Brief Answer: Please consider to get sessions of counselling Detailed Answer: Hello Thanks for choosing wwwhealthcaremagic.com Pre mature ejaculation is of two types, one is life long when it was present since beginning and other is acquired when it starts after normal functioning . If the total time spent in the vagina after penetration is equal to or more than 2 minutes, it is normal by definition. but actual need vary greatly from couple to couple and in the same couple at different times. The crux is how much can satisfy you as a couple. Someone may find 1 minute as pretty good while some other may need to increase it from 5 minutes to infinity. Having secretions when aroused. is a normal body response to sexual cues so it is normal. Natural way to increase ejaculatory time is by appropriate sessions of counselling. It may need5-6 sessions, and preferably both partners should participate. because sex is between two individuals ,involving a lot of give and take. There are medicines as well but it depends on what you want. in the follow up query, please tell whether you as a couple are ready for this. Dr Saatiish Jhuntrraa

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Brief Answer: I suggest SSRI for PE Detailed Answer: Hello Caverject is used for ED , but its effect lasts for 1-2 hours. Similarly Verdenafil, sildenafil or Tadalafil also help you in hardness, but not meant primarily for PE. Caverject has some issues-one is the cost, trouble of taking each time intra penile inj and 2-5 % may have a prolonged and painful erection called Priapism. It is a medical emergency and should be handled by a trained urologist. so I don't prefer to give this for PE. If you can talk of caverject, then SSRI is the best option . It is safe with very good results . Paroxetine XR 12.5 mg daily for 3 months is the best option. You can adopt stop start technique or squeeze technique . kegel's exercises also help. DR SAATIISH JHUNTRRAA

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