How to manage early ejaculation at 42?

Question

Hi doctor,

I am a 42-year-old, having had early ejaculation issues for the past three years. I do not stay with my family, only meet them fortnightly. I am worried that I am unable to satisfy my wife and need help.

Please advise.

Answer 1

Hi,

Welcome to icliniq.com.

I can understand your concern about your symptoms.

There are many reasons for premature ejaculation:

Stressful work, night duties, twenty-four-hour jobs.
Diabetes, hypertension, and thyroid issues.
On long-term medication related to hypertension and anti-psychotic medications.
Frequent masturbation or prone masturbation.
Excess porn.
Receiving less foreplay from a partner or a lack of knowledge regarding foreplay and female masturbation.
Having an affair gives you a guilty feeling.
Lack of exercise, obesity.

I would advise you to get checked for:

Check fasting blood sugar and postprandial blood sugar levels to rule out diabetes.
Get checked for T3 (triiodothyronine) and T4 (thyroxine) levels to assess thyroid issues.

I will suggest the following treatment plan:

Use tablet Duralast (Dapoxetine) 30mg as a temporary solution.
A natural method is to increase the foreplay duration during sex. Women should receive 15 to 20 minutes of foreplay, and men should receive 10 to 15 minutes of foreplay for a good blood supply to the penis for a long and hard erection.
Foreplay should be relaxed. Your partner should learn to give foreplay in a way that you do not ejaculate and enjoy.
You can try relaxing music, and delay condoms can help you.

Also, I would like to add that 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 answers your query.

Thank you.