Brief Answer: DETAILS ARE GIVEN BELOW. Detailed Answer: Hello, Thanks for writing to us. Premature Ejaculation (PE) is the most common sexual dysfunction among men and everyone suffer from this at least one time in his entire life. It can cause sexual dissatisfaction after marriage, specially to your partner. It is defined as male ejaculates within 1 min of intercourse or prior to intimate with partner. The problem is basically psychological more than physiological. There are several causes that need to be ruled out like Smoking/ alcohol, Some drugs, High BP, Prostate Hypertrophy/ Prostatitis, Varicocele/ hydrocele, Diabetes, Thyroid problem, Neurological causes etc. In this circumstance, I suggest to consult with SEXOLOGIST or UROLOGIST for complete clinical examination and some tests like Total & Free Testosterone, Vitamin-D level, blood sugar, thyroid profile etc to confirm diagnosis. Please do consult with any one of them to take suggestive measures. Some life style modification can improve your present condition and control PE to some extent: 1) Quit smoking and alcohol if you have the habit. You may need psychiatric counseling or psychotherapy for that. 2) Doing masturbation before initiation of love making may improve ejaculation time temporarily and you need to do it each time. 3) Take healthy diet with Multivitamin & Zinc supplements. Antioxidant like Co-Q 10 can be taken regularly for 6 months. 4) Do physical exercise regularly to control body weight and overall fitness. You would maintain personal hygiene properly. Avoid mental stress or anxiety/ upset by regular breathing exercise, yoga or meditation in the morning (15 to 30 min). 6) Specific treatment for Premature Ejaculation: a) Master & XXXXXXX OR Stop & Start Technique - It is very good exercise and much helpful. Squeeze technique: In this, the female partner needs to start arousing the man. When the man feels that he is almost at the point of ejaculation, she should stop arousing him. She then needs to squeeze the head for between 10 to 20 seconds. She then lets go and waits for another 30 seconds before resuming masturbation. This process is carried out several times before ejaculation is allowed to occur. Stop-go technique- It is similar to the squeeze technique except that the woman does not squeeze the penis. Kegel exercise or strengthening of PC muscle- by contraction and relaxation as on holding & releasing urine. Practice it several times (20-30 times daily): Here, you need to repeatedly contract and relax the muscles you use when you need to hold back urine. This needs to be done sitting on your chair when you are actually not trying to hold back urine. b) Use anaesthetic gel to desensitize penis or condom for temporary delay. You can get a prescription for this from your physician. c) Certain drug like Dapoxetine, a class of SSRI, short acting and well approved. This is required only if the exercises dont work. Please try the exercises for 2 to 3 months before this. d) Give more time on foreplay to heighten partner's excitation and do actual intercourse (vaginal penetration) at the time of partner climax. Here, both of you can get satisfaction/ pleasure. 6) Need proper sleep (at least 6-8 hrs daily) and avoid hot working place and tight underwear. 7) Proper psychological counseling under PSYCHIATRIST and further follow up if you need. Hope, I have answered your query. If you don't have any other query, you can close the discussion. Wish you good health and take care yourself. Regards, Dr Soumen

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