Greetings. Thank you for your questions.

First and foremost, we truly understand your concerns regarding your symptoms and other health problems you might be facing. From your complaints, premature ejaculation or ejaculation issues can be contributed by several factors, such as:

• psychogenic - such as stress, anxiety, problematic relationships

• psychiatry - anxiety disorders, depression

• neurogenic - trauma, diabetes, alcohol

• endocrine - thyroid problems

• arteriogenic - related to blood vessels such as high blood pressure, cigarettes, diabetes, high cholesterol and more

• Problems with surrounding organs like the prostate and spinal cord however this is extremely rare

• side effects of drugs such as antihypertensive, antidepressants, and more

The following answers regarding your current queries are just general descriptions. In order for us to provide you with an accurate choice of treatment and management, we need additional details to explore further into your current complaints and find the root of your problem. This is because each causes might have different approaches. Therefore, we greatly suggest that you refer this to your nearest medical doctor. We are sorry because through this platform we can’t conclude if the medication is suitable and safe for you or not.

You may also click on this link (DoctorOnCall) to speak with our doctors online. We assure you that our conversations are kept in confidentiality unless additional consultation needed with other medical parties. Thank you.