ejaculation time. The drug is safe to use and has no serious side effects. Dose of 30 mg is normally used. You can talk with a doctor for prescription of this drug. This will help to treat your problem and in the mean time you will regain the confidence and your problem will go by own. Thanks and take care.


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