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II have a Premature Ejaculation issue from long time.kindly suggest me something
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Sexual Health & Wellness
Question #10140
299 days ago
454

II have a Premature Ejaculation issue from long time.kindly suggest me something - #10140

Dev

Hi iam 45 yearsold married man I have a Premature MatureEjaculation from long time and now start felling of ED also kindly suggest me something.I have tried tab megalis 20 sometimes.Actually I have Sedentary life style .I am doing 6-8 hours sittingjob.

Age: 46
Chronic illnesses: No
300 INR (~3.53 USD)
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Doctors' responses

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
297 days ago
5

Megalis will not help.It will make worse. Please take my paid individual consultation for treatment.

1854 answered questions
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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
295 days ago
5

Hello sir Please be aware See first fine results kindly contact any sexologist or gynacolologist I can suggest pelvic exercises for improvement In addition,please avoid stress by engaging in social activities Regards

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Premature ejaculation (PE) and erectile dysfunction (ED) can often be interlinked, and addressing them involves both understanding their physiological basis and making lifestyle adjustments. For your situation, let’s break this down. Firstly, it’s crucial to maintain an open dialogue with a healthcare professional as they can personalize treatment to your individual needs and help determine if any underlying health issues such as hormonal imbalances, diabetes, or cardiovascular concerns might be at play. For PE, behavioral techniques such as the stop-start or squeeze methods can enhance control. These involve practicing specific exercises alone or with your partner to delay ejaculation. Alternatively, topical anesthetics and certain SSRIs (selective serotonin reuptake inhibitors) prescribed in lower doses can provide relief by delaying ejaculation. Considering your sedentary lifestyle, engaging in regular physical activity is key. Exercise improves blood flow, enhances mood, and boosts energy levels, which are all beneficial for sexual health. Aim for at least 150 minutes of moderate-intensity exercise per week. As for ED, aside from medications like Megalis (a phosphodiesterase type 5 inhibitor), which can assist with maintaining an erection during sexual activity, lifestyle changes are impactful. Reducing alcohol, quitting smoking if applicable, and following a balanced diet with sufficient fruits, vegetables, whole grains, and lean proteins are good steps. Regular exercise and maintaining a healthy weight can also improve ED. If you notice significant stress, anxiety, or depression affecting your sexual health, considering psychological counseling or therapy might be beneficial. Be cautious with over-the-counter supplements and always discuss their use with a healthcare provider as they can interact with other medications. In cases where ED or PE persists or worsens, or where it impacts your relationship or quality life, timely consultation with a specialist in sexual health or urology is recommended to explore further diagnostic tests or treatments like penile devices or hormone therapy adjustments if necessary.

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