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Sexual Health & Wellness
Question #10143
358 days ago
525

Premature ejaculation issue.... - #10143

Dev

I am 45 years old married man having issue of PME and sometimes ED also tried megalis 20 but don't get any cure from PME .Not having any issue like BP or Sugar kindly suggestme something..If possible then pls arrange call so that I can explain well

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.
358 days ago
5

Ok I can understand your problem. There is a cure for PE but if you take my individual consultation here we will be able to talk. Thank you.

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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.
358 days ago
5

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

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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.

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