Understanding the Issue

• Nighttime sexual performance issues and premature ejaculation involve difficulties in maintaining an erection or ejaculating sooner than desired.

Lifestyle Modifications

• Manage stress, exercise regularly, and maintain a balanced diet.
• Avoid excessive alcohol, smoking, and recreational drugs.

Behavioral Techniques

• Use the 'stop-start' and 'squeeze' techniques to delay ejaculation.

Psychological Factors

• Address anxiety and stress; communicate openly with your partner.
• Practice relaxation techniques.

Sleep Hygiene

• Ensure good sleep patterns to improve sexual performance.

When to Seek Medical Help

• Consult a healthcare professional if self-care measures are insufficient.
• Consider treatments like counseling or medications from a specialist.

Relevant Medical Specialties

• Urology and Sexual Medicine specialists can provide further evaluation and treatment.

Summary

• Be patient and consistently practice self-care strategies for improvement.