Hello,

You should visit a psychiatrist for evaluation and treatment for the same. Also indulging in quality foreplay is good, the psychiatrist may give you tips you about some techniques like stop squeeze technique to last longer, also may prescribe you some drugs like dapoxetine 30 mg/60 mg to be taken one to two hours before sex or paroxetine daily, but do take these only after evaluation and consultation.


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

Regards,
Dr. Vijay Niranjan

Hello,

Premature ejaculation is due to a psychiatric problem or a medical problem. Most commonly due to fatigue, performance anxiety, stress, smoking, alcohol, obesity, diabetes, enlarged prostate, hypertension, and nerve damage of back etcetera.

You should consult the psychiatric, and do a health check-up to diagnose the above causes. The doctor may provide the following advice. Cognitive-behavioral therapy, use stop and start method of sex (stop sex just before ejaculation and divert your mind from sex), squeeze technique, women on top position, hold urine before urination, Kegels exercise, use double condoms or condom with lidocaine jelly that decreased sensation of penis, masturbation before sex delayed time of ejaculation.

You can use sildenafil plus paroxetine after evaluation if the above method does not help. Do regular exercise like walking, yoga, and relaxation exercise daily in the morning for 40-45 minutes, take a healthy diet, fresh fruits that high in antioxidant, tablet Gonadil F also help.


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

Regards,
Dr. Dholariya Sagar Jayantilal