Doctor sir my I 43 old and my body have sixc than...

What is the treatment for premature ejaculation and erectile dysfunction

The treatment is done through a medical examination with the doctor, where antidepressants are prescribed that are considered to have great effectiveness in treating premature ejaculation such as paroxetine 20 mg once a day one hour before sexual intercourse, as the treatment is done through the use of condoms and also through the use of a topical anesthetic spray of lidocaine that It is placed on the penis in the form of a puff or two pills before sexual intercourse a quarter of an hour and also we recommend that you pay attention to eating useful vegetables, fruits, meat and sea fish, and practice exercises to strengthen the pelvic muscles such as Kegel exercises and also to stay away from the anxiety and psychological tension and also use sexual stimulants such as Cialis pills 10 mg once a day The day before sexual intercourse an hour

How is the diagnosis made

Through a complete clinical examination, in addition to CBC  to exclude anemia or infections, as well as a blood pressure and blood sugar test, as well as a urine and semen analysis test, a testosterone hormone test can also be done in the blood.

• What are the causes of premature ejaculation

• Psychological disorders and anxiety
• Anemia
• Urine infections
• Congestion and enlargement of the prostate
• chronic diseases
• Varicocele
• Family and marital problems
• Side effects from medications