What are the causes and treatments for early ejaculation?

Question

Hi doctor,

I would request you to provide me with some suggestions about some issues that I am facing concerning my sexual health. I experience early ejaculation within a minute and poor performance. Besides, I feel low energy levels and tiredness.

It would be great to have some suggestions from you regarding the causes, diagnosis, and treatment of the issue.

Please help me.

Thanks in advance for your time and advice.

Answer 1

Hi,

Welcome to icliniq.com.

It makes sense that you feel concerned about such problems. Ejaculation in approximately one minute, alongside low energy levels and performance stress, is usually associated with premature ejaculation, which is a very common problem and can easily be treated.

There could be several causes leading to early ejaculation and decreased sexual performance, including stress, anxiety, lack of proper rest, too much overthinking during the process of intimate contact, low self-confidence, feeling tired, and some life aspects. In case when low energy levels have existed for a long period of time, it is necessary to find out what may cause this problem, such as sleep disorders, hormone problems (low levels of testosterone), thyroid gland diseases, vitamin deficiency, metabolic disorders, or decreased physical activity.

Making proper changes in lifestyle usually helps significantly; they include exercising regularly, getting enough rest, managing stress, maintaining healthy eating habits, proper hydration, and not smoking/drinking alcohol, if it is relevant.

There are behavioral methods to control ejaculation, including the start-stop method, squeeze method, pelvic floor muscle training (if done right), and controlling stimulation rate.

Sometimes drugs such as Dapoxetine 30 mg are used to prolong sexual intercourse; however, it should be prescribed by a professional healthcare provider.

Considering that you also feel tired and lack energy, it could be helpful for you to talk to your physician regarding testing your fasting blood sugar, HbA1c, thyroid profile, testosterone, vitamin D, vitamin B12, and complete blood count (CBC).

Could you also share with me if you experience problems with achieving an erection,.
Do you only worry about early ejaculation and low energy?

I hope that this information will help you understand your problem and treatment opportunities.

Do not hesitate to ask if you have any other questions.

Best regards.