I'm taking cialis and still having major problems with premature ejaculation

if so, what is the dosage?Any other solutions?Thank you. Answered by Dr.

Key Takeaways

Cialis (Tadalafil) is FDA-approved for treating lower urinary tract symptoms associated with benign prostatic hyperplasia (BPH). It works by relaxing the smooth muscles in the prostate and bladder, which reduces pressure on the urethra. As a result, men often experience easier urination, a stronger urine stream, and fewer interruptions during the day and night. While some men may notice symptom relief within a few days, most patients begin to see significant improvements in urinary symptoms after two to four weeks of consistent daily use. Clinical trials have shown that the full benefits of Cialis for BPH are typically observed around the 4 to 6-week mark.

Does Cialis help with frequent urination?

It’s important to take the medication daily and as prescribed by a healthcare provider for best results. Cialis does not reduce the actual size of the prostate gland. Instead, it improves symptoms by relaxing the muscles around the prostate and bladder neck. For patients seeking to shrink the prostate, 5-alpha reductase inhibitors (like finasteride or dutasteride) may be prescribed. However, Cialis provides faster relief of urinary symptoms without hormonal changes or sexual side effects typically associated with those medications.

Avoid heavy alcohol drinking

By improving bladder emptying and reducing irritation in the lower urinary tract, Cialis can reduce the urge to urinate frequently—especially at night (a symptom known as nocturia). Many patients report fewer nighttime bathroom trips and improved sleep quality after several weeks of treatment with daily 5 mg Cialis. Cialis is often used alongside other medications for BPH, such as alpha-blockers (e.g., tamsulosin) or 5-alpha-reductase inhibitors (e.g., finasteride). However, combining Cialis with alpha-blockers should be done cautiously and under medical supervision, as the combination can lead to a drop in blood pressure. Always consult your doctor cialis for sale ireland before combining treatments. Chip in 4 mins 3 years ago No side effects and it can help with premature ejaculation Same as Zoloft and no side effects I'm here if you ever need me again Would it also help with some social anxiety?

and let's say if I want to quit later on, would it be okay to quit the 10 mg Paroxetine or do you recommend I taper it down? It would also help with social anxiety If you take it more than a month you'd need to taper I've started taking the 5 mg Paroxetine this week. If I don't see any results, I can increase it to 10 mg correct?

Should I be worried about any type of side effects or should look out for something? The other prescription medication I take is clomid for low test and sperm count, also Cialis(sometimes when needed 2.5mg to 5mg). Give it another week before you go up to 10 mg Concerns include side effects of daily Cialis and SSRI use for premature ejaculation. Cialis (tadalafil) is primarily used for erectile dysfunction and may not effectively treat premature ejaculation. Daily low-dose use can have side effects like headache or flushing; long-term safety should be discussed with a healthcare provider. SSRIs are sometimes prescribed off-label for premature ejaculation but require medical supervision for appropriate dosing and monitoring. Alternative treatments include behavioral techniques and counseling.

• Cialis may be effective for men with performance stress-related PE.
• It can help extend sexual engagement time.
• Using Cialis with progressive relaxation techniques can be beneficial.
• Its long half-life provides flexibility for sexual activity.
• Not all men will respond; individual testing may be necessary.
• Always follow medical advice when using Cialis for PE.
• Be aware of possible side effects such as nasal congestion.
• It’s advisable to start with the lowest effective dose.
• Cialis is generally safe when used responsibly under medical supervision.

Consulting a healthcare professional ensures safe, personalized management of premature ejaculation.

Clinical Research on Tadalafil and Premature Ejaculation

Cialis does not directly impact testosterone production or PSA (prostate-specific antigen) levels. Its mechanism of action focuses on relaxing smooth muscle tissue in the lower urinary tract. However, by improving sexual function and reducing urinary symptoms, some patients report an improved sense of well-being, which can indirectly benefit hormonal balance. PSA levels should still be monitored separately for prostate cancer screening. Many patients with benign prostatic hyperplasia (BPH) also experience sexual dysfunction.

FAQs on ED Medications and Premature Ejaculation

The inclusion of Cialis (Tadalafil) in their treatment plan helps address both problems — improving urinary symptoms and restoring erectile function. Clinical studies support the effectiveness of a Cialis daily 5 mg dose, showing improvements in symptom severity, sexual health, and overall quality of life in men with BPH. To learn more about the safety and legal aspects of buying Cialis online, read our doctor-reviewed guide here. Customer: Does Cialis 5 mg helps with premature ejaculation? If taking it every day, let's say 2.5 mg or every other day, would it have any bad side effects in the long term?Do you recommend any ssri for PE? Disclaimer: cialis tablets This information is AI-generated and intended for general guidance only. For advice specific to your situation, please consult a verified expert on JustAnswer before making decisions.

