How to overcome from pme and tight foreskin issue - #10282

your tight foreskin (phimosis) is likely contributing to both pain during sex and premature ejaculation.

The mainstay of foreskin is surgery. For PME use 1) Tab duralast 30mg 1 tab before 1 hr of having sex Max 2-3 tab weekly

For more advice take my individual consultation.

For the issue of a tight foreskin, medically known as phimosis, it is often useful to begin with conservative measures. Daily gentle stretching exercises can help increase the elasticity of the skin over time. Apply a lukewarm (not hot) compress to soften the foreskin before stretching, holding the foreskin back gently without causing any pain. Over-the-counter topical corticosteroid creams, like hydrocortisone, can be applied twice daily for several weeks, as these can reduce inflammation and promote stretching. However, if these measures fail to offer improvement, a medical evaluation is necessary as persistent phimosis might require procedures such as preputioplasty or circumcision, depending on the severity and underlying cause.

On the other hand, for premature ejaculation (PE), several approaches can be taken. Behavioral techniques such as the “stop-start” method or the “squeeze” technique may be beneficial. Gradual understanding and practice of these techniques can delay ejaculation by helping you gain more control. Additionally, pelvic floor exercises or Kegel exercises can help strengthen the muscles involved in ejaculation. Sometimes, a therapist specializing in sexual health can provide more tailored exercises and strategies to manage PE.

Addressing lifestyle factors is also critical. Maintaining a healthy diet and regular exercise may reduce anxiety and improve overall health, possibly affecting sexual performance positively. Reducing stress through mindfulness or relaxation techniques, quitting smoking, and limiting alcohol can also be helpful. If lifestyle modifications and self-help strategies are insufficient, consulting a healthcare provider about medications like SSRIs or topical anesthetics that can be prescribed to help delay ejaculation may be necessary. Some practical combinations of these approaches tailored to your situation could offer significant relief.

It’s important to acknowledge any persistent problems and see a healthcare professional if symptoms do not improve or worsen. Infections, scarring, or other conditions might be causing these symptoms, requiring a more specific treatment approach. Regular follow-up is essential here to ensure the condition is monitored and managed effectively.