Brief Answer:
manforce is not for premature ejaculation, do not use it daily

Detailed Answer:
Hello XXXXXXX

Thanks for writing to us.

Menforce contains sildenafil. It is used for erectile dysfunction(no proper hardening/erection of penis) not for premature ejaculation.It belongs to 5- PDE inhibitor group of medicines.It should be used 2 hours prior to sex. They causes headache,stuffy nose nausea and gastric discomfort like common side effects. Proper physical check up of cardiac system should be done by a doctor before starting the same.These are prescription medicines and you need to consult doctor/psychiatrist/sexologist for the prescription.
I do not recommend to take it daily. As taking daily increases the chances of side effects.In long term it can cause visual problem, hearing problem,cardiac problems and priapism(prolonged painful erection).

I want to make you aware about premature ejaculation.

There is no specific time we can say normal for a man during sex.

Premature Ejaculation (PME) or early discharge defined when male partner ejaculates early before the female partner reaches to orgasm. There is no absolute time by which we can diagnose PME. It is relative term and female partner is the best judge.

There are medicinal and non medicinal approaches to treat PME.

Medicines:
Clomipramine and paroxetine are choice of medicines which are used as antidepressants(For depression dose is higher).
I prefer clomipramine for PME. No significant side effects with these medicines. Initially say for 20-30 days daily after dinner and later on just on the day when you do the sex.
Paroxetine is more potent but it may cause side effects like headache, gastric discomfort, giddiness and sedation. In patients with blood pressure it should be used in consultation with physician/cardiologist.

One molecule called depoxetine has been used specifically for PME and should be taken before 2 hours of sex when required.
These medicines are prescription medicines and you need to consult doctor/psychiatrist/sexologist for prescription.


Behavioral approaches are as follows for your information:

1. Stop and Squeeze technique can be applied which you can learn from internet and ask me if any query in that.(In brief, method suggests that you should try to divert your mind for a moment when you feel ejaculation arousal and penis should be tightly squeezed with hand inwards by your partner preferably).

2. Master and XXXXXXX technique can also be learnt from qualified sexologist/Psychiatrist which includes sessions in couple as it is couple sex therapy. It can help in prolongation of time.

3. Sex counseling of your sexual behavior and methods. Like if you are down and female partner on top, gravity is going to help you for lengthening the time.

4. You should do masturbation before sex(at least 2 hours before ). It will make seminal vesicles somewhat empty and at time of sex semen will take more time to come out.

Another approach:
-Use of condoms. Sometime using condom while sex helps in delaying ejaculation by reducing sensitivity of glans penis.

--Topical application of anesthetic gel/spray. For this you have to consult doctor.

Hope I have answered your query, I will be happy to help further.

Regards,
Dr.Chintan Solanki.

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Brief Answer:
Stop meforce, start treatment for PME

Detailed Answer:
Hi,

Thanks for follow up and clarification.

Initially your problem was early ejaculation.Your erection was good. After taking menforce your erection is prolonged due to effect of sildenafil.As you do not have erectile dysfunction menforce has made natural erection in to more longer artificial erection without ejaculation.

In my opinion you first stop taking menforce.Start behavioral approaches as I mentioned in previous answer for PME. Hope you will succeed. In any case if you feel previous problem of early discharge before penetration again, consult doctor to start medicines for PME.

Hope this answers your concern.Feel free to discuss further.

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