Hello,
PE is common and treatable.
Answers to your questions;
1. On-demand dapoxetine and topical lidocaine spray/cream are the safest and most effective options.
2. Yes, it is safe for a healthy 37-year-old with no heart disease or major medical issues.
3. Take 30 mg dapoxetine 1–3 hours before sex (max 1 dose/24 hours). Increase to 60 mg only if needed. Side effects: mild nausea, headache, dizziness.
4. No routine tests required unless you have chest pain, BP issues, diabetes/thyroid symptoms, or take interacting medicines.
I hope its clear Thank you
Hi Chitra,
Premature ejaculation is very common and usually treatable with proper guidance.
First-line options include behavioural techniques, using condoms, and sometimes using topical sprays or gels to reduce sensitivity.
Dapoxetine can be used on-demand in selected patients, but only after a physical check-up and prescription from a doctor to ensure it is safe for your heart and overall health.
Usual practice is to start with the lowest effective dose, monitor for side effects like nausea, dizziness, or low mood, and avoid alcohol with it.
Dapoxetine is usually started as 30 mg taken once, about 1–3 hours before anticipated sexual activity, not more than once in 24 hours, and the dose is only increased if well tolerated and still insufficient.
Basic tests like blood pressure check, ECG, fasting blood sugar, and general health review are advisable before starting any prescription medicine.
Dr Nikhil Chauhan Urologist
Dapoxetine 30 mg 1–3 hours before sex Lidocaine spray (delay spray) 10 minutes before sex, wash excess Use condoms if you want extra control
It is safe if : You do not have heart disease You do not take antidepressants You do not take nitrates for chest pain You are not on major psychiatric medications
In person consultation would be better.
Hello Chita
By going through your history and evaluation of your health status i am recommending you following medicine - Rx - 1) Tab Autrin 1 tab daily after food for 2 months 2) Tab ashwagandha 500 1 tab twice daily after food for 2 months 3) Tab tadalafil 10mg 2 times a week
Investigation:
CBC, ESR Thyroid Profile (TSH, T3, T4) Fasting Blood Sugar & HbA1c Vitamin B12 & D3 Testosterone (Total & Free) – for stamina/libido concerns
Thank you
The best treatment for premature ejaculation varies between individuals, but starting with both behavioral techniques and medications is often advisable. Behavioral methods like the “stop-start” or “squeeze” technique might be worth revisiting with practice. On-demand medications like Dapoxetine can be effective, taken 1-3 hours before sexual activity. In terms of Dapoxetine, it is often considered safe for on-demand use and is designed specifically for premature ejaculation. For you, a typically starting dose is 30 mg, but this can be increased to 60 mg if needed, not to be taken more than once every 24 hours.
Users may experience side effects like nausea, headache, dizziness, or insomnia, so it’s essential to be aware of these before taking it, especially if you’re away from home. Regarding pre-treatment tests, a general health assessment, including checking blood pressure and reviewing any previous health concerns, can help ensure you’re suitable for Dapoxetine. Considering a heart check is wise if you have undiagnosed cardiovascular risks, though it’s primarily for individuals with existing medical conditions.
Your lifestyle factors, like stress and communication within your relationship, also play a significant role, so addressing these alongside medical treatment can be beneficial. If you haven’t done so already, discussing this condition with a healthcare professional can provide additional personalized advice. This approach integrates treating symptoms and addressing contributing factors to improve outcomes for both you and your partner.
