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How to Treat Erectile Dysfunction and PE in Your 30s — Advice Needed

J

Jack

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Jun 17, 2025
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Hi everyone,
I’m a 34-year-old male, and for the past 18 months I’ve been dealing with ongoing erectile dysfunction (ED) along with premature ejaculation (PE). This has really affected my confidence and relationships, and I’m starting to feel anxious every time I get intimate.

Sometimes I have trouble getting or maintaining an erection, and when I do, I finish too quickly — way earlier than I’d like. It feels like both issues are connected, but I’m not sure where to start. I’ve never taken medication for this before, but I think it’s time to try something that might help.

Can anyone recommend effective medications or treatments for ED and PE? I’d really appreciate advice from others who’ve gone through something similar, or any suggestions from doctors here.

Thanks in advance.
 
Hi Jack,
Thanks for opening up — I know this isn’t always easy to talk about, but you’re absolutely not alone. Erectile dysfunction (ED) and premature ejaculation (PE) are more common than most people realize, even in younger men.

The good news is, there are effective treatment options available. Since you've been experiencing both ED and PE, the approach often includes a combination of medication and behavioral strategies.

Let’s talk about medications first — three of the most commonly prescribed ED pills are:

  • Viagra (Sildenafil) – Works within 30–60 minutes, lasts about 4–6 hours. Often used as needed.
  • Cialis (Tadalafil) – Slower onset (30–45 min), but lasts up to 36 hours. Many men prefer it for its "weekend window."
  • Levitra (Vardenafil) – Similar to Viagra, slightly faster onset, good for as-needed use.

These medications help improve blood flow to the penis, making it easier to get and maintain an erection. They won’t cause an erection automatically — sexual stimulation is still needed.

Since you also mentioned premature ejaculation, that may need a different approach, like:
  • SSRIs (low-dose antidepressants like sertraline or paroxetine) — sometimes prescribed off-label to delay ejaculation.
  • Topical desensitizing creams or sprays to reduce sensitivity.
  • Pelvic floor exercises (Kegels) and behavioral techniques.

I’d highly recommend speaking with a urologist or men’s health specialist to discuss which medication is right for you — based on your medical history, blood pressure, and other factors.

Also, don’t underestimate the psychological component. Anxiety around performance can make symptoms worse, so therapy or stress reduction can also be part of the solution.

You're on the right path by seeking answers. Things can and do improve with the right treatment plan.

Take care,
— Dr. Jennifer, Urology & Men’s Sexual Health
 
I started using Viagra a few months ago (just the 50mg), and it really helped me feel more confident in the bedroom. It kicks in fast, but I make sure to take it on an empty stomach for best results. It doesn’t fix everything, but it gave me the boost I needed to feel like myself again.
 
Hello, Jack!
Cialis was a game changer for me. I take the low-dose 5mg daily version — no pressure about timing things perfectly. It gave me a more "natural" feeling and helped my anxiety around sex. I still work on my PE separately, but Cialis helped stabilize the ED part a lot.
 
I tried both Viagra and Cialis but ended up sticking with Levitra (Vardenafil). It just worked better for me with fewer side effects — no headaches or flushing. It helps me feel more in control, and I can focus more on the moment instead of stressing out. Worth discussing with your doctor.
 
hello Jack,
I’ve been dealing with premature ejaculation more than ED, but the anxiety made it hard to stay hard sometimes. My doc put me on a low dose of paroxetine (an SSRI) and honestly, it’s helped a ton. Took a few weeks to kick in, but now I last longer and feel more relaxed.
 
I use Cialis 10mg as needed, and it works well for me. What made the biggest difference was combining it with some lifestyle changes — I lost 20 pounds, cut back on alcohol, and started walking every day. ED isn’t just about the pill, it’s your whole health.
 
Mine was mostly mental. I’d get in my head, start worrying about performance, and that was it — game over. My doc recommended therapy and Cialis daily. That combo was magic. It gave me the confidence to break the anxiety cycle.
 
I didn’t want to jump into meds right away, so I started with pelvic floor exercises, vitamins (L-arginine, zinc), and cutting out porn. Things got better over 3–4 months. Not saying it works for everyone, but worth trying alongside the meds.
 
Hi, Jack!
Have you been tested for diabetes or are you diabetic? This used to happen to my ex-husband because of his diabetes. His blood sugar levels were all over the place, and it really impacted his ability to maintain an erection — sometimes he didn’t even realize how connected it was until he started managing his condition better.

Even mild or undiagnosed type 2 diabetes can cause erectile dysfunction (ED) because it affects blood flow and nerve function. I’d strongly recommend getting your A1C checked if you haven’t already. Once he got his glucose under control and started taking better care of himself, things definitely improved in the bedroom too.

ED isn't always just a "guy problem" — sometimes it’s the body's way of flagging a bigger health issue. Please take care of yourself. 💙
 
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