Brief Answer:
you are suffering from PME (premature ejaculation), it can be treated

Detailed Answer:
Hello,

Thanks for writing to us.

You are likely suffering from premature ejaculation.

Premature Ejaculation (PME) defined when male partner ejaculates early before penetration, just after penetration or the female partner reaches to orgasm. It should last at least for 1 minute after penetration.

For your information I am mentioning treatment aspect for PME.

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 has been used specifically for PME and should be taken before 2 hours of sex when required.
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 counselling 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.

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

Regards,

Dr.Chintan Solanki.

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Brief Answer:
gas problem should be treated first, couple sex therapy is indicated

Detailed Answer:
Hello,

Sorry for delayed response and not getting your problem clearly.

Actually if you are sure that your erection problem is due to gas problem there is need of that gas problem first.

- Since when gas problem is there?

- Is there burning pain in chest or indigestion problem?

- Is there constipation?

- What is your height and weight?

- Is there any relation between dinner(quantity and type), gas problem and sex at night?

- Have you ever consulted doctor for gas problem? If yes provide details.

For erection problem I would like to know more.

- What is duration of marital life?

- Since when are you suffering from erection problem?How was sex life before problem?

- How did the problem started? Any specific incidence?

- What is frequency of sex/masturbation?

- When did you do your last successful intercourse/masturbation?

- Do you have any physical illness apart form gas problem?

- Is there any disturbance in your relationship?

- Do you have any stress or psychological problem?

- Is morning erection present?

- Do you have nay habit of alcohol or smoking? If yes provide more details.

- During watching porn penis erects on its own or you do it with hand?

May males stimulated more by sucking. However it does not mean that with sucking only you can last longer. You need couple sex therapy. Discussion with your wife is also needed about her views on sucking of penis.

I will be happy to help further after your response.

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