If you are dealing with both premature ejaculation and erectile dysfunction, it's essential to discuss your symptoms with a healthcare professional. They can provide a comprehensive assessment and recommend an appropriate treatment plan based on your individual needs.

In general, the combination of medication and psychological counseling can be synergistic for treating sexual health issues, including ED or premature ejaculation. Here's how:

Medication (e.g., Duratia 30 mg): Medications like Duratia, which contain dapoxetine or other active ingredients, can help address the physiological aspects of premature ejaculation or other sexual dysfunctions. These medications can provide short-term relief and improve sexual performance.

Psychological Counseling: Psychological counseling, such as cognitive-behavioral therapy (CBT) or sex therapy, can address underlying psychological factors contributing to sexual issues. This may include performance anxiety, relationship issues, stress, or other emotional factors.

Comprehensive Approach: Combining medication with psychological counseling offers a more comprehensive approach to treating sexual health concerns. While medication can provide immediate relief, counseling can help address long-term issues and contribute to overall sexual well-being.