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Why do I ejaculate early and how can I manage it?

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 42 years old. I am a fat and diabetic man. I have very little sex time in bed. I ejaculated within a minute.

Kindly help.

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.

Hello,

Welcome to icliniq.com.

I can understand your concern.

There are many reasons for premature ejaculation. Stressful work night duties, 24-hour jobs, diabetes, hypertension, and thyroid issues affect premature ejaculation. Keeping your blood sugar, blood pressure, and thyroid hormones under control will help you. On long-term medication related to hypertension and anti-psychiatric medications, frequent masturbation, excess porn, receiving less foreplay from a partner, or lack of knowledge regarding foreplay and female masturbation, having an affair gives you a guilty feeling, lack of exercise, and obesity.

You need to check fasting and post-prandial blood sugar tests to rule out diabetes, check your blood pressure, and free thyroid stimulating hormone (TSH), thyroxine (T4), and triiodothyronine (T3) to rule out thyroid issues. You can use tablet Dapoxetine 30 mg as a temporary solution.

Here are some natural methods:

  1. 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.

  2. Foreplay should be relaxed.

  3. Your partner should learn to give foreplay in a way you do not ejaculate and enjoy.

  4. You can try relaxing music.

  5. Delay condoms can help with lasting longer during sex, but they are not everything when it comes to intimacy.

  6. Sex is not a race, and duration does not mean your partner is happy.

  7. Love your partner, learn about female masturbation, and give your partner an orgasm or climax.

I hope that you got your answer.

Please let me know if you need any help.

Take care.

Medically reviewed by Dr. K. Shobana
Published At September 16, 2024
Reviewed At March 25, 2025

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.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

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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