Welcome to Healthcare Magic and thanks for your query.

You have mentioned two problems that you are facing - small penis size and premature ejaculation.

Regarding the first problem of small penis size, let me tell your directly that it is not possible to significantly increase the size of the penis with any medication. The only proven option is surgery. There may be numerous claims and ads on the internet for tablets, supplements, devices, etc. but none of these are proven effective and safe.

But let me assure you that the size of the penis doesn't make a big difference to sexual performance. Penis length alone is not the sole criteria which satisfies women. A variety of other factors like good foreplay, adequately arousing the partner, sexual intimacy, confidence, technique, etc. are all important. The length of the female vagina is only about 4 inches long and so having a slightly smaller penis doesn't matter much with regards to satisfying your partner.


Regarding your second sexual problem of pre-mature ejaculation, this is a very common problem in young males. Now, the good news is that in more than 90% of persons with this sexual problem, there is no medical abnormality causing this. Most of the times, the underlying causes are the following:
1) Subconscious anxiety / fears / doubts about inadequate sexual performance (called as "performance anxiety")
and / or
2) A hypersensitive response of the penis

"Performance anxiety" can be due to the following reasons:
- Doubts and fears that you won't perform well and satisfy your partner.
- Anxiety or fear about ejaculating prematurely.
- Worries about your attractiveness or body image or penis size


Treatment of premature ejaculation problem is behavioural techniques as well as medication, in some cases. Usually medication is kept only as the last resort as most of the problems will resolve with proper behavioural techniques.

I would suggest the following tips to overcome this problem:

1) Firstly get rid of thoughts that you may be sexually inadequate or your doubts that you may not be able to perform properly. Like I mentioned before, performance anxiety, feelings of sexual indequacy, self-doubts, guilt, past negative sexual experiences, poor communication / understanding with the partner, etc. can all affect sexual functioning and performance. So, removing the person's doubts and fears, and improving his self-confidence levels will definitely help in improving sexual performance. Remember that sex is not just a physical act but also a psychological process involving an expression of emotions, intimacy and love. So, just involve yourself in those feelings and stop focussing on your "performance" alone. Once you do that, then I assure you that your sexual performance will automatically improve.

Most importantly, performance anxiety soon becomes a "viscious cycle" That is, anxiety leads to poor performance and poor performance then leads to further anxiety and this keeps on increasing. So, the key is to break this cycle at some point of time and take control of yourself.

2) The second cause for pre-mature ejaculation is hypersensitivity of the penis to touch sensations. Now, there are certain specific sexual techniques which can reduce this hypersensitivity. The "stop-start technique" or "squeeze technique" have been proven to be successful in reducing this hypersensitivity and increasing the ejaculatory time.

In the stop-start technique, the penis is stimulated (by sexual intercourse or by masturbation) till a point when you feel close to orgasm. At that point, the stimulation is stopped for some time and after a small gap, it is continued. This process is repeated repeated a few times.

In the squeeze technique, the penis can be stimulated by hand (by masturbation or by your partner) till a point when you feel close to orgasm. At that point, the lower part of the head of the penis is squeezed tightly with the index finger and thumb around for a few seconds till the erection decreases. Then the stimulation is restarted and the process is repeated a few times.

Both these techniques, if practised regularly can increase your time taken for orgasm.

3) One more problem responsible for early ejaculation is inadequate sexual arousal. When the person is not properly aroused, the blood flow to the penis is not maximal, and so, after a few strokes, the erection weakens and ejaculation occurs. The way to tackle this is not to rush into intercourse quickly, but wait till you get fully aroused. So, increase and spice-up your foreplay. Make sure that you initiate penetration only after both of you are fully turned on. Good foreplay not only arouses you but also sparks off the mood in your partner. So, when she is also aroused and involved, then things keep flowing smoothly and effortlessly, and you don't have to be constantly anxious if you are satisfying your partner or not.

4) Improve your communication with your partner - this means both verbal as well as non-verbal communication. Each person has his or her own ways of getting sexually aroused or feeling sexual pleasure. So, this verbal and non-verbal communication will let each of the partners understand each other's needs and thereby make sex both relaxing and enjoyable.

5) Distract yourself stop "monitoring" your sexual performance. Try putting on some romantic music or mild lighting while you make love. Think about the things that turn you on. Taking your mind off of your sexual performance can remove the worries that are stopping you from getting excited.

6) There are also certain medication like Dapoxetine (Prilyxet), which can help you with this specific problem of premature ejaculation. But like I mentioned before, medication should be kept only as a last resort after trying the behavioural methods and sexual techniques.

It is also important to eat a healthy & balanced diet, exercise regularly and try to stay positive and stress-free.

Wish you all the best.

- Dr. Jonas Sundarakumar
Consultant Psychiatrist & Sexologist

---

Hello again,

You can try a medication called Dapoxetine, which is available in India under the brand name Prilyxet. It is a medication specifically designed for premature ejaculation and it is safe to take. The recommended dosage is 30mg which can be used on a need basis i.e. as and when required.

Regarding your doubt about the foreskin of the penis, the answer is that if the skin is elastic and able to slide freely over the head of the penis, then it will not be a hindrance to proper penetration. Regarding your other doubt about the penis touching the ovaries, you should know that the ovaries are female XXXXXXX sexual organs which are placed well inside the abdominal cavity, and so, it is not possible for the penis to touch the ovaries.

Regards,
Dr. Jonas Sundarakumar
Consultant Psychiatrist & Sexologist

---

Dont't worry XXXXXX... Explain things to her in a calm and reassuring way, and she will understand. You also stop feeling guilty and having doubts about your sexual capacity. Just be confident and positive, and then, your problems will soon be overcome.

Wish you all the best.

Regards,
Dr. Jonas Sundarakumar
Consultant Psychiatrist & Sexologist

(Kindly close the query and leave a review if you are happy with my answers.)

---