Premature ejaculation for the last 30 years - #10343

Hello sir Please be advised See you take shilajeet one tablet for 2 months Please add ashwagandha once tablet for energy I hope there will definitely be increase in muscular energy and time In case of lack of improvement consult gynacolologist Regards

At age 56 with long-standing premature ejaculation (PE) and a history of early, frequent masturbation, it’s best to consult an Andrologist or Urologist specialized in sexual health. Since medicines haven’t worked, behavioral therapy (like the start-stop or squeeze technique) and pelvic floor exercises (Kegels) can help improve control. Also, address anxiety and past patterns through sex therapy or counseling, as psychological factors often play a big role in lifelong PE.

Premature ejaculation, especially if it’s been ongoing for as long as you describe, can be challenging but not insurmountable. It sounds like you’ve tried various treatments without much success, which can be frustrating. Premature ejaculation has multifactorial roots, including psychological, neurobiological, and even genetic aspects. First, it’s worth reiterating that seeking the advice of a healthcare professional who can offer personalized advice for your specific situation is important. A healthcare professional can evaluate any possible underlying conditions or offer treatments that are tailored to your needs. There are several approaches to consider: one commonly used method is the “pause-squeeze” technique, which involves stopping sexual activity when you feel close to ejaculation and gently squeezing the end of your penis. This method, done with consistency, can sometimes help increase control over ejaculation. Additionally, medications such as selective serotonin reuptake inhibitors (SSRIs) are sometimes prescribed off-label for this condition, as they have shown effectiveness in delaying ejaculation. Topical anesthetics containing lidocaine or prilocaine can reduce sensation and help control ejaculation timing. Behavioral therapy is another route, where you can work with a therapist to identify any psychological factors that might contribute to the issue. Lifestyle also matters; reducing stress, ensuring you have enough sleep, and maintaining a healthy lifestyle can individually have a positive impact. Avoiding excess alcohol or recreational drugs is also recommended, as these can exacerbate symptoms. It’s important to note that what works for one person may not work for another, so it may take time and patience to identify the most effective strategy for you.