Hello doctor, I am 25 years old. I suffer from premature ejaculation. I have always had it in the sense if I am aroused, I ejaculate within the first 20 to 30 seconds and if I am not aroused, it can take longer, but still less than two minutes. It feels like I am always forcing myself to ejaculate, and perhaps this started with me masturbating in my early teens. Would counseling solve this issue, or is it more serious than that?
Hi. Let me tell you that the symptoms described by you suggest that you have erectile dysfunction. In this situation, I suggest you Avanafil medication. Moreover, counseling also helpful for premature ejaculation. I recommend you do testosterone therapy (TRT). Avoid alcohol and smoking. Avoid stress and anxiety. Some exercises also helps like Kegel exercise and aerobic exercise. More details you may consult with me. I hope this helps.