Brief Answer:
yes - you can

Detailed Answer:
Hi friend
Welcome to Health Care Magic

There is no obvious contra-indication for any particular medicine.
Especially a drug like this, taken as and when necessary
The active component in Duralast is dapoxetine and the side effect have no relation to your basic condition.

ECG is normal
ECHOcadiogram – Trivial prolapse o in the AV valves is not clinically relevant and needs no concern.

You have high LDL cholesterol
LDL is bad cholesterol – lower, the better.
In the absence of any other risk factor 100 is ideal for LDL-C. In the presence of ischemia, 70 should be the aim.
     Keep your weight to normal / even a little less
     Quit smoking, if you are a smoker
     Do regular EXERCISE – say walking or jogging - 30 minutes a day / at least 5 days in a week. Isometric exercise (like bull worker) is bad.
     Healthy FOOD is a must. Avoid saturated fats – coconut oil, palm oil, butter, ghee, full cream milk...Avoid junk foods in particular – French fries have palm oil / Pizza has cheese / XXXXXXX sweets are made in ghee.../ Change to Poly-un-saturated oil – like sun flower oil. / Include Mono-un-saturated oil – Olive oil.
Repeat the test in a few months…

Good luck
God bless you

---

Brief Answer:
It helps

Detailed Answer:
Welcome to HCM

Yes, it does
You will benefit further by consulting an XXXXXXX (Urologist) – he is the appropriate specialist for this. Physical examination and a few more specific tests ,ay be done by the specialist.

Regards

---