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What could be done to resolve premature ejaculation?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am struggling with premature ejaculation. I think it is the mental side of it, as I am getting too excited. I am a 24-year-old male. Please help.

Thank you.

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,

I appreciate you signing up on icliniq.com.

You now have exclusive access to expert medical opinion.

I can understand your concern about your symptoms. There are many reasons for premature ejaculation (a male sexual dysfunction that occurs when a male expels semen soon after beginning sexual activity). These include:

1. Stressful work like night duties, twenty-four-hour jobs, etc.

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. On long-term medication related to hypertension and antipsychotic medications.

4. Frequent masturbation or prone masturbation.

5. Excess porn.

6 Receiving less foreplay from a partner, or lack of knowledge regarding foreplay and female masturbation.

7. Having an affair, which gives you a guilty feeling.

8. Lack of exercise, or obesity.

I suggest checking FBS (fasting blood sugar) or PPBS (post-prandial blood sugar) to rule out diabetes, and checking your BP(blood pressure), free T3, T4, and TSH (thyroid stimulating hormone) to rule out thyroid issues. You can use the tablet Duralast (Dapoxetine) 30 mg as a temporary solution. Consult your doctor and take the medicine accordingly.

Natural methods include:

1. Increase the foreplay duration during sex. Women should receive 15 to 20 minutes of foreplay, and men should receive ten to fifteen minutes of foreplay for a good blood supply to the penis, for a long and hard erection. Foreplay should be in a relaxed manner. Your partner should learn to give foreplay in a way you do not ejaculate and enjoy.

2. You can try relaxing music.

3. Delayed condoms can help you.

Inserting the penis into the vagina is not everything in sex. Sex is not a race; duration does not mean your partner is happy. Love your partner, learn about female masturbation, and give your partner an orgasm or climax.

I hope this information helps provide some insight into your symptoms.

Please do not hesitate to reach out if you have any further questions or concerns.

Thank you.

Medically reviewed by iCliniq medical review team
Published At July 6, 2024
Reviewed At July 6, 2024

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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