Brief Answer:
Require further evaluation. Please see detailed answer below

Detailed Answer:
Hello,

I have gone through your query and here is my advice.

As per your history, you are suffering from premature ejaculation.

Please let me, do you have erectile dysfunction (unable to maintain erection)?

Do you have any chronic illness like diabetes, hypertension, liver or kidney or heart disease?

Do you history of injury to spine or recent back surgery?

For Detailed clinical examination, I will suggest to consult with physician. He may procure necessary investigations. He may prescribe tablet dapoxetine as per evaluation.

Till then you can take tablet sildenafil 50 MG one hour before sexual act in case of erectile dysfunction. Please avoid this tablet if you’re taking tablet nitrate for cardiac issues.

Along with that take proper sleep. Take balanced diet. Avoid stress. Keep your self hydrated. Do regular exercise. Avoid alcohol if you have.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Shyam XXXXXXX

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