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How to manage premature ejaculation during foreplay?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am having premature ejaculation, sometimes during foreplay. I am going to get married, and I want to get rid of this problem. I masturbate very often. Whenever I am with my partner, I ejaculate after a few seconds of penetration, and even during foreplay. I want my sex organ to work perfectly. Please help.

Thank you.

Hi,

Welcome to icliniq.com.

I can understand your concern about your symptoms.

There are many reasons for premature ejaculation (a condition where orgasm and emission of semen occurring just before, or shortly after beginning sexual intercourse). Some of them include:

1. Stressful work, night duties, and 24-hour jobs.

2. Diabetes, hypertension, and thyroid issues have an effect on premature ejaculation. Keeping your blood sugar, blood pressure, and thyroid hormones under control will help you.

3. Long-term medication related to hypertension and anti-psychiatric medications.

4. Frequent masturbation or prone masturbation.

5. Excess porn.

6. Receiving less foreplay from a partner, or lack of knowledge regarding foreplay and female masturbation.

7. Having an affair gives you a guilty feeling.

8. Lack of exercise and obesity.

I suggest you check FBS (fasting blood sugar) or PPBS (post-prandial blood sugar) to rule out diabetes, check your BP (blood pressure), and free T3, T4, and TSH (thyroid-stimulating hormone) to rule out thyroid issues. I also suggest you use the tablet Duralast (Dapoxetine) 30 mg as a temporary solution. Consult your doctor and take the medicine accordingly. Natural methods to increase the foreplay duration during sex include:

1. Women should receive 15 to 20 minutes of foreplay, and men should receive 10 to 15 minutes of foreplay for a good blood supply to the penis for a long and hard erection.

2. Foreplay should be in a relaxed manner.

3. Your partner should learn to give foreplay in a way you do not ejaculate, and enjoy.

4. You can try relaxing music.

5. Delay condoms can help you.

Inserting the penis into the vagina is not everything in sex. Sex is not a race, and duration does not mean your partner is happy. Love your partner, learn about female masturbation, and give your partner an orgasm or climax.

I hope that you get your answer.

Please let me know if you need any help.

Thank you.

Medically reviewed byiCliniq medical review team

Published At March 8, 2024
Reviewed AtAugust 22, 2024

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