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What is the best treatment for 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 have been experiencing the problem of early ejaculation during sex since one year. Please suggest the best medicine that has no side effects and can effectively solve this issue.

Kindly help.

Thank you.

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 read your query and understood your concern.

There are several reasons for premature ejaculation, such as the following:

  1. Stressful work, such as night shifts or 24-hour jobs.

  2. Medical conditions like diabetes, hypertension, and thyroid issues can contribute to premature ejaculation. Keeping your blood sugar, blood pressure, and thyroid hormone levels under control will help.

  3. Long-term use of medications for hypertension or psychiatric conditions.

  4. Frequent masturbation or prone masturbation.

  5. Excessive pornography consumption.

  6. Insufficient foreplay from a partner or a lack of knowledge about foreplay and female stimulation.

  7. Feelings of guilt due to an affair.

  8. Lack of exercise or obesity.

I suggest you undergo the following investigations:

  1. FBS (fasting blood sugar) and PPBS (postprandial blood sugar) to rule out diabetes.

  2. Monitor your blood pressure.

  3. Test Free T3 (triiodothyronine), T4 (thyroxine), and TSH (thyroid-stimulating hormone) to rule out thyroid issues.

As a temporary solution, you can use Duralast (Dapoxetine) 30 milligram tablets.

Natural methods to improve sexual performance are as follows:

  1. Women should receive 15 to 20 minutes of foreplay, and men should receive 10 to 15 minutes of foreplay to ensure a good blood supply to the penis for a long and firm erection.

  2. Foreplay should be relaxed.

  3. Your partner should learn to provide foreplay in a way that prevents premature ejaculation while allowing you to enjoy the experience.

  4. Relaxing music may help create a calming atmosphere.

  5. Delaying condoms can also be beneficial.

  6. Inserting the penis into the vagina is not the sole focus of sex. Sex is not a race, and duration does not guarantee your partner’s satisfaction.

  7. Love your partner, learn about female stimulation, and help your partner achieve orgasm or climax.

I hope that this answers your query.

Kindly follow up if you have more doubts.

Thank you.

Medically reviewed by iCliniq medical review team
Published At November 15, 2025
Reviewed At November 15, 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.

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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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