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Suggest Remedies For Premature Ejaculation

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Posted on Sat, 25 Jun 2016
Question: Hi I am 23 year old with a habit of masturbation for the past 6 years,I am masturbate 4-5 times in a month.

Now I feel like I am suffering from Premature ejaculation because I ejaculate within 10 seconds and I have the problem of nocturnal emissions also.

I want to last longer in bed ....Is there any permanent cure for this...
doctor
Answered by Dr. Chintan Solanki (1 hour later)
Brief Answer:
provide more details

Detailed Answer:
Hello,

Welcome back to healthcaremagic.

Please provide more details so I can help you further.

- Are you married?
If yes duration of marriage?
If not married, provide details about sex life with girlfriend if applicable. Or clarify that you did not have nay experience of sex.

- In which position do you masturbate and what stimulation is used for erection during masturbation?

- How did problem start? Any specific incidence was there?

- Do you pay more attention to erection while doing masturbation/sex?

- Do you have any physical illness?

- Is morning erection present?

- Is there any history of smoking or alcohol?

- Is there any difficulty in urinating?

- When did you do successful intercourse last (if applicable)?

- What is frequency of nocturnal emissions?

Let me assure you that at this age premature ejaculation can be cured completely.

I will be happy to help further after your response.
Regards,
Dr.Chintan Solanki.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chintan Solanki (38 minutes later)
No I am not married.
I do not have any experience of sex.
I masturbate either in the sitting or standing position or I lie down on bed on my stomach naked and rub my penis on a towel that I have spread out.
I noticed that when I masturbate now a days I ejaculate within 5-10 seconds.Plus I feel high pain in my hips and slight shivering in my left hand and leg
Yes I pay more attention to erection while doing masturbation/sex I wait till it is fully erect.
No I have no physical illness and I don't smoke or consume alcohol.
I don't have difficulty in urinating.
The frequency of nocturnal emissions is 2-3 times in month.

Note:My penis is just 4.5 inches long at fully erect status.Will it be enough for a good sex life.I have doubts

Please suggest and help me in solving my premature ejaculation and small penis problem.
doctor
Answered by Dr. Chintan Solanki (6 hours later)
Brief Answer:
change method of masturbation and increase frequency of masturbation

Detailed Answer:
Hi,

Thanks for information.

According to the latest diagnostic criteria by DSM 5, premature ejaculation should be defined when there is ejaculation within one minute after entering tin to vagina or even before penetration.
You are not involved in sex so we cannot say that you have problem of premature ejaculation and it needs treatment at present.

You are doing masturbation in prone position. I would recommend avoiding prone masturbation and going for masturbation with hand.As such prone masturbation is not harmful. However care should be taken that surface should not be hard and you should not injure your penis vessels by giving extreme pressure through hard surface. Doing in bed is almost safe.During prone masturbation chances are there that your limb muscles get stretched, you may injure your foreskin or penis if you are rubbing with hard surface or sometime may be abdominal muscle stretching causes abdominal pain.

Avoiding prone masturbation will help in avoiding pain. It may also help to control erotic sensation and to avoid early ejaculation.

Paying attention to erection leads to performance anxiety.Sometime due to fatigue, lack of mood, situational problem or environmental changes man can fail in sex. It is normal phenomenon. This is called performance anxiety. After such failure when person actively thinks about erection or success of intercourse/masturbation, his mind is likely diverted to such thoughts. For constant erection continuous exciting/romantic/erotic feelings should be there in mind. If mind diverted to concern about erection/ejaculation, ejaculation occurs fast.
Try to enjoy without being conscious about erection or ejaculation.

Nocturnal emission is natural phenomenon. It is also called night fall. First of all clarification about night fall:

In all boys when puberty starts around age of 3 to 7, production of testosterone increased. This leads to increase in body hair, beard and moustache as well as production semen and physical body changes.

Semen is produced regularly after puberty by prostate and testicles and stored in seminal vesicles. This semen in general is expelled by masturbation or sex. When someone does not actively expel semen through masturbation or sex, there is excess semen in seminal vesicles.
When production rate exceeds capacity of storage of seminal vesicles stored semen has to come out to give space to newly produced semen.
This excess stored semen comes out during sleep, urination or defecation.
In sleep during dreams or excitement with slight force excess semen comes out and it is known as night fall.
If you are not doing masturbation regularly or not involved in sexual activities, night fall would be there. It is absolutely normal phenomenon and not a problem/disease.

In your case frequency of masturbation is 4-5 times per month and you are not sexually active, this is likely reason for your nocturnal emission.

