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Suggest Treatment For Premature Ejaculation
Question: Dear Doctor,
Greetings for the day. My name is XXXX age 45, having some sexual problem ie Premature ejaculation. I am non Smoker, Non Drinker, Pure veg, no habit of chewing tobacco etc.
Upto college Time I have been a sports man, represented in Hockey, Cricket and athletics upto national level.
Presently I am having office Job, I am a finance guy.
Daily routine: Get early in the morning at 5.30 to 6, Morning Walk 30 minutes (presently not going as last month I got fractured my ankle), 1 glass full of milk with breakfast, In lunch I take a lot of fruits, no food and early Dinner at 7.30 or so with a lot of vegetable, Dal, Paneer, Salads, two chapatti etc etc. and sleap at 10.30 to 11. Whole day is Office job (sitting Job)
I am married man have two kids of 12 & 14 yrs. Me and my wife are active in our married life and enjoying our sex life. But since last three four years I am having this problem, and now feel very embossing due to this, as it has increased.
Now the situation is this when I am talking about sex or read about sex, I feel wet in my under garments.And some times my penis even do not erect completely, but ejaculate semens.
Can you please help me.
XXXX
0000
Greetings for the day. My name is XXXX age 45, having some sexual problem ie Premature ejaculation. I am non Smoker, Non Drinker, Pure veg, no habit of chewing tobacco etc.
Upto college Time I have been a sports man, represented in Hockey, Cricket and athletics upto national level.
Presently I am having office Job, I am a finance guy.
Daily routine: Get early in the morning at 5.30 to 6, Morning Walk 30 minutes (presently not going as last month I got fractured my ankle), 1 glass full of milk with breakfast, In lunch I take a lot of fruits, no food and early Dinner at 7.30 or so with a lot of vegetable, Dal, Paneer, Salads, two chapatti etc etc. and sleap at 10.30 to 11. Whole day is Office job (sitting Job)
I am married man have two kids of 12 & 14 yrs. Me and my wife are active in our married life and enjoying our sex life. But since last three four years I am having this problem, and now feel very embossing due to this, as it has increased.
Now the situation is this when I am talking about sex or read about sex, I feel wet in my under garments.And some times my penis even do not erect completely, but ejaculate semens.
Can you please help me.
XXXX
0000
Brief Answer:
hi
Detailed Answer:
Hello,
Thanks for your query.
I appreciate your efforts for medical consultation in so much distress.
Premature ejaculation is also a very common and treatable problem. Premature ejaculation is diagnosed when ejaculation time is less than 3 Min, or both partners are not satisfied with sex.
Premature ejaculation (PME) 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, urinary infection, excessive alcohol use and neurological causes.
FOLLOWING STEPS WILL BE HELPFUL FOR TREATMENT of PME:
-Treatment of above conditions (if present) after examination.
-Start jogging in morning for 20-30 minutes daily, as it reduces performance anxiety and improve blood circulation.
- Try distracting yourself when you feel you are about to ejaculate. 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 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, so try this position and experiment with other positions also.
-Condoms with desensitizing creams (marketed as Kohinoor extra time) help in increasing ejaculation time. Just wear this as normal condom and start sex after 30 seconds of penile massage, as medicine take some time to act.
Premature ejaculation is treatable. So, relax. You can meet me personally, if you do not respond to above measures. So, that I can prescribe you some prescription medication. Passing semen in undergarments can occur due to Dhat Syndrome. Which is psycho-sexual problem and need treatment with prescription medications.
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,
hi
Detailed Answer:
Hello,
Thanks for your query.
I appreciate your efforts for medical consultation in so much distress.
Premature ejaculation is also a very common and treatable problem. Premature ejaculation is diagnosed when ejaculation time is less than 3 Min, or both partners are not satisfied with sex.
Premature ejaculation (PME) 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, urinary infection, excessive alcohol use and neurological causes.
FOLLOWING STEPS WILL BE HELPFUL FOR TREATMENT of PME:
-Treatment of above conditions (if present) after examination.
-Start jogging in morning for 20-30 minutes daily, as it reduces performance anxiety and improve blood circulation.
- Try distracting yourself when you feel you are about to ejaculate. 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 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, so try this position and experiment with other positions also.
-Condoms with desensitizing creams (marketed as Kohinoor extra time) help in increasing ejaculation time. Just wear this as normal condom and start sex after 30 seconds of penile massage, as medicine take some time to act.
Premature ejaculation is treatable. So, relax. You can meet me personally, if you do not respond to above measures. So, that I can prescribe you some prescription medication. Passing semen in undergarments can occur due to Dhat Syndrome. Which is psycho-sexual problem and need treatment with prescription medications.
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,
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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