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How can I get rid the PE which is actual nightmare
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Sexual Health & Wellness
Question #19985
147 days ago
301

How can I get rid the PE which is actual nightmare - #19985

Abdirahman

Hello dr I have experienced PE which ~30sec and I have tried several things including start and stop techniques and also dapoxetine 30mg and still there is no improvement I don't have DM,Htn or any chronic dz.

Age: 23
Chronic illnesses: No
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Doctors' responses

Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
147 days ago
5

Hello,

PE is treatable. Many men improve with the right medication + technique, but it needs proper guided management, not just random attempts.

Need Urologist review and Tests to consider: thyroid (TSH), testosterone, urine, prostate assessment.

May be need to Increase dapoxetine to 60 mg if no side effects.

Topical desensitizing sprays/gels (lidocaine-prilocaine) — very effective

Avoid very tight gripping masturbation style

Use condom thick type or delay sprays

Thank you

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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.
147 days ago
5

This requires personal consultation. To understand better.

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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.
146 days ago
5

Hello dear See for premature ejaculation please follow below precautions for improvement Avoid heavy meals and alcohol Take ashwagandha or triphala once a day for 2 months Do meditation Do physical exercises atleast for half an hour Especially kegel exercises Take shilajeet for 1 month once a day In case of no improvement in 1 month, kindly consult gynaecologist for further clarification Hopefully you recover soon Regards

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Premature ejaculation (PE) can indeed be frustrating and when initial strategies don’t work, it’s important to reassess your approach. The start and stop technique and dapoxetine are common initial treatments, but if they’re not effective, further evaluation is sometimes necessary. First, consider behavioral therapy options like the ‘squeeze’ technique, which your partner can assist you with. This involves applying slight pressure to the head of your penis until the urge to ejaculate passes, allowing you to gradually build endurance over time. If behavioral techniques and dapoxetine aren’t sufficient, sometimes other medications may be considered. Off-label use of certain antidepressants like sertraline or paroxetine might be discussed with your doctor as they have shown efficacy in some cases. These medications are typically started at low doses to assess responsiveness and to minimize side effects, with follow-up to adjust dosing as needed. Topical anesthetic creams are another option, as they can decrease sensation and help delay ejaculation. Applying them before intercourse is necessary but be cautious, as they might cause numbness for your partner as well. Consider discussing with your doctor about the potential for pelvic floor exercises, which can strengthen the muscles involved in ejaculation and improve control. On a more physical health front, ensure you have good general wellbeing; regular exercise and stress reduction can have indirect benefits on sexual health. Pay attention to mental factors – stress and anxiety play a role in PE and working with a therapist skilled in sexual health can sometimes offer additional benefit. If your PE persists despite trying these strategies, a referral to a specialist, such as a urologist or a men’s health expert, might be warranted for more specialized evaluation and tailored treatment.

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