&lt;h1&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Premature Ejaculation Treatment&lt;/strong&gt;&lt;/span&gt;&lt;/h1&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;What is premature ejaculation?&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://www.pulse-clinic.com.sg/premature-ejaculation&quot;&gt;Premature ejaculation&lt;/a&gt; &lt;/strong&gt;&lt;/span&gt;(PE) is a male sexual dysfunction characterized by ejaculation that always or nearly always occurs before or within 1 minute of penetration (lifelong PE) or a clinically significant and bothersome reduction in latency time, often to about 3 minutes or less (acquired PE), the inability to delay ejaculation on all or nearly all vaginal penetrations, and negative personal consequences, such as distress bother, frustration, and the avoidance of sexual intimacy (International Society of Sexual Medicine, 2014)&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;What are the causes of premature ejaculation?&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Lifelong PE is known in some men, and neurobiological and genetic variations could contribute to the pathophysiology of lifelong PE.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Acquired PE is commonly due to sexual performance anxiety, psychological or relationship problems consistent with organic causes, occasionally prostatitis, hyperthyroidism, erectile dysfunction, and metabolic syndrome.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong&gt;Learn more about&amp;nbsp;&lt;/strong&gt;&lt;/span&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;a href=&quot;https://pulse-clinic.com/erectile-dysfunction-treatment&quot;&gt;&lt;strong&gt;Erectile Dysfuction Treatment in Thailand&lt;/strong&gt;&lt;/a&gt;&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h3&gt;&lt;strong&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;1. Premature ejaculation, sexual performance anxiety, and psychological or relationship problems:&lt;/span&gt;&lt;/strong&gt;&lt;/h3&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Several studies have suggested that anxiety activates the sympathetic nervous system and reduces the ejaculatory threshold due to an earlier emission phase of ejaculation.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h3&gt;&lt;strong&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;2. Premature ejaculation and comorbid erectile dysfunction&lt;/span&gt;&lt;/strong&gt;&lt;/h3&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Recent data demonstrate that as many as half of subjects with &lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://www.pulse-clinic.com.my/erectile-dysfunction&quot;&gt;Erectile Dysfunction (ED)&lt;/a&gt;&lt;/strong&gt;&lt;/span&gt; also experience &lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://www.pulse-clinic.com.my/premature-ejaculation&quot;&gt;Premature Ejaculation&lt;/a&gt;&lt;/strong&gt;&lt;/span&gt;. Issues with ED may require a high level of arousal to achieve an erection and intentionally rush intercourse to prevent early detumescence of the erection.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong&gt;&quot;Did you know that there&#39;s a new treatment for erectile dysfunction called&lt;/strong&gt;&amp;nbsp;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://pulse-clinic.com/shockwave-therapy-for-erectile-dysfunction-eswt&quot;&gt;Shockwave Therapy for Erectile Dysfunction&lt;/a&gt;&lt;/strong&gt;&lt;/span&gt;?&quot;&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h3 style=&quot;text-align: center;&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Book Your Appointment Today!&lt;/strong&gt;&lt;/span&gt;&lt;/h3&gt;
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&lt;p style=&quot;text-align: center;&quot;&gt;&lt;strong&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Contact us at&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;mailto:info.bkk@pulse-clinic.com&quot;&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;info.bkk@pulse-clinic.com&lt;/span&gt;&lt;/a&gt; &lt;span style=&quot;color: #99ccff;&quot;&gt;or chat on your preferred platform:&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt;
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&lt;h2&gt;&amp;nbsp;&lt;/h2&gt;
&lt;h3&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;3. Premature ejaculation and prostate disease&lt;/strong&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Several studies report premature ejaculation as the main sexual disorder of men with chronic &lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://www.pulse-clinic.com.sg/prostatitis&quot;&gt;prostatitis&lt;/a&gt;&lt;/strong&gt;&lt;/span&gt; or chronic pelvic pain syndrome (CPPS), with a prevalence of 26% to 77%. Some have reported that antibiotic treatment for confirmed bacterial prostatitis in men with acquired PE improves ejaculatory control in 83.9% of subjects.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h3&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;4. Premature ejaculation and hyperthyroidism&lt;/strong&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;The 50% prevalence of PE in men with hyperthyroidism fell to 15% after treatment with thyroid hormone normalization.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;br /&gt;&lt;strong&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;How can premature ejaculation be treated?