Hello sir Please be aware See you need to consult sexologist or gynaecologist for best treatment Infact i suggest you to have proper consultation with the requested doctor since unnecessary medications can trigger other health issues also Regards
Premature ejaculation (PE) and occasional erectile dysfunction (ED) can be frustrating, but there are evidence-based strategies to manage them effectively. Since you’ve already tried Megalis (tadalafil) without seeing improvement in PE, it’s important to explore other approaches. For PE, behavioral techniques such as the ‘stop-start’ or ‘squeeze’ methods during intercourse may help in delaying ejaculation. These involve pausing sexual stimulation before climax and resuming after the urge subsides. Topical anesthetics like lidocaine-prilocaine creams can decrease sensitivity and delay ejaculation; these should be applied around 20-30 minutes before intercourse. Also, selective serotonin reuptake inhibitors (SSRIs), such as sertraline or fluoxetine, may be prescribed by your healthcare provider as an off-label treatment for PE; these medications require consistent daily intake and usually take some time to become effective. Occasionally, pelvic floor exercises to strengthen the pelvic area can help in improving both ejaculation control and erection quality. As for the sporadic erectile dysfunction, lifestyle factors like stress, anxiety, and fatigue often play a significant role. Consider stress-reducing activities such as regular exercise or mindfulness. It’s wise to discuss with a healthcare provider specific to these conditions, as they may suggest a combination of therapies tailored to your needs. Always consult a doctor before starting or changing medication plans. If you’re seeking a more immediate interaction, scheduling an appointment with a healthcare professional is the best route to ensure a personalized plan and any further evaluation needed.
