It is very common to experience both conditions, and they can be managed together safely. Since Tadalafil helps your erections, your doctor may suggest adding a medication specifically to delay ejaculation. Effective options include selective serotonin reuptake inhibitors (SSRIs) like dapoxetine, which is taken as needed, or daily medications like paroxetine or sertraline. Another option is using topical anaesthetic sprays or creams containing lidocaine before intercourse. \n\nSometimes, combination therapies are prescribed to address both issues at once. Please consult your doctor to discuss these options and find the safest, most effective combination for you.