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Premature Ejaculation,low erection - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Men's Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1714 Questions
User :   Hi, I got married 4 months back , I have a small penis but I was never negative about it, how ever I have realized that I am not able to enter the vagina of my wife as I am not having enought erection and it just goes off within a min or two when we start having sex. Also I ejaculate very prematurely, can i have help here , any treatment? please suggest. I am worried if I would be able to make my wife pregnant like this or not
Doctor :   Hi
User :   hi
Doctor :   I am Dr AAAAAAA
Doctor :   How can I help you ?
User :   Hi AAAAAAA
User :   I have my question , can u read it or I need to type it again
Doctor :   Please give me a few moments to see your query.
User :   ok no problem
Doctor :   Yes
User :   so, what do you suggest
Doctor :   Could you answer a few more questions pertaining to your problem ?
User :   yes sure
User :   I am totally open to all questions u wud have
Doctor :   Could you let me know your age ?
User :   27 years old
Doctor :   Since when have you notice this problem ?
User :   since the time I got married and we started having sex
Doctor :   So 4 months..?
User :   yes
Doctor :   Do you have Early Morning erections ?
User :   yes i do
Doctor :   Ok
User :   why does this happen?
User :   i mean the early morning one
Doctor :   It is due to testosterone levels which shoot up in the morning, if you have it you can be ruled out or you dont have Erectile Dysfunction.
Doctor :   Hope you have followed ?
User :   no.please explain
Doctor :   How about your height and weight ?
User :   i was 116 kgs once..say about 5 years ago..I am 85 now
User :   hieght 5'5'
Doctor :   If you have early morning erection you dont have Erectile Dysfunction.
User :   82-85 is my wt
User :   okk
User :   that sounds encouraging
User :   i used to think this is abnormal that I have erection in the morning
Doctor :   No it is quite normal for everyone.
Doctor :   You are a bit overweight , hope you know this.
User :   yes I know that
Doctor :   Do you consume alcohol ?
User :   not much
User :   very less
User :   my weight doesnt reduce any more...
Doctor :   Ok, Could you specify how much ?
User :   may be 2 pegs a month
Doctor :   Ok, That is fine if taken in that quantity.
Doctor :   How about smoking ?
User :   yes. I am very low on alchohol
User :   so that not a problem
User :   I dont smoke wither
User :   either*
Doctor :   Ok, Good to know that.
Doctor :   How about your dietary habits and exercise and life style ?
User :   honestly excercise is almost nill with my life style...though i am trying to get it in..but diet is very normal
Doctor :   Ok
User :   i have healthy food atleast 70 % of the times i eat
User :   and no over eating for me.
Doctor :   Ok
User :   i got into this habbit since the time i started reducing my weight
Doctor :   Need to ask a few more personal questions ?
User :   yes please go ahead
Doctor :   Did you have sexual intercourse prior to marriage ?
User :   no
User :   i didnt
Doctor :   How about masturbation ?
User :   yes that was always there
User :   i think from 11th standard onwards
Doctor :   Ok
Doctor :   How much time does the erection and ejaculatory time lapse for when you masturbate ?
User :   pretty short - 2-4 mins
Doctor :   Ok
User :   never realized this was short untill i got married
Doctor :   Actually we grade it as Premature ejaculation if it is below 1 min.
Doctor :   Is it below 1 min.
User :   hmm..well it depends
User :   at times yes
User :   but thats not always
Doctor :   Ok
Doctor :   So let me tell you some immediate measures and some long term measures : User :   ok.
Doctor :   And before that did you consult a doctor personally ?
User :   no..i have been thinking of doing this along with my wife
User :   as i am getting a little worried about this
Doctor :   Ok
Doctor :   Before that please try following measures : User :   ok. pls go ahead
User :   and suggest
Doctor :   1. Please follow Kegels exrecises
User :   kegels?
Doctor :   2. Please use the Start, Squeeze and Start mechanism.
Doctor :   Let me explain in detail after i list out.
User :   ok.
User :   ok.
Doctor :   3. Please train your mind psychologically for greater performance.
Doctor :   4. Concentration techniques need to be learnt.
Doctor :   5. Abstain totally from alcohol.
Doctor :   6. Increase physical activity , exercise with pelvic floor exercises.
Doctor :   7. Decrease Your BMI and weight by at least 15-20 kgs.
Doctor :   8. Lot of fruits and fresh veggies and juices and honey and dry fruits.
Doctor :   Hope you have noted them .
User :   yes I have
Doctor :   Please try to take less amount of tea and coffee and switch over to green tea.
Doctor :   9. Have lots of water and good sleep which is very important.