&lt;/span&gt;&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;h3&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;1. Psychosexual therapy&lt;/strong&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;The educational strategies are designed to inform men about the prevalence of PE in the general population, dispel myths about PE, and give them the confidence to try medical interventions and reduce performance anxiety.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h3&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;2. Try the pause-squeeze or start-stop technique.&lt;/strong&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;A well-known technique for delaying ejaculation, the &amp;ldquo;Start-Stop technique&amp;rdquo; stops genital penetration when about to ejaculate and stimulates new sexual arousal. It is a training for patients to recognize the feeling before reaching the climax (pre-orgasm), and the &amp;ldquo;Pause-Squeeze technique&amp;rdquo; when patients are about to ejaculate, stop inserting the penis and squeeze the frenulum for about 30 seconds until causing the penis to temporarily not harden. Inhibit ejaculation of sperm for the Pause-Squeeze technique was studied by Dr Keith H., who found that 64 per cent of the users of this technique were able to control ejaculation better when follow-up treatment in the next 3 years.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h3&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;3. Topical local anaesthetic&lt;/strong&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;The oldest known pharmacologic treatment for PE to diminish the sensitivity of the glans penis. Some data suggest it may be associated with significant possible transvaginal absorption, resulting in vaginal numbness and female anorgasmia unless a condom is used. &amp;mdash;&amp;gt; Lidocaine-Prilocaine cream (EMLA) dosing; on-demand use 20-30 min before intercourse&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h3&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;4. Selective serotonin reuptake inhibitors (SSRIs)&lt;/strong&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;a href=&quot;https://www.pulse-clinic.com.sg/premature-ejaculation&quot;&gt;PE can be treated&lt;/a&gt; with on-demand or daily dosing of off-label SSRIs: &lt;a href=&quot;https://www.pulse-clinic.com/where-to-buy-priligy-dapoxetine-in-thailand&quot;&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;strong&gt;Dapoxetine (Priligy)&lt;/strong&gt;&lt;/span&gt;&lt;/a&gt;, Paroxetine, Sertraline, and Fluoxetine. But off label prescribing may present difficulties for physicians as the regulatory authorities strongly advise against prescribing for indications that medication is not approved. Also, some studies reported that some patients with depressive or anxiety disorder would slightly increase the risk of suicidal ideations in youth but not adults.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h3 style=&quot;text-align: center;&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Book Your Appointment Today!&lt;/strong&gt;&lt;/span&gt;&lt;/h3&gt;
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&lt;p style=&quot;text-align: center;&quot;&gt;&lt;strong&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Contact us at&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;mailto:info.bkk@pulse-clinic.com&quot;&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;info.bkk@pulse-clinic.com&lt;/span&gt;&lt;/a&gt; &lt;span style=&quot;color: #99ccff;&quot;&gt;or chat on your preferred platform:&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt;
&lt;p style=&quot;text-align: center;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://wa.me/66652371936&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/WhatsApp.png&quot; width=&quot;48&quot; height=&quot;82&quot; /&gt;&lt;span style=&quot;color: #ffffff;&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;/a&gt;&lt;/strong&gt;&lt;strong&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;a href=&quot;https://wa.me/66652371936&quot;&gt;+66 65 237 1936&lt;/a&gt;&amp;nbsp;&lt;/span&gt;&amp;nbsp;&amp;nbsp;&lt;/strong&gt;&lt;strong&gt;&lt;a href=&quot;line://ti/p/@946svqfh&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/line-logo.png&quot; width=&quot;50&quot; height=&quot;85&quot; /&gt; &lt;span class=&quot;w-30 inline-block px-2 mt-3&quot;&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt; @PULSEClinic&lt;/span&gt;&lt;/span&gt;&lt;/a&gt;&amp;nbsp; &lt;/strong&gt;&lt;strong&gt;&lt;a href=&quot;weixin://dl/chat?pulseclinic&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/WeChat_App_Icon.png&quot; width=&quot;50&quot; height=&quot;85&quot; /&gt;&lt;/a&gt;&amp;nbsp;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;a href=&quot;weixin://dl/chat?pulseclinic&quot;&gt;&lt;span class=&quot;w-30 inline-block px-2 mt-3&quot;&gt;PulseClinic&lt;/span&gt;&lt;/a&gt;&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt;
&lt;h2&gt;&amp;nbsp;&lt;/h2&gt;
