What are the recommended initial treatments for premature ejaculation and difficulty maintaining an erection?

Medical evaluation: See a healthcare provider for a brief medical exam. Medications like cialis, viagra (sildenafil) are very effective for mild ed. I initially treat premature ejaculation with a prescription numbing gel applied an hour before sex and washed off a few minutes prior. There are no systemic side effects and it's a very effective treatment.

Male sexual problems: There could be different treatments depending upon the medical condition that may underlie either of these problems. First thing to do is to get a medical evaluation. There are so many men suffering from this, and have shame and fear for something they can't help. Just the number of questions about these problems on health tap confirms how widespread this is. Please have compassion for yourself.