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Premature ejaculation for the last 30 years
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Sexual Health & Wellness
Question #10343
277 days ago
419

Premature ejaculation for the last 30 years - #10343

Abdul razak

I am 57 years old male have issues with pe for the last 30 years hardly go for 1 minute penetration, it is all happens when I was 15 years old I started to mastrubaye then was addicted now p e started gone for many medicine no use

Age: 56
Chronic illnesses: Diabetes
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.
276 days ago
5

1) Tab Duralast 30mg 1 tab 1 hr before sexual intercourse ( not for everyday use only for intercourse)

Advice: Semen Analysis (Repeat after 3-5 days abstinence) Semen Culture & Sensitivity – to rule out infection causing pus cells Urine routine and culture

1854 answered questions
59% best answers
Accepted response

0 replies
Dr. Neeraj Agarwal
I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.
276 days ago
5

Changes that will help you Kegel exercises: Strengthen pelvic floor, improve erection firmness.

Losing belly fat: Exposes more of the base, giving the illusion of greater length.

Good sleep + testosterone-friendly diet #Diet for you Zinc: Pumpkin seeds, cashews, eggs

Vitamin C & E: Amla, oranges, almonds

Omega-3s: Walnuts, flaxseeds, fish

L-Carnitine: Found in dairy and red meat Ashwagandha: Shown to improve sperm count and motility Shilajit to increase testosterone level

Avoid watching porn as it is main cause of your problem

545 answered questions
74% best answers
Accepted response

0 replies
Dr. Alan Reji
I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.
276 days ago
5

At 57, with lifelong premature ejaculation and no relief from medicines, you should consult an Andrologist or Sexologist for a full evaluation. Focus on behavioral therapies like the start-stop technique, Kegel exercises, and possibly sex therapy to retrain control. Past masturbation habits may have conditioned your response, and reversing that needs consistent therapy, not just medication.

1025 answered questions
48% best answers
Accepted response

0 replies
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.
276 days ago
5

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

2297 answered questions
62% best answers

0 replies
Dr. Alan Reji
I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.
276 days ago
5

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.

1025 answered questions
48% best answers

0 replies

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.

19196 answered questions
91% best answers

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