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Treatment of premature ejaculation 
Premature ejaculation is a sexual disturbance when you get to the orgasm and ejaculation early before the desired time, in most of cases it result from psychological causes like depression, overthinking and tiredness. Its treated using Dapoxetine 30 mg tab 4 hrs before sexual intercourse, if symptomes perisisted consult Urologist 
Investigations 
After proper physical exam, CBC should be done to detect anemia , Blood sugar measurement to detect diabetes, Testosteron meaasurment to detect decrease in hormone and testicular doppler US to detect Varicocele 
Causes 

• Psychological causes 
• Diabetes 
• Anemia 
• Varicocele 

Our advice 
You are adviced to have a well balanced diet rich in minerals and vitamins, avoid caffiene and smoking and have regular exercise