If you can actively try to expel the semen through masturbation frequently, you can avoid these nocturnal emissions. Even frequent masturbation will cure your early ejaculation also.

Now clarification about size of penis:

Normal size of penis in flaccid state is 2 to 4 inches (5 to 10 cm) while in erect position 4 to 6 inches (10 to 15 cm). It varies according to body structure and race. Size of penis does not matter much for satisfying partner.
Anterior 3 inches of female vaginal wall is sensitive to sexual stimuli. Only 3.5 inches of erect penis is sufficient to satisfy female. Hope you are clear about concern of size of penis now.

You are welcome to clear your doubts.



Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chintan Solanki (25 minutes later)
Thanks doctor,

I read in a health magazine that frequent masturbation can shrink our penis and cause problems such as early old age,black circle under eyes,burning sensation in eyes,nervous weakness,premature ejaculation,scanty semen,frequent cold etc.

Is it true?Will these affect me due to my habit of masturbation(4-7 times per month) of pas..t 6 years.I usually don't use any lubrication/cream during masturbation(dry jacking is what I do)

Should I stop my masturbation habit of the past 6 years and take any medication.


doctor
Answered by Dr. Chintan Solanki (12 hours later)
Brief Answer:
masturbation is normal and safe thing

Detailed Answer:
Hi,

Sorry for delayed response.

Whatever you have read about masturbation is absolutely non scientific and not true.

I would like to clarify about masturbation.

Masturbation is natural and normal thing. It is done by 95% of the males in the world, mostly before marriage as well as when wife is away, in menses or pregnant after marriage. It is not at all harmful. Frequency of masturbation done by an individual varies from once a day to once a week. It depends upon individual libido, wish and timing. It neither causes any weakness nor does any problem in sexual activity. It never affects size of penis or aging.

Rather avoiding masturbation and suppressing your libido sometime may cause problems.

There is no need of stopping masturbation. You are absolutely fine healthy person and no need of medications. Just enjoy masturbation when you feel to do so.

Take care and all the best.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chintan Solanki (31 hours later)
Thanks doctor,

When I watch a love making scene or porn movie alone I watch it in my briefs.The erection starts growing in my briefs.But the problem once the erection reaches its full growth I ejaculate immediately inside my briefs.That the time taken by the erection to grow is 4-5 secs and when I bath I soap my penis (in erect state)for about 5-10 seconds ejaculate immediately.

Please suggest a solution/medication for this problem.
doctor
Answered by Dr. Chintan Solanki (3 hours later)
Brief Answer:
increase the frequency of masturbation

Detailed Answer:
Hi,

You are passing through absolutely normal phase. I have already mentioned answer. I want to clarify it again.

Semen is produced regularly after puberty by prostate and testicles and stored in seminal vesicles. This semen in general is expelled by masturbation or sex. When someone does not actively expel semen through masturbation or sex, there is excess semen in seminal vesicles.
When production rate exceeds capacity of storage of seminal vesicles stored semen has to come out to give space to newly produced semen.
When seminal vesicles are full, sight stimulation and erection would lead to ejaculation.
In your case same thing is happening likely. You can simply confirm this thing by doing masturbation successively. After ejaculation try masturbation again after 15 minutes. It will surely take more time for ejaculation than in first attempt.
By doing regular masturbation (increasing the frequency of masturbation) you can avoid fast ejaculation. This thing rather suggests that your semen production capacity is very good.

In any case if you want to take medicine, clomipramine is the option.
I prefer clomipramine for PME. No significant side effects with this medicine. Initially say for 30 days daily after dinner and later on just on the day when you do the masturbation/sex.

Hope you got the satisfactory answer.

In future you are welcome to ask your query directly to me on

http://bit.ly/drchintansolanki

and I would like to attend the same personally.

All the best.

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2406 Questions

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Suggest Remedies For Premature Ejaculation

Brief Answer: provide more details Detailed Answer: Hello, Welcome back to healthcaremagic. Please provide more details so I can help you further. - Are you married? If yes duration of marriage? If not married, provide details about sex life with girlfriend if applicable. Or clarify that you did not have nay experience of sex. - In which position do you masturbate and what stimulation is used for erection during masturbation? - How did problem start? Any specific incidence was there? - Do you pay more attention to erection while doing masturbation/sex? - Do you have any physical illness? - Is morning erection present? - Is there any history of smoking or alcohol? - Is there any difficulty in urinating? - When did you do successful intercourse last (if applicable)? - What is frequency of nocturnal emissions? Let me assure you that at this age premature ejaculation can be cured completely. I will be happy to help further after your response. Regards, Dr.Chintan Solanki.