Brief Answer:
You have psychological premature ejaculation

Detailed Answer:
Hi
Thanks for using healthcare magic. I, Dr XXXXXXX Kapoor, would help you in this query.

Premature ejaculation is most common sexual dysfunction in male. There is nothing to worry about it.

First of all, i want to tell about the basic mechanism that lead good erection. It include sexual thoughts, hormone and good penial circulation. When a person has sexual thoughts in mind, that lead to release of some hormone or chemical in body that increase circulation in penis. This lead to complete erection in penis. After getting erection, due to excitement, most of time it is difficult to control ejaculation. In your case that may be the reason.

Just follow few steps that would help you to overcome this problem:

1. Increase duration of foreplay. That would increase sexual urge and duration of sex. (Foreplay is also part of sex. Do not under estimate it.)
2. Can also try some drugs like paroxetine due to its longer half time than depoxetine after consultation of psychiatrist. Paroxetine would work for 24 hours and depoxetine would stay for 6 hours. Paroxetine would also help to decrease underline anxiety, but remember sex does not depend upon drugs. It is a pleasure that you can get any time and any where. You just need thoughts rather than drugs. If you want to take medicine, then take paroxetine 12.5 mg once a day. You can also take tadalafil 10 mg half hour before sex. There is no major side effects of above drugs.
3. If your partner is in favor for sex, then you and your partner can also go for master and XXXXXXX technique like squeeze technique.
4. Wear a condom. Some condoms are coated with a slight numbing gel on the inside. This can help you put off ejaculation for longer without causing numbness to your partner.
5. Flexing and strengthening your pubococcygeus (PC) muscle can help you exert more control over ejaculation. This is also called Kegel exercise.
6. Practice controlling your orgasm. When masturbating or with a patient partner, focus on improving your control over your climax.
7. You can also try sex in different position and different location at home. That would help to get more arousal and better erection.


In case you need further help, you can help.

Regards
Dr. XXXXXXX Kapoor
Psychiatrist

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Brief Answer:
You can try kegal exercise

Detailed Answer:
HI

You can't get these medications without prescription. You have to consult a psychiatrist or physician.

For sexual urge, you need sexual thoughts and if you are not psychologically satisfied in your life, you would not able to enjoy sex. Try to stabilize yourself first and then you would get desired result.

In lady, sexual gratification needs longer period due to their hormonal or psychological make up. You can try oral sex or fingering to give that pleasure to your wife. That would increase the duration of sex.

Kegel exercises can strengthen the pelvic floor muscles, which support the bladder and bowel and affect sexual function. To identify your pelvic floor muscles, stop urination in midstream or tighten the muscles that keep you from passing gas. These are your pelvic floor muscles. If you contract your pelvic floor muscles while looking in the mirror, the base of your penis will move closer to your abdomen and your testicles will rise. Once you've identified your pelvic floor muscles, empty your bladder and lie on your back with your knees bent and apart. Tighten your pelvic floor muscles, hold the contraction for three seconds, and then relax for three seconds. Try it a few times in a row but don't overdo it. When your muscles get stronger, try doing Kegel exercises while sitting, standing or walking.

You can try yoga or meditation, but it could decrease anxiety. I have never heard or read their sexual benefit.

In case, you need more help, you can ask.

Regards
Dr. Abhishek Kapoor
Psychiatrist

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