Suffering from premature ejaculation. Ejaculate within 20 to 40 seconds. Taken sustinex 30 and 60 both, andriol testocaps, confido, as suggested bt doc but no help. Recently using lidocaine spray. Can you please suggest permanent solution.

Dr. Lalit Kumar TripathyGeneral Physician40yrs exp

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Having premature ejaculation. It may be due to 1. Anxiety, depression 2. Fatigue, stress 3. Relationship issues, performance anxiety, 4. Consumption of alcohol, tobacco etc 5you can take the following measures a) avoid stress, anxiety, depression b) avoid alcohol and tobacco consumption c) go for regular exercise d) lead a healthy living style e) practice relaxation technique by deep breathing exercise (take deep full breath for 5 seconds, hold it for 3 seconds, exhale slowly for 5 seconds). Do it for 5 minutes without breaking the rhythm. It controls arousals and tension that lead to early ejaculation. F) use condom to reduce sensation g) take foods to increase testosterone like eggs /asparagus/dark chocolate/carrots/oats/ashwagandha/avocado/blue berries/ banana/walnut/cereals/onion/garlic/almonds/bean/ mushroom h) consult sex therapist/sexologist for advice. 

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