&lt;h3&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;5. Tramadol&lt;/strong&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Tramadol is a potent centrally-acting synthetic opioid analgesic. Even the mechanism of action of Tramadol is still unclear. Still, some data appear effective in treating PE but suggest that these findings should be interpreted with caution, risk of dependence, moderate-to-severe side effects, and serotonin syndrome, especially in combination with SSRIs.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&amp;mdash;&amp;gt; dosing 25-50 mg 3-4 hours before intercourse&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h3&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;6. Phosphodiesterase type 5 inhibitors (PDE5Is)&lt;/strong&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;ED pharmacotherapy alone (PDEI5Is; &lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://www.pulse-clinic.com.sg/viagra-sildenafil-singapore&quot;&gt;Sildenafil&lt;/a&gt;&lt;/strong&gt;&lt;/span&gt; or &lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://www.pulse-clinic.com.my/viagra-sildenafil-malaysia&quot;&gt;Viagra&lt;/a&gt;&lt;/strong&gt;&lt;/span&gt; and &lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://www.pulse-clinic.com/buy-cialis-in-pattaya-from-pulse-clinic-thailand&quot;&gt;Tadalafil&lt;/a&gt;&lt;/strong&gt;&lt;/span&gt; or&amp;nbsp;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://www.pulse-clinic.com.hk/cialis-tadalafil-hong-kong&quot;&gt;Cialis&lt;/a&gt;&lt;/strong&gt;&lt;/span&gt;) is recommended for Lifelong-PE or Acquired-PE in men with comorbid PE, but Off-label on-demand or daily dosing of PDE5Is is not recommended for PE treatment in men with normal erectile function.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://www.pulse-clinic.com/buy-sildenafil-generic-cialis-from-pulse-clinic-thailand-malaysia-singapore-hong-kong&quot;&gt;Sildenafil or Viagra&lt;/a&gt;&lt;/strong&gt;&lt;/span&gt; 25-100 mg; On-demand 30-60 min before intercourse &amp;mdash;&amp;gt; &lt;a href=&quot;https://www.pulse-clinic.com/buy-tadalafil-generic-cialis-from-pulse-clinic&quot;&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;strong&gt;Tadalafil or Cialis &lt;/strong&gt;&lt;/span&gt;&lt;/a&gt;10-20 mg; On-demand 30-60 min before intercourse&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Circumcision and Premature Ejaculation&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot; data-preserver-spaces=&quot;true&quot;&gt;Some studies suggest a potential benefit of &lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://www.pulse-clinic.com/circumcision-and-premature-ejaculation&quot;&gt;having circumcised to reduced premature ejaculation&lt;/a&gt;&lt;/strong&gt;&lt;/span&gt;, others find no significant difference or increased risk among circumcised men. &lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot; data-preserver-spaces=&quot;true&quot;&gt;Given the mixed evidence and the potential risks and ethical considerations associated with &lt;a href=&quot;https://www.pulse-clinic.com/circumcision-thailand&quot;&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;strong&gt;adult circumcision&lt;/strong&gt;&lt;/span&gt;&lt;/a&gt;, it is crucial for men considering this procedure for PE to consult a healthcare professional and explore alternative treatment options.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot; data-preserver-spaces=&quot;true&quot;&gt;Ultimately, the decision to undergo circumcision as a treatment for premature ejaculation should be based on a thorough understanding of the potential benefits and risks, assessing the individual&#39;s health risks, and considering personal preferences and values.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #808080;&quot;&gt;&lt;em&gt;Ref:&lt;/em&gt;&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #808080;&quot;&gt;&lt;em&gt;- Campbell-Walsh Urology 12th Edition Review, (2020)&lt;/em&gt;&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #808080;&quot;&gt;&lt;em&gt;- Premature ejaculation, Tantiwongse K, Srithong S. Premature ejaculation. Chula Med J 2018&lt;/em&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;strong&gt;&amp;nbsp;&lt;/strong&gt;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Are you looking for Lidocaine?&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
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&lt;p style=&quot;text-align: center;&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;We recommend&amp;nbsp;&lt;/span&gt;&lt;span style=&quot;text-decoration: underline; color: #ff99cc;&quot;&gt;&lt;a href=&quot;https://www.pulse-living.com/product/ODM0NA==&quot;&gt;&lt;strong&gt;Lidocaine 10% Spray 50 ml&lt;/strong&gt;&lt;/a&gt;&lt;/span&gt;&amp;nbsp;&lt;span style=&quot;color: #99ccff;&quot;&gt;by PULSE Clinic,&amp;nbsp;available for online order now.&amp;nbsp;Lidocaine is increasingly being used as a treatment for premature ejaculation (PE), a common condition that affects many men. When applied topically in the form of spray, lidocaine works by temporarily numbing the penile area, which can help delay ejaculation during sexual activity. This localized numbing reduces sensitivity, allowing individuals to have better control over the timing of ejaculation. The use of lidocaine for PE is often recommended for men who seek a non-invasive, quick solution with minimal side effects.&lt;/span&gt;&lt;/p&gt;
