Conversation: The conversation between human and AI assistant.
[|Human|] Hi i am 27 years old and unmarried. I am suffering from erectile dysfunction and premature ejaculation. I ejaculate within 30-45 seconds. I have done sex with my girlfriend also but i faced that my penis either ejaculated very early or lose tightness. We was in relationship for approx 2 years and we tried many times. Everytime i faced that problem so i don t think that this issue will resolve after marriage without any medication. Sometimes i felt very depressed. I have hairy beard so Hormone problem also wont be there. My Testosterone total,Serum count is 789.40 ng/dl which is within reference range. Kindly suggest what should i do?
[|AI|]  HiT hank you for asking Chat Doctor. I have gone through your query. Your problem can be most likely due to anxiety. You can do squeeze and stop technique or thought changing when nearing ejaculation or using condom with anesthetic. Changing position of intercourse in one which give less sensation to penis also help. If all these not helping then approach a psychologist for behavioral therapy. If that is also not helping then short-acting SSRI like duloxetine prior to intercourse helps. Hope this may help you. Let me know if anything is not clear. Thanks.