u/CriticalShift4297

I went to a sexologist for my PE

Last Saturday (27th June), I went to a sexologist for my Premature Ejaculation problem.

I was in a relationship for almost 4.5 years and facing PE from start. I usually last between 30 seconds to one minute maximum.

The sexologist prescribed me Tadalafil 2.5 mg, Parexotine 12.5 mg (SSRI) and a delay spray. I have to take Tadalafil 1 tab every day for one month, Parexotine 1 tab every for first week, 2 tabs every day for rest 3 weeks.

The doctor told me she needs to ascertain the reasons for my PE and if its curable or not which she will do in follow up visit after one month.

I heard that Parexotine (SSRI) delays ejaculation significantly but it also reduces libido.

Due to the Tadalafil, I am having constant random and very hard (sometimes painful) erections throughout the day.

I am also facing severe pain on back side of both of my thighs from last 3-4 days. (I have completed one week course of the medication already)

I also asked the doctor about Kegels/reverse Kegels several times, she kept saying Kegels don’t have any DIRECT benefits for PE. She said Kegels are for Erectile Dysfunction and MAY have INDIRECT benefits for Premature Ejaculation.

I couldn’t get an opportunity to have sex since I started medication (broke up recently), still I masterbated 2 days after I started the medication and couldn’t last more than 2 minutes! (May be the medication takes time to show effects)

My questions are as below. (If anyone has similar experiences before)

  1. Does Parexotine (SSRI) really reduces libido? Does it reduce your libido in long term? If my libido is reduced now, will it recover again after I stop medication?

  2. Is there any alternative natural remedy/medicine to increase libido/compensate for the reduced libido?

  3. Is the pain in my thighs due to side effects of Tadalafil?

  4. Should I continue treatment with the doctor including follow ups?

  5. Is there any long term solution in medical science without side effects or with least side effects?

I will be thankful your help.

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u/CriticalShift4297 — 1 day ago