Patient's question:
On July 17th, the doctor examined me, but since I experienced premature ejaculation, no medication was prescribed. On the way back, I had another episode of premature ejaculation. Last night, there were black clumps in the condom.Doctor's answer:
1. That would be difficult. As you may know, I don't advocate evaluating or treating sexual function in a non-sexual state. Since you are now divorced, he (sildenafil) cannot be used anymore.2. Your premature ejaculation is mainly caused by lumbar and sacral spine issues. In a non-sexual state, with full seminal vesicles and prostate, the incidence rate increases.
3. I suggest you temporarily stop taking medication, sleep on a hard bed, and practice walking backward. Consider medication treatment after you have a sexual partner.