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What is the effective solution 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 am 28 years old, weigh 150 pounds, and 5 feet 4 inches tall. I have a problem with premature ejaculation. When I try to be intimate with a female partner, ejaculation occurs within 30 seconds. This problem has been occurring for the past two years.

Kindly assist.
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.

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Hello,

I am glad you chose icliniq.com for your medical-related queries.

I can understand your concern.

There are many reasons for premature ejaculation:

  1. Stressful work conditions, such as night shifts or 24-hour jobs.
  2. Medical conditions like diabetes, hypertension, and thyroid issues, can affect premature ejaculation. Keeping blood sugar, blood pressure, and thyroid hormones under control can help.
  3. Long-term use of medications related to hypertension or psychiatric conditions.
  4. Frequent or habitual masturbation.
  5. Excessive pornography consumption.
  6. Insufficient foreplay from a partner or lack of knowledge about foreplay and female masturbation.
  7. Guilt from having an affair.
  8. Lack of exercise and obesity.

To address these issues:

  1. Check fasting blood sugar (FBS), postprandial blood sugar (PPBS), blood pressure, and thyroid levels, which include free triiodothyronine (T3), thyroxine (T4), and TSH (thyroid stimulating hormone) to rule out diabetes and thyroid issues.
  2. As a temporary solution, I suggest you take Duralast (Dapoxetine) 30 mg tablets.

Natural methods:

  1. Increase the foreplay duration: Women should receive 15 to 20 minutes of foreplay, while men should receive 10 to 15 minutes to ensure good blood supply to the penis for a longer and firmer erection. Foreplay should be relaxed and enjoyable. Your partner should learn to provide foreplay in a way that helps you avoid premature ejaculation.
  2. Try relaxing music during sexual activity.
  3. Delayed condoms can be helpful.

Remember that sex is not just about penetration; it is important to focus on your partner’s pleasure and satisfaction. Learn about female masturbation, love your partner, and aim to give her an orgasm or climax.

I hope this has helped you. Please feel free to reach me again, in case of further queries.

Thank you.

Medically reviewed by iCliniq medical review team
Published At September 18, 2024
Reviewed At September 23, 2024

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.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Raveendran S R
Dr. Raveendran S R

Sexology

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.

Consult other doctors in the same speciality
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