What The Research Says

Phosphodiesterase type 5 inhibitors are the first-line drugs in the treatment of BPH. The mechanism of action of these drugs is associated with the effect on the system that controls the intracellular concentration of cyclic guanosine monophosphate. Cialis is the best medication for patients with mild to moderate BPH. Answer 3 quick questions to see if you may benefit from a safe, doctor-backed consultation. Studies have shown that Cialis to a greater extent increases the confidence of patients in their ability to have sexual intercourse, the spontaneity of sexual life, and also reduces the degree of anxiety about the time that has passed since taking the drug.

Considering the Full Picture: Additional Benefits and Uses

At the same time, two-thirds of patients noted the possibility of achieving an erection after a considerable time after taking it, which is preferable for elderly patients, as the main advantage of Tadalafil, which made them choose this particular drug. This fact created in patients a feeling of naturalness in sexual life. The 12-week study included 1,054 men with urinary disorders due to BPH, they were randomized to receive placebo and buy price cialis professional Tadalafil at various dosages (2.5–20 mg). The results were assessed using IIEF-5 and IPSS. It was found that by improving IIEF, Tadalafil significantly reduced the severity of urination disorders.

A Dual Role: Erection and Ejaculation Control

For daily usage, the recommended dose of the medication for treating elderly patients with benign prostatic hyperplasia is 5 mg per day, regardless of food intake. The effect appears already 16 minutes after taking the dose in the presence of sexual arousal. Undesirable effects, which are observed most often in the treatment of BPH, are headache, back pain, myalgia, dyspepsia, the frequency of which is associated with the increase in the dose of Tadalafil. Adverse effects are short-term, from mild to moderate. The following table contains data on adverse effects, information about which came from spontaneous reports and which were received during placebo-controlled clinical trials with daily use of Cialis while treating BPH. Members enjoy round-the-clock access to 12,000+ verified Experts, including doctors, lawyers, tech support, mechanics, vets, home repair pros, more. After you reach out, we match you with an Expert who specializes in your situation. No scheduling hassles, missing time from work, or expensive consults.

• Cialis might help men last longer by enhancing erectile function.
• Combining Cialis with start-stop techniques can improve control.
• Cialis may reduce the sensation that triggers premature ejaculation.
• Regular use may build sexual confidence and reduce anxiety.
• Cialis’s long duration can assist in extended intimacy.
• Use of Cialis should be monitored to avoid side effects.
• Men should follow prescribed doses for safe results.
• Cialis should not be mixed with certain antidepressants or alcohol.
• Discussing PE and Cialis options with a healthcare provider is crucial.

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• Clinical trials for tadalafil in PE have shown significant improvement.
• One study reported 82% of men had better control after 12 weeks.
• Another study found mean IELT increased from 1.5 to 4.2 minutes.
• Placebo groups also improved but to a lesser extent.
• Long-term use for up to 2 years is considered safe.
• Regular check-ups are advisable to monitor blood pressure and liver function.
• Cialis can be taken with or without food; consistency helps.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.

Approach Considerations

Common sexual problems for men with BPH are erectile dysfunction, problems with ejaculation, absence of ejaculation, or, less commonly, low libido. In addition, men may notice a lack of energy and fatigue. International studies show that 72% of men with urination disorders caused by the BPH consider it important for them to have a sexual life. It has been shown that symptomatic forms of BPH affect the quality of life of patients while patients consider sexual activity to be one of the main components of this parameter. As a man gets older, there is a decrease in sexual function, which includes not only sexual desire but also erectile function, as well as the sensitivity of the penis.

Sertraline (Zoloft)

The frequency of sexual intercourse decreases on average from 1 time per week at the age of 65 years to 1 time per two months at the age of 80 years. 50% of men between 40 and 70 years old suffer from sexual dysfunction. Not so long ago, it was believed that ED was not associated with urinary disorders. However, there is data indicating the occurrence and/or progression of ED due to the urination disorders associated with BPH in men. Recent studies show a significant positive correlation between ED and urinary disorders.

Communicate and stay relaxed

According to the data, with urinary disorders in men with BPH, the risk of developing ED was 40% higher. The severity of symptoms in men suffering from BPH may vary, but, as a rule, symptoms tend to increase over time. The most common symptoms of BPH are: Leakage of urine at the end of urination Damage to the nerves that control the bladder Presence of stones in the kidneys or bladder Fortunately, effective treatment of the prostate can help eliminate some problems of the sexual sphere such as ejaculatory disorders, fatigue, and lack of energy. The goal of treating patients with BPH is to reduce the severity of urination disorders, improve the quality of life, prevent the development of complications, and the need for surgical treatment. One of these inhibitors Tadalafil has been approved by the FDA for treating BPH. ), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts.

• Cialis helps by maintaining better erectile stamina, indirectly delaying ejaculation.
• It can reduce anxiety related to PE episodes.
• Cialis’s onset time is generally within 30 to 60 minutes.
• Its effects can last up to 36 hours in some cases.
• Safe use requires understanding potential drug interactions.
• Prior assessment by a healthcare professional is recommended.
• Cialis may be prescribed off-label specifically for PE.
• Adjusting dosage can optimize benefits while reducing risks.
• Empowering men with PE through medical solutions is key.

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