instruction: hello doctor I am married from last years and I am suffering from sever premature ejaculation sometime ed also from beginning mostly ejaculate in less then minute I used prosolution pills boostero climaxagen pills nothing works for me only promescent sprays works for delay but it will cause erectile problem below are my details also I am attaching my complete lab test including ultrasound let testerone abc cholestrol gender male age 34 height feet inches weight 78 keg please recommend some medicine to solve the problem permanently
output: hello I can understand your concern I have gone through the reports you have uploaded and almost all reports are normal except low testosterone relative to your age low vitamin levels and slightly altered lipid parameters you are 35 and your height is around 175 cand your weight is also in normal range in a lot of individuals obesity is one of main reasons for low testosterone but your mi is normal and also your main issue is me and not ed me is not related to testosterone levels and in most of individuals hyper excitation poor experience and anxiety are main reasons for early discharge I would advise you to start taking vitamin supplements 60k iu per week for at least months and this will bring the levels to normal range for me drugs like dapoxetine can be utilized you can use the drug on sos basis about one hour before sex and this will surely help to delay the ejaculation time the drug is safe to use and has no serious side effects dose of 30 my is normally used you can talk with a doctor for prescription of this drug this will help to treat your problem and in the mean time you will regain the confidence and your problem will go by own thanks and take care