instruction: 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
output: hi for immediate result pde5 phosphodiesterase type 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 stressful work night duties 24 hour jobs diabetes hypertension thyearoid issue has an effect on premature ejaculation keeping your blood sugar blood pressure and thyearoid hormones under control will help you long term antihypertensive and antipsychiatric medications frequent masturbation excess porn receiving less foreplay from partner or lack of knowledge regarding foreplay and female masturbation having an affair giving you a guilty feeling lack of exercise and obesity need to check fbi fasting blood sugar and pubs post prandial blood sugar to rule out diabetes check your be blood pressure free to ash thyearoid stimulating hormone for ruling out thyearoid issues kindly share details regarding the above reasons so we can work on understanding the cause and plan treatment accordingly