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What is the best test and treatment for early 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 have been experiencing early ejaculation during sexual activity. I have tried various natural methods, like exercises, lifestyle changes, and relaxation techniques, but I have not seen much improvement.

It has been affecting my confidence and my relationship. I would like to understand what might be causing it and discuss possible treatments or tests.

Please help.

Thank you.

Hello,

Welcome to icliniq.com.

I can understand your concern.

There are many reasons for premature ejaculation (PE)-

  • Stressful work – night duties, twenty-four-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 antipsychotic 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.

You need to check FBS (fasting blood sugar) and PPBS (pre-prandial blood sugar) to rule out diabetes, check your BP (blood pressure), and free T3, T4, and TSH (thyroid-stimulating hormone) to rule out thyroid issues.

You can use the tablet Duralast 30 mg as a temporary solution.

Natural methods-

  • Increase the foreplay duration during sex; women should receive 15 to 20 minutes of foreplay, and men should receive ten to fifteen minutes of foreplay for a good blood supply to the penis for a long and hard erection.

  • Foreplay should be done in a relaxed manner. Your partner should learn to give foreplay in a way that you don’t ejaculate and enjoy.

  • You can try relaxing music.

  • Delaying condoms can help you.

  • 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 information will help you.

Kindly follow up if you have more concerns.

Thank you.

Medically reviewed byiCliniq medical review team

Published At December 25, 2025
Reviewed AtDecember 30, 2025

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