Brief Answer:
you do not have any physical problem,you need counselling if required

Detailed Answer:
Hello XXXX,

Thanks for writing to us.
Many young men like you suffers from anxiety related to sexual issues before marriage. Almost 95% do not have any physical problem. They only have psychological over concern.

Let me clarify you about size of penis.

Size of penis varies according to individual.In flaccid state it ranges from 2-4 inches and in erect state 3.5-6 inches. Normally minimum 3-3.5 inches (8-9cm) penis in erectile stage is required to satisfy female partner. Girth of penis in erect state ranges from 1-2 inches.
According to these facts your penis size is absolutely fine.

Time of ejaculation with masturbation and sex varies. During sex it will take more time in general.
There is no specific time we can say normal for a man during sex.

Premature Ejaculation (PME) or early discharge defined when male partner ejaculates early before the female partner reaches to orgasm. There is no absolute time by which we can diagnose PME. It is relative term and female partner is the best judge.

There are medicinal and non medicinal approaches to treat PME.
You do not need treatment for PME in my opinion right now. However for your information I want to mention the details.

Medicines:
Clomipramine and paroxetine are choice of medicines which are used as antidepressants(For depression dose is higher).
I prefer clomipramine for PME. No significant side effects with these medicines. Initially say for 20-30 days daily after dinner and later on just on the day when you do the sex.
Paroxetine is more potent but it may cause side effects like headache, gastric discomfort, giddiness and sedation. In patients with blood pressure it should be used in consultation with physician/cardiologist.

One molecule called depoxetine (duralast)has been used specifically for PME and should be taken before 2 hours of sex when required.Yes you can take duralast without much discomfort.No issue with blood pressure.I have used in many patients but due to unavailability of the same its use is limited.
These medicines are prescription medicines and you need to consult doctor/psychiatrist/sexologist for prescription.


Behavioral approaches are as follows for your information:

1. Stop and Squeeze technique can be applied which you can learn from internet and ask me if any query in that.(In brief, method suggests that you should try to divert your mind for a moment when you feel ejaculation arousal and penis should be tightly squeezed with hand inwards by your partner preferably).

2. Master and XXXXXXX technique can also be learnt from qualified sexologist/Psychiatrist which includes sessions in couple as it is couple sex therapy. It can help in prolongation of time.

3. Sex counseling of your sexual behavior and methods. Like if you are down and female partner on top, gravity is going to help you for lengthening the time.

4. You should do masturbation before sex(at least 2 hours before ). It will make seminal vesicles somewhat empty and at time of sex semen will take more time to come out.

Another approach:
-Use of condoms. Sometime using condom while sex helps in delaying ejaculation by reducing sensitivity of glans penis.

--Topical application of anesthetic gel/spray. For this you have to consult doctor.

In conclusion no need to worry. You can satisfy your wife as well as make her pregnant.I hope you are now clear about your doubts. In any case if you are still confused personal counseling regarding theses issues would help.

Hope I have answered your query, I will be happy to help further.

Regards,
Dr.Chintan Solanki.

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Brief Answer:
Confido is availble as ayurvedic product for PME

Detailed Answer:
Hi ,

Thanks for follow up.

Yes you got it right. Your penis size is ok and you can satisfy your wife.

Confido by himalaya is an ayurvedic product which is available over the counter and probably without any side effect for treatment of PME. You can take one tablet daily at night with milk for 2 months.

Hope this answers your concern.

Take care.

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