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Tips to control premature ejaculation - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Premature Ejaculation
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hi , i have a problem of premature ejaculation ..i end in less than 1 min                                                                 
Doctor :   Hi
User :   hi
User :   hi doctor
Doctor :   May I know your age?
User :   Its 33
Doctor :   Since when are you having this symptoms?
User :   almost from last 6 years
Doctor :   Are you sexually active?
User :   yes i am married
User :   and have a kid
Doctor :   Ok
Doctor :   Do you have any problem while urinating?
User :   no real problems while urinating ...however I dont urinate frequently
User :   maybe twice in a day
Doctor :   Do you consume alcohol?
User :   no doctor
User :   and i am a vegetarian
Doctor :   Do you have any other medical illness?
User :   no doctor ....just one thing , I have premature greying of hair
User :   i do get an erection ...however as soon as i penetrate ...i end up immediately
Doctor :   Have you tried any measures to help in solving this problem in the past?
User :   well tried some capusles like vita ex ...but has not helped
Doctor :   Ok
Doctor :   Let me guide you.
User :   ok
Doctor :   The exact cause for premature ejaculation is not known.
Doctor :   Some doctors believe it to be related to stress and anxiety.
User :   ok
Doctor :   While few others believe due to increase sensitivity of the glans.
User :   ok the latter seems to be applicable for me ...
User :   since i dont really have any other stress or anxiety
Doctor :   I shall suggest you a few measures that can help in solving this issue.
User :   ok
Doctor :   1. During sexual intercourse, increase the time of foreplay.
Doctor :   2. During the actual penetration, a method know as squeeze technique can be used.
User :   ok
Doctor :   This technique is as follows.
Doctor :   After penetration, when you feel that you are about to ejaculate, you need to withdraw from your partner.
User :   ok
Doctor :   You or your partner have to squeeze the penis, so as to prevent the ejaculation from happening.
User :   ok
Doctor :   This will decrease the sensation to ejaculate.
User :   ok i see
Doctor :   Following this you can continue with the intercourse.
Doctor :   You can repeat this for as long as you intend too.
User :   ok
Doctor :   when you do this, you will notice that the time taken for subsequent cycles ( that is withdrawing the penis and squeezing) is increased gradually.
User :   oh ok
Doctor :   This is described as Master's and Johnsons exercise.
User :   ok
Doctor :   3. There is also another form of exercise which can be used while you masturbate.
User :   ok
Doctor :   That is known as start and stop method.
User :   ok
Doctor :   The principle is same, when you are masturbating at the height of sensation, when you feel that you are about to ejaculate.
Doctor :   You have to stop masturbating.
User :   ok ...
Doctor :   This will reduce the sensation and once the sensation is reduced to considerable amount, you can restart masturbation.
Doctor :   You can follow these exercise.
User :   ok ....
Doctor :   4. Apart from this exercise, there are creams or sprays that are available to desensitize the penis or glans.
Doctor :   They come in the name of delay creams.
Doctor :   you can obtain these at pharmacy.
User :   oh ok
Doctor :   These creams can be applied locally before sexual intercourse.
User :   any side effects of these creams doctor ?
Doctor :   You need to test your skin for allergic reactions before using this.
User :   ok
Doctor :   As some may be allergic to it.
User :   ok
Doctor :   Apart from the allergy,
Doctor :   some people have reported reduction in the sensation to a severe extent that they are unable to enjoy sexual activity.
User :   oh
Doctor :   This is not just for the applier, but the opposite partner may also get desensitized.
User :   oh ok
Doctor :   This can only be known after you use it.
User :   ok ...right
Doctor :   5. FInally, I also suggest you another exercise which can help you.
User :   ok
Doctor :   It comes in the name of Keegel's exercise.
User :   ok
Doctor :   The exercise is as follows.
Doctor :   When you are passing urine, try holding urine and then void urine.
User :   what do you mean by void urine ?
Doctor :   You have to repeat this during the whole procedure.
Doctor :   Void urine means pass urine.
User :   ok got it
User :   doctor , one question ..., i have seen this ads about Musli power extra , is that helpful ?
Doctor :   This is not an easy method, but you will slowly learn it through time and practise.
User :   ok
User :   can you please answer my earlier question
Doctor :   I cannot comment on this product as they are ayurvedic products.
Doctor :   My speciality is restricted to allopathic treatment alone.
Doctor :   You can use them if they have been effective earlier.
User :   ok fine ....thanks
Doctor :   Do you have any other medical illness?
User :   so any other allopathic medicinces that you suggest ?
Doctor :   The measures suggested are the most commonly suggested form of treatment.
Doctor :   Apart from these there are few drugs that are useful.
User :   ok , thanks , I will surely try them ...
Doctor :   However since they medications can have side effects.
Doctor :   So you need to consult your doctor to obtain them.
Doctor :   Finally good nutrition and adequate stress management is essential.
Doctor :   Lastly as I had mentioned in the beginning, anxiety during the sexual intercourse may also be a major factor, if you are able to handle it well, you will be able to have a good sexual life.
Doctor :   Have you followed?
User :   yes I got your instructions clear ,
Doctor :   Do you have any other query that I can assist you with?
User :   do you have any doctor in your panel , who can provide some info about Musli power extra
User :   i.e. about its effectiveness
Doctor :   Our doctors here are trained in homeopathic medicine.
User :   ok
Doctor :   Nevertheless, you can use the option of superspecialist opinion from our expert sexologist, if you intend too.
Doctor :   I have sent you the link through which you can obtain the superspecialist - specialising in both urology and male sexology.
Doctor :   Have you followed?
User :   ok have you sent me an email with the link ?
Doctor :   Yes, I have sent you a link.
User :   ok fine
Doctor :   Incase you have not recieved one, I shall resend you again.
User :   let me quickly check
Doctor :   WWW.WWWW.WW User :   havent received so far, have you sent it to YYYY@YYYY
User :   ok
Doctor :   This link will direct you to the option of super specialist opinion from our expert sexologist.
Doctor :   Do you have any other query that I can assist you with?
User :   I have premature greying of hair and beard ...not sure if you can help on this
Doctor :   The most common cause for greying of the hair is due to impairment in nutritional factors.
User :   ok
Doctor :   The need for vitamins is essential in treating this condition.
Doctor :   You will need to use multivitamin pills for helping you sort this problem.
User :   ok
Doctor :   These medications will not help in transforming the affected hair into normal ones.
Doctor :   But will help in preventing other hairs form losing colour.
User :   ok got it
Doctor :   The present grey hairs can be addressed by means of using hair dyes.
User :   right
Doctor :   Hence be regular in your dietary habits and include good amount of vegetables and fruits in your diet.
Doctor :   Have you followed?
Doctor :   Do you have any other query?
User :   well thats all that i have , thank you very much ...
Doctor :   Thanks for consulting me. Bye for now. Please refer your friends to our service.
User :   Sure , will do , thanks again
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