Patient's Query
Hello doctor,
I am 46 years old and feel sexually active, but as soon as I indulge in touch and foreplay or even try for intercourse, I end up ejaculating in minutes. May I seek your advise and help to cure the problem? My problem has been since the last couple of years, and I thought it was because of my work pressure. But it feels quite frustrating and I am not able to indulge in good intercourse.
Hello,
Welcome to icliniq.com.
There are many reasons for premature ejaculation.
1) Stressful work – night duties, twenty-four-hour jobs.
2) Diabetes, hypertension, and thyroid issue have an effect on premature ejaculation. Keeping your Blood sugar, blood pressure, and thyroid hormones under control will help you.
3) On long-term medication related to hypertension and anti-psychiatric medications.
4) Frequent masturbation or prone masturbation.
5) Excess porn.
6) Receiving less foreplay from 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.
Need to check fasting blood sugar and postprandial blood sugar to rule out diabetes, check your blood pressure, and check T3, T4, and TSH to rule out thyroid issues. You can use the tablet Duralast (Dapoxetine) 30 mg as a temporary solution.
Some natural methods which can be employed are:
1) Increase the foreplay duration during sex. Women should receive 15 to 20 minutes of foreplay, and men should receive ten to fifteen minutes of foreplay for good blood supply to the penis for a long and hard erection. Your partner should learn to give foreplay in a way you do not ejaculate and enjoy.
2) Inserting the penis into the vagina is not everything in sex. Sex is not a race. Duration does not mean your partner is happy. Love your partner, learn about female masturbation, and give your partner an orgasm.
Kindly share details regarding the above reason so we can work on understanding the cause and plan treatment.
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