Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
131 Doctors are Online

Have premature ejaculation. Used to smoke cigarettes. Please help

User rating for this question
Very Good
Answered by

Practicing since : 2004
Answered : 1835 Questions
I am having premature ejaculation problem. It is happening less than a minute. Using Duralast 30mg for past 10 days but no improvement. I used to smoke 5 cig a day. Also, the hardness remains for 3-4 minutes only if i am in foreplay. then it becomes small. please help me in rectifying the problem. some times it goes inside like a tortise head. It is not even straight. little cross is there.
Posted Wed, 12 Sep 2012 in Premature Ejaculation
Answered by Dr. Ashish Mittal 2 hours later
Thanks for your query.

Premature ejaculation (PE) is common problem and depends on multiple factors like:
*Psychological factors: most common. The psychological factors may include stress, performance anxiety and depression

*Medical causes: Reflex activity of ejaculatory system, thyroid problems and neurological causes.

Following steps will be helpful for treatment:
-If person has PME then it frequently lead to Erectile dysfunction (ED).
-Ejaculation time increases with experience in sex. Do not worry about masturbation in past. But try to avoid masturbation now.
- Try distracting yourself when you feel you are about to ejaculate. Take a XXXXXXX breath and stay relaxed during intercourse.
- Do not worry about performance and talk to your partner openly about any apprehensions if you have. Conversation with partner during sex also delay ejaculation.
- Stop-start or squeeze-pause technique- In stop start technique, near ejaculation withdraw your penis from your partner and relax and think about something else. In squeeze- pause technique, squeeze the end or the tip of the penis for 10 to 20 seconds when you are close to ejaculation and then resume stimulation after withholding for half a minute.
- If the symptoms persist then condoms with desensitizing creams (marketed as LONG LAST/Extra TIME) and SRRI (selective serotonin reuptake inhibitors) like DURALAST 30mg (which you are taking already) will be helpful. Duralast contain dapoxetine and it is effective in 50-60% cases of PME. So, follow above other methods also for improvement.
-Penis is not straight. It commonly has some band on Left>Right side during erection.

I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.

Wish you good health.

Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions

The user accepted the expert's answer

Ask a Psychiatrist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor