Hi doctor, I have no sugar and BP. I am living a healthy lifestyle. I am suffering severely from ED and PE since last 10 to 12 years (it lasts for two to three minutes only). Please advise proper medicine which is not harmful to my health.
Hi. There are many reasons for this condition, so you need to be evaluated and physical examination is required. For managing ED (erectile dysfunction), a drug like Sildenafil or Tadalafil are the first-line treatment. Sildenafil can be started from 50 mg for almost half an hour before the sexual activity. Similarly, Tadalafil 10 mg can be used. The effects of Sildenafil last for one day while Tadalafil lasts for three days. For managing Premature ejaculation, a drug from SSRI (selective serotonin reuptake inhibitor) group such as Fluoxetine or Sertraline or Dapoxetine is used. Fluoxetine 20 mg daily or Sertraline 50 mg daily or Dapoxetine 30 mg can be taken one hour before the sexual activity. There is a combination of Dapoxetine and Sildenafil available in the market that can be used one hour before the sexual activity. Maintain a healthy lifestyle, take healthy food, avoid substance abuse and do regular exercise. For more information consult a sexologist online -->