Premature ejaculation (PE) can improve or resolve on its own for some individuals, especially if it's caused by temporary factors such as stress, anxiety, or relationship issues.

However, for others, especially those with chronic or persistent PE, it may not resolve without intervention.

Fildena 200, which contains sildenafil citrate, is primarily used to treat erectile dysfunction (ED) by improving blood flow to the penis. While it's not specifically indicated for the treatment of premature ejaculation (PE), some individuals may find that improved erectile function resulting from Fildena use indirectly helps with PE.

Here are some factors that can influence whether premature ejaculation improves on its own:

Temporary Causes:

Temporary factors such as stress, anxiety, depression, or relationship problems can contribute to premature ejaculation. Addressing these underlying issues may lead to improvement in PE symptoms.

High levels of stress or anxiety, whether related to work, relationships, or other factors, can contribute to PE. Performance anxiety specifically related to sexual activity can exacerbate the issue.

Depression can affect sexual function and may contribute to premature ejaculation in some individuals.

Being with a new sexual partner or in a new sexual situation can sometimes lead to heightened arousal and faster ejaculation due to excitement or nervousness.

Feeling pressure to perform sexually or meet certain expectations can increase stress and anxiety, leading to premature ejaculation.

Inexperienced individuals may have less control over their arousal levels and ejaculation timing, which can result in premature ejaculation.

Excessive alcohol consumption or drug use can impair sexual function and may contribute to premature ejaculation.

Fatigue: Being overly tired or fatigued can affect sexual performance and may lead to premature ejaculation.

Problems in the relationship, such as communication issues, unresolved conflicts, or lack of intimacy, can contribute to stress and anxiety, which may manifest as premature ejaculation.

Experience:

As individuals become more experienced with sexual activity and gain better control over their arousal levels, premature ejaculation may become less of an issue over time.

With experience comes a better understanding of your body's sexual responses. You become more attuned to the sensations leading to ejaculation and learn to recognize the point of no return (the moment when ejaculation becomes inevitable).

Through experience, you can experiment with various techniques to delay ejaculation, such as the start-stop technique or the squeeze technique. These techniques involve temporarily halting sexual stimulation or applying pressure to the base of the penis to delay ejaculation.

Like any skill, practice can lead to improvement. With repeated sexual experiences, you may find that you're better able to control your arousal levels and delay ejaculation.

Experience can also lead to increased confidence in your sexual abilities. As you become more comfortable and confident in your ability to satisfy your partner, performance anxiety and stress related to premature ejaculation may decrease.

Experience allows you to communicate more effectively with your partner about your sexual needs and preferences. Open and honest communication can help alleviate anxiety and create a more supportive and understanding sexual environment.

Age:

For some men, premature ejaculation may improve with age as they become more familiar with their bodies and sexual responses.

With age often comes experience, and as individuals gain more sexual experience, they may develop better control over their arousal levels and ejaculation timing. 

This increased control can help reduce the occurrence of premature ejaculation.

Hormonal changes that occur with age can affect sexual function. While testosterone levels tend to decrease gradually with age, this decline is typically not significant enough to directly cause premature ejaculation. However, hormonal fluctuations can still influence sexual desire and arousal.

However, it's important to note that Sildalist 120 is not a direct treatment for premature ejaculation, and its effectiveness in addressing PE may vary from person to person. Additionally, premature ejaculation can have various underlying causes, including psychological factors, relationship issues, and health conditions, which may not be directly addressed by Fildena.

Certain health conditions that become more common with age, such as diabetes, hypertension, and prostate problems, can contribute to premature ejaculation. 

Managing these underlying health issues through lifestyle changes and medical treatment may help improve PE symptoms.

Older adults may be more likely to take medications for various health conditions, and some medications can affect sexual function and ejaculation. 

It's important to consult with a healthcare provider about potential side effects and alternatives if medication is contributing to premature ejaculation.

Older adults may experience stress, anxiety, or depression related to aging, retirement, or changes in relationships, which can impact sexual function. 

Addressing these psychological factors through therapy or counseling can help manage premature ejaculation.

Health Factors:

Certain health conditions such as diabetes, high blood pressure, or prostate problems can contribute to premature ejaculation. Managing these underlying health issues may help improve PE symptoms.

Conditions affecting the prostate gland, such as prostatitis (inflammation of the prostate) or benign prostatic hyperplasia (BPH), can interfere with normal ejaculation and may contribute to PE.

Hormonal imbalances, including low testosterone levels, can affect sexual function and may contribute to premature ejaculation.

Neurological conditions such as multiple sclerosis (MS) or spinal cord injuries can disrupt nerve signals involved in ejaculation, leading to PE.

Thyroid disorders, including hyperthyroidism (overactive thyroid) or hypothyroidism (underactive thyroid), can affect hormone levels and may impact sexual function, including ejaculation.

Mental health conditions such as anxiety, depression, or performance anxiety can contribute to premature ejaculation. Stress related to work, relationships, or other life events can also exacerbate PE symptoms.

Weak or overactive pelvic floor muscles can affect ejaculatory control and may contribute to premature ejaculation. Pelvic floor exercises, also known as Kegel exercises, can help strengthen these muscles.

Conditions such as hypertension (high blood pressure), atherosclerosis (hardening of the arteries), or cardiovascular disease can impair blood flow to the penis and may contribute to erectile dysfunction and premature ejaculation.

Lifestyle Changes:

Adopting a healthy lifestyle, including regular exercise, a balanced diet, adequate sleep, and stress management techniques, can have a positive impact on sexual function, including premature ejaculation.

However, for individuals with chronic or severe premature ejaculation, it's important to seek professional help.

There are various treatment options available, including therapy, medications, and behavioral techniques, that can effectively address premature ejaculation and improve sexual satisfaction.

A healthcare provider, such as a doctor or a sex therapist, can provide personalized recommendations and guidance based on individual needs and circumstances.