Hello doctor, I think I have a problem with premature ejaculation for the past five to six months because of stress. It lasts for only three to four minutes after almost 15 minutes of foreplay. What is an ayurvedic medicine you can suggest for immediate results? Will it cause any side effects? Also, how long I need to take such medicines?
Hi. For immediate result, PDE5 (phosphodiesterase type 5) inhibitor is the only option, but it has its own side effects. Kindly share more details so we can find the cause of your issue. There are many reasons for premature ejaculation. 1.	Stressful work, night duties, 24-hour jobs. 2.	Diabetes, hypertension, thyroid issue has an effect on premature ejaculation. Keeping your blood sugar, blood pressure and thyroid hormones under control will help you. 3. Long term antihypertensive and antipsychiatric medications. 4.	Frequent masturbation. 5.	Excess porn. 6.	Receiving less foreplay from partner or lack of knowledge regarding foreplay and female masturbation. 7.	Having an affair giving you a guilty feeling. 8.	Lack of exercise and obesity. Need to check FBS (fasting blood sugar) and PPBS (post-prandial blood sugar) to rule out diabetes. Check your BP (blood pressure), free T3, T4, TSH (thyroid-stimulating hormone) for ruling out thyroid issues. Kindly share details regarding the above reasons so we can work on understanding the cause and plan treatment accordingly.