&lt;p style=&quot;text-align: center;&quot;&gt;&lt;strong&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Order now on our &lt;/span&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;a href=&quot;https://www.pulse-living.com/shop/book&quot;&gt;website&lt;/a&gt;&lt;/span&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;, or contact &lt;a href=&quot;mailto:pulseliving@pulse-clinic.com&quot;&gt;pulseliving@pulse-clinic.com&lt;/a&gt;&lt;/span&gt;&lt;/strong&gt;&lt;strong&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&amp;nbsp;for more information. You can also chat with us on your preferred platform.&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt;
&lt;p style=&quot;text-indent: 0px; margin: 0px; text-align: center;&quot;&gt;&lt;strong&gt;&amp;nbsp;&lt;a href=&quot;https://wa.me/66842262569&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/WhatsApp.png&quot; width=&quot;48&quot; height=&quot;82&quot; /&gt; &lt;span class=&quot;w-30 inline-block px-2 md:px-4 mt-3&quot;&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt; +66-84-226-2569&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/a&gt;&lt;/strong&gt;&lt;strong&gt;&lt;a href=&quot;https://lin.ee/vPCyIC9&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/line-logo.png&quot; width=&quot;50&quot; height=&quot;85&quot; /&gt; &lt;span class=&quot;w-30 inline-block px-2 mt-3&quot;&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt; @PulseRx&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/a&gt;&amp;nbsp; &amp;nbsp;&amp;nbsp;&lt;/strong&gt;&lt;strong&gt;&lt;a href=&quot;weixin://dl/chat?pulseclinic&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/WeChat_App_Icon.png&quot; width=&quot;50&quot; height=&quot;85&quot; /&gt;&lt;/a&gt;&amp;nbsp;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;a href=&quot;weixin://dl/chat?pulseclinic&quot;&gt;&lt;span class=&quot;w-30 inline-block px-2 mt-3&quot;&gt;PulseClinic&lt;/span&gt;&lt;/a&gt;&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt;
&lt;p style=&quot;text-indent: 0px; margin: 0px; text-align: center;&quot;&gt;&amp;nbsp;&lt;/p&gt;
&lt;p style=&quot;text-indent: 0px; margin: 0px; text-align: center;&quot;&gt;&amp;nbsp;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Do I need to book an appointment?&lt;/strong&gt;&lt;/span&gt;&lt;/p&gt;
&lt;ul style=&quot;list-style-type: square;&quot;&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;em&gt;Yes. Here&#39;s how:&lt;/em&gt;&lt;/span&gt;
&lt;ul style=&quot;list-style-type: square;&quot;&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;em&gt;Go to the &lt;strong&gt;&lt;a href=&quot;https://www.pulse-clinic.com/booking&quot;&gt;PULSE Clinic Booking&lt;/a&gt;&lt;/strong&gt; page (or click Book an Appointment Now button below)&lt;/em&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;em&gt;Choose your preferred location&lt;/em&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;em&gt;Choose the service you want to avail&lt;/em&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;em&gt;Choose your preferred appointment date and time&lt;/em&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;em&gt;Fill out necessary details&lt;/em&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;em&gt;Confirm booking&lt;/em&gt;&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;/li&gt;
&lt;/ul&gt;
&lt;h3 style=&quot;text-align: center;&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;&lt;br /&gt;Book Your Appointment Today!&lt;/strong&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;p style=&quot;text-align: center;&quot;&gt;&lt;a href=&quot;https://www.pulse-clinic.com/booking&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/Buttons/Booking-an-appointment-at-PULSE-CLINIC.png&quot; width=&quot;300&quot; height=&quot;41&quot; /&gt;&lt;/a&gt;&lt;/p&gt;
&lt;p style=&quot;text-align: center;&quot;&gt;&lt;strong&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Contact us at&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;mailto:info.bkk@pulse-clinic.com&quot;&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;info.bkk@pulse-clinic.com&lt;/span&gt;&lt;/a&gt; &lt;span style=&quot;color: #99ccff;&quot;&gt;or chat on your preferred platform:&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt;
&lt;p style=&quot;text-align: center;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://wa.me/66652371936&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/WhatsApp.png&quot; width=&quot;48&quot; height=&quot;82&quot; /&gt;&lt;span style=&quot;color: #ffffff;&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;/a&gt;&lt;/strong&gt;&lt;strong&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;a href=&quot;https://wa.me/66652371936&quot;&gt;+66 65 237 1936&lt;/a&gt;&amp;nbsp;&lt;/span&gt;&amp;nbsp;&amp;nbsp;&lt;/strong&gt;&lt;strong&gt;&lt;a href=&quot;line://ti/p/@946svqfh&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/line-logo.png&quot; width=&quot;50&quot; height=&quot;85&quot; /&gt; &lt;span class=&quot;w-30 inline-block px-2 mt-3&quot;&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt; @PULSEClinic&lt;/span&gt;&lt;/span&gt;&lt;/a&gt;&amp;nbsp; &lt;/strong&gt;&lt;strong&gt;&lt;a href=&quot;weixin://dl/chat?pulseclinic&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/WeChat_App_Icon.png&quot; width=&quot;50&quot; height=&quot;85&quot; /&gt;&lt;/a&gt;&amp;nbsp;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;a href=&quot;weixin://dl/chat?pulseclinic&quot;&gt;&lt;span class=&quot;w-30 inline-block px-2 mt-3&quot;&gt;PulseClinic&lt;/span&gt;&lt;/a&gt;&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt;

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