instruction: 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
output: 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