What is the appropriate treatment for premature ejaculation when Dapoxetine is ineffective?

Hello,

Welcome to icliniq.com.

I read your query and understood your concern. Firstly, I would like to inform you that there are several reasons for premature ejaculation, including:

1. Stressful work situations such as night duties and twenty-four-hour jobs.
2. Health conditions like diabetes, hypertension, and thyroid issues can contribute to premature ejaculation. Managing blood sugar, blood pressure, and thyroid hormones can help.
3. Long-term use of medications related to hypertension and psychiatric issues.
4. Frequent or prone masturbation.
5. Excessive porn consumption.
6. Insufficient foreplay from a partner or lack of knowledge about foreplay and female masturbation.
7. Guilty feelings due to having an affair.
8. Lack of exercise and obesity.

I suggest you undergo tests such as FBS (fasting blood sugar) or PPBS (post-prandial blood sugar) to rule out diabetes, check your blood pressure, and assess Free T3 (triiodothyronine), T4 (thyroxine), TSH (thyroid stimulating hormone) levels to rule out thyroid problems. As a temporary solution, I suggest you use Dapoxetine hydrochloride 30 mg tablets. I also suggest you follow the below-mentioned instructions as natural methods to address premature ejaculation:

1. Increase foreplay duration during sex. Women should receive 15 to 20 minutes of foreplay, and men should receive 10 to 15 minutes for good blood supply to the penis and a longer, harder erection. Foreplay should be relaxed and enjoyable.
2. Trying relaxing music can be helpful.
3. Delay condoms can aid in prolonging ejaculation.
4. Remember, sex is not just about penetration. Focus on your partner's pleasure. Love your partner, learn about female masturbation, and help your partner achieve orgasm.

If Dapoxetine hydrochloride is not effective, it is crucial to identify the underlying cause of premature ejaculation. I suggest you consider using tablet containing Sertraline once a night every day for better results. However, I suggest you consult a specialist, talk with them and start medications with their consent.

I hope this has helped you.

Kindly follow up if you have more doubts.

Thank you.