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How can I avoid premature ejaculation?

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

Patient's Query

Hello doctor,

I am facing two concerns that I would like your help with. First, I tend to ejaculate very quickly during sexual intercourse. Second, I am worried about the size of my penis and would like to know if there are any safe and effective ways to increase it.

I am currently using the Maxiflo 125 inhaler as part of my ongoing treatment.

Please advise on how I can address my concerns.

Thank you.

Hi,

Welcome to icliniq.com.

I have gone through your query and understand your concern.

Here is a clear and professional response to both of your concerns:

Penis size: There is no medically proven pill, cream, or device that safely and effectively increases penis size permanently. Most men who are concerned about their size fall within the normal range. Surgical or injectable options do exist, but they carry risks and are not recommended unless a genuine medical condition, such as Peyronie’s disease or micropenis, is present.

What you can do:

  • Focus on improving blood flow: maintaining fitness, avoiding smoking, and managing cholesterol can help make erections appear fuller.

  • Remember, confidence and sexual technique are far more important for satisfying sexual experiences than size.

Premature ejaculation (PE): This is a very common condition, and you are not alone. Causes may be physical, psychological (such as performance anxiety), or a combination of both.

Tips to help manage PE:

  1. Try the start–stop technique or the squeeze method during intercourse or masturbation.

  2. Use condoms, as they can reduce sensitivity.

  3. Consider topical desensitizing creams (such as Lidocaine-based products).

  4. Low doses of SSRIs (selective serotonin reuptake inhibitors) such as Paroxetine are sometimes prescribed to delay ejaculation.

  5. Practice Kegel exercises to strengthen the pelvic floor muscles.

Note: You are currently using Maxiflo 125 (a steroid bronchodilator) for asthma. This medication typically does not cause sexual dysfunction, but anxiety related to chronic illness may contribute to sexual concerns.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.

Medically reviewed byiCliniq medical review team

Published At August 28, 2025
Reviewed AtSeptember 2, 2025

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