Brief Answer:
It will be different in a relationship, so for now continue being more fit

Detailed Answer:
Hello XXXXXXX

Thank you for using HCM to post your question.
I read it carefully and I understand your concern.

Most of the performance problems are due to the stress of not performing right and for dissapointing the partner.

In a relationship, it will be more easier. You will talk with your partner and eventually you will gain trust with each other. This was you will remove the performance stress.

It will be helpful losing weight and being fit, because you will perform easier this way, so I want to congratulate you for that decision.

Meanwhile don't worry about what its to come, but enjoy the moment with each other because as I said its very different in a relationship.

If needed you may use medications to help you perform easier, but that's only after you will rule out with your local doctor that you are physically fit to take those.

Hope this is helpful.
Let me know if you need more clarifications, I'll be glad to clarify further

Regards,
Dr.Papaqako

---

Brief Answer:
Take good care of your general health

Detailed Answer:
Dear XXXXXXX

Thank you for the follow-up question.

This is not just the emotional side of the problem, its also the clinical one.

With the age men from taking more time to orgasm and lasting longer go to having more difficulty and to having shorter orgasms.
All these changes happen because of the changes in blood supply.

What you can do to postpone this a bit its to take care of your general health - avoid smoking and drinking alcohol, lose weight, be more active.

These difficulties get passed on with you have a partner you trust by your side and are much more better. Don't overthink before the time because you don't know for sure how your body will react when time will come. You would be surprised how much performance stress prevents good performance in a relationship so the best way to approach this its to not worry.

Hope this is helpful.

Regards,
Dr.Papaqako

---

Brief Answer:
Couples who communicate can adjust sexual practices and enjoy the same

Detailed Answer:
Dear XXXXXXX

The fluctuations in blood flow are as a result but not the cause of the problem.

Normal aging is associated with a general decline in physiological sexual response, and more variable declines in sexual activity.

For men, a mid-life change in physiological function comparable to menopause does not occur. With aging, however, many men can experience important changes in bodily function that are linked to declines in testosterone production. As men age, there are gradual declines in sexual function that have variable impacts on sexual activity. Sexual desire remains relatively stable in most men. Erections are less reliable and durable, and require more stimulation to achieve and sustain. Ejaculation during orgasm involves decreased amounts of seminal fluid, and the refractory period between orgasms can increase by hours to days. By middle age, testosterone levels begin to decrease by 1 to 2 percent per year. Between 35 to 70 percent of men over the age of 70 suffer from hypogonadism, defined by a testosterone level less than 200 ng/dL.

Your problem its called premature ejaculation and the causes of the disorder is uncertain or obscure in most cases. Penile hypersensitivity may be a cause, although neither mechanism has received adequate experimental support to date. Similarly, a genetic basis for the disorder has been proposed but is lacking adequate scientific support. Psychological factors such as a history of sexual abuse, impaired self-body image, depression, and performance anxiety may play a role in the development of premature ejaculation.

In summery though I still insist in this - Couples who communicate well can adjust sexual practices in order to maintain or even improve upon previous levels of enjoyment.

I hope I answered your question, and I hope I made it a bit more clear to you on what its going on.

Let me know if you have anymore concerns.

Regards,

---