Hello dear
Understand your concern,
Hello dear
Understand your concern
First you have to find the causes of
premature ejaculation.
It is due to:
Psychological cause: Stress, anxiety, relation problem
Medical cause: Fatigue, diabetes, overweight,
enlarged prostate,
hypertension and drugs used for it, smoking, alcohol consumption, damage to back nerves, decreased testosterone.
You should consult the psychiatric and require following investigation: Blood glucose, CBC, ESR, testosterone, cortisol,
semen analysis, urea, creatinine.
Following are advice for you:
Psychological treatment:
cognitive
behavioral therapy, squeeze treatment, Use stop and start treatment: stop sex at the time of ejaculation and divert your mind from sex, use comfortable method for sex, women on top position,hold urination before urination, masturbation before sex, and kegel's exercise,
Medical treatment:
Start regular exercise like walking and yoga daily 30-45 minutes in morning, avoid smoking and alcohol, use double condoms or condom with lidocaine jelly that decreased sensation of penis, take fresh fruits and anti oxident like co Q.
You can use sildenafil plus paroxentine 30 minutes before sex but after proper evaluation
Hope this may help you
Best regards
Dr. Sagar