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Premature ejaculation, penis size getting smaller. Suggest remedy

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Psychiatrist
Practicing since : 2004
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i am sufferring from premature ejaculation. And causes for this mastrbution i m doing mastrbution from last 7 to 10 years. now the problem is when i m doing sex with with my partner then i m ejacuate with in 30 to 40 while intercause. Even now my penis size is not bigger and hard as ir was. please help me out in this because i m not staisfy my partner.
CAN I TAKE Priligy medician. somebady said that its helpful for you.
Posted Tue, 30 Apr 2013 in Premature Ejaculation
 
 
Answered by Dr. Ashish Mittal 9 hours later
Hello,
Thanks for your query.
I appreciate your efforts for medical consultation in so much distress.

Premature ejaculation is diagnosed when ejaculation time is less than 3 Min, or both partners are not satisfied with sex. In your case ejaculation time is 30-40 seconds, which need attention.

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, diabetes, hypertension and neurological causes.

But masturbation is not a cause for premature ejaculation. Masturbation is normal habit and practiced by >80% peoples. But if you have guilt related to masturbation then it can lead to premature ejaculation by causing depression, so do not worry about masturbation.

Following steps will be help you to increase ejaculation time:

-Treatment of above conditions (if present) after examination.

-Start jogging in morning as it reduces stress and performance anxiety. It will also improve erection by improving blood circulation in body.

- Try distracting yourself when you feel you are about to ejaculate. Like take a deep 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 stop all movements, relax and think about something else. Then wait for 1 minute before starting movements. According to number of stops, ejaculation time will come under your control.

-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.

-In many persons woman on top position increases ejaculation time.

- If the symptoms persist then condoms with desensitizing creams (marketed as Kohinoor extra time) help in delaying ejaculation. Ejaculation time also increases with experience in sex. So, with time and practice your ejaculation time will increase.

-Priligy contain dapoxetine. Dapoxetine 30mg will be helpful and should be taken 1-2 hours before sex, which you can get after prescription from physician.

Follow all these above methods regularly and your problem will solve in few weeks.

Regarding penis size: There is wide variation in length of penis among different individual. It can vary between 4 and 9 inch in erect state among different individual according to some studies. So, never compare size of penis with others (friends or porn stars). Like people have different height so true is for penile length. So there is point for worrying, if size of penis is between 4 and 9 inch. Let me know if your penile length less than 4 inch in erect state.

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.
Regards,
Above answer was peer-reviewed by
 
Follow-up: Premature ejaculation, penis size getting smaller. Suggest remedy 9 hours later
Can you please suggest any medician regarding this possible or preiligy is help full as it is vary expensive you get 3 in 0000. Or suggest good doctor for this in Delhi

Wating for ur reply
Thanks
XXXXXX
 
 
Answered by Dr. Ashish Mittal 1 hour later
Hello again,
Thanks for follow up.

Dapoxetine salt come under brand name of priligy and prilyxet (sun pharma). It is not very costly. Its cost 30-60 Rs (INR) per tablet.

If you wish you can XXXXXXX me in Gurgaon.
http://bit.ly/Dr-Ashish-Mittal

Please accept my answer in case there are no further queries and recommend our services to your friends too if you have found it helpful.

Wish you good health.
Regards.
Above answer was peer-reviewed by
 
Follow-up: Premature ejaculation, penis size getting smaller. Suggest remedy 4 days later
HI

Can u please tell me permanent treatment for premature ejaculation. Because i can not take priligy every time as it should have side effect if i m taking this every day.

Please help me in this.

Thanks
XXXXXX
 
 
Answered by Dr. Ashish Mittal 6 hours later
Hello again,
Thanks for follow up.

Premature ejaculation is a chronic problem, which need long term attention. In method mentioned in primary reply, only priligy is drug, others are non drug measures, which should be used for long term.

Apart from that, ejaculation time increases with experience in sex, after developing confidence.

Non drug measures to follow routinely with or without priligy:

-Jogging in morning as it reduces stress and performance anxiety. It will also improve erection by improving blood circulation in body.

- Try distracting yourself when you feel you are about to ejaculate. Like take a deep 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 stop all movements, relax and think about something else. Then wait for 1 minute before starting movements. According to number of stops, ejaculation time will come under your control.

-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.

-In many persons woman on top position increases ejaculation time.

Wish you good health.
Regards.
Above answer was peer-reviewed by
 
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