User :   ok
Doctor :   Could you speak on phone as i would be able to advise you better and elaborate them.
User :   hmm..I would be more comfortable here
User :   hope u understand
Doctor :   As time is running out I need to explain you better , Could you come back ?
User :   I am not at a place where i could talk on phone
Doctor :   No issue about that.
User :   yes sure.
User :   how can i connect to you again?
Doctor :   Please pay again and i will take the chat for you again.
User :   ok
Doctor :   Ok.
User :   Can i be conncected to Dr AAAAAAA
Doctor :   Hi I am Dr XXXXXXXX here.
User :   i again
User :   hi*
Doctor :   Hi
Doctor :   In Kegels you have to follow the following steps : Doctor :   You have to hold your anal canal and Urethral orifice tight inside
Doctor :   as if you are not allowing yourself to urinate or defeacate and then release
Doctor :   Hope you have understood the tecnique
User :   yes
Doctor :   You have to do this at least 10 times in the morning, afternoon and night.
User :   got it
Doctor :   Initially
Doctor :   and then take it to twenty.
User :   okk..
User :   for how many days?
Doctor :   At least for two weeks.
Doctor :   Pelvic floor muscle exercises would be next big help.
User :   how to go about this?
Doctor :   1. Need to do these 10 times every morning and evening ?
User :   ok
Doctor :   They are deep inhalation & after holding your lower abdomen tight exhalation.
User :   got it..googled it as well
Doctor :   Good
Doctor :   Kegels with an instrument is difficult to advise without practical demonstraton, so please follow these exercises.
User :   yes
Doctor :   Now about the diet
User :   yes
Doctor :   please take lots of honey and reduce sugar totally as ot is good for ejaculation
User :   ok
User :   ok before you tell me on this, i travel a lot !! ..
Doctor :   And lots of fruits .
User :   am out of home for nearly 15 days a month
Doctor :   Lack of sleep is major cause for this.
Doctor :   Take care about that.
User :   sleep is sufficient
User :   i dont have a problem regarding sleep
User :   easily 7-8 hrs
Doctor :   Now the most important part is regarding Psychology.
Doctor :   Good.
Doctor :   You need to train your mind and your nerves about the sexual intercourse which is a very mechanised and highly sensitive phenomenon.
User :   Psychologically i feel am positive and determined ... my wife doesnt let me go negative
Doctor :   It is not about that.
Doctor :   Let me ask you a few very frank questions ?
User :   then?
User :   yes
User :   pls
Doctor :   1. Do you get sexually attracted to your wife ?
User :   yes totally
User :   i njoi sex wid her
Doctor :   2. Prior to marriage what thoughts made you to masturbate ?
User :   hmm..obviosuly it was when we thought about or fantasized a girl
User :   it was all imagination
Doctor :   Ok
Doctor :   Hope those thoughts dont come back when you with your wife ?
User :   no
User :   not at all
Doctor :   That is very positive.
User :   when I am with her, I am totally with her
User :   yes
Doctor :   Now you need to discuss with her about your small problem that is completely curable and have to take her help.
User :   i did discuss with her and thats we thought of seeing a doctor just to know more
Doctor :   When you start participating in intercourse , a mechanism sets in your brain and hormones which says you have reached orgasm and your testosterone levels shoot up to peak level an ejaculation occurs.
Doctor :   So to stop ejaculation you have to practise a physical rigor for some time at least a month called START-SQUEEZE-STOP-START
User :   okk..
User :   tell me more
Doctor :   Wheer you need to squeeze the Glans part of your penis so tightly that it looses its hardness and becomes soft and small just after half minute or before you know that you are going to ejaculate in half or one minute.
Doctor :   Hope you have followed ?
User :   yes got it
Doctor :   Then the Psychology, You need to stop thinking about your wife and sex but about your GOD OR YOUR PARENTS
User :   this is while having sex ?
Doctor :   Or somthing else which delays your ejaculation !
Doctor :   Yes absolutely right .
User :   ok
User :   this should be practices for a month or so?
Doctor :   Hope you are following the whole concept of it ?
User :   yes
User :   its all about control I guess
Doctor :   Exactly right and because you are a first timer you need to put in lot of energy for at least one month.
User :   sure I will :) I am good at doing wat i shud be doing :)
User :   thank u
Doctor :   All the best .
User :   a quick q on the weight..liposuction? i just havent been able to reduce my weight because of the stubbarn doesnt reduce despiote all efforts
Doctor :   I feel it it will get better in a month , if not lets see and advise some medications.
Doctor :   Thank you for consulting me.
Doctor :   Take care, Bye for now.
User :   same there
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