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Why am I suffering from premature ejaculation?

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Practicing since : 2003
Answered : 2189 Questions
Question whenever i watch porn movies or think about leads to ejacuation,without even toching the penis.i m 21 years old boy...
Posted Sat, 24 Nov 2012 in Premature Ejaculation
Answered by Dr. Jonas Sundarakumar 5 hours later
Hello and welcome to Healthcare Magic. Thanks for your query.

I will certainly help and advise you regarding your problem. In order to guide you better, can you please provide the following clarifications...

- How long have you been having this problem? Does is have any co-relation with your accident?

- How frequently does this problem happen? Does it happen everytime you are sexually aroused?

- Do you have any problems with your erection?

- Do you practise masturbation? Do you have any problems associated with it?

- Have you had any sexual relationship before? If so, did you have any problems in your sexual performance?

- Do you suffer from anxiety, negative thoughts or low mood?

- Do you smoke or consume alcohol or any other drugs?

- Do you have any other medical problems or are you on any medication currently?

Please get back to me with these details and we shall take it forward.

- Dr. Jonas Sundarakumar
Consultant Pychiatrist
Above answer was peer-reviewed by
Follow-up: Why am I suffering from premature ejaculation? 15 hours later
1..this is happening after my accident only....before dat i never had this kind of experience sir it doesnt happen every time when i m sexually most of the time.. problem with erection sir
4...ya i practice ...n is practicing since i was 14 years old..frequency is about 2 or 3 times a week...n i dont feel that a hv any problem associated with this...the only problem is sometimes when i get sexually charged my semen comes out automatically..:( sir never had any sexual relationship
6...i always suffer from anxtiy,low mood,negative thought n all...and i think because of my study pressure n the past relationships of my girlfriend(it hurts me alot ,i have never expected this all from her...n i can never think of leaving any how i have to carry on)..
7...dont smoke n drink (never did in past also)
8..sometimes ma spine where the screws are fitted ,pains..nthng else....

help me...i m ot able to control my anger on the silly small things also... i m getting frustrated sir...
Answered by Dr. Jonas Sundarakumar 23 hours later
Hello again and thanks for your clarifications,

Since you say that this problem has been present only after the accident, it is likely that this problem may be related to the spinal trauma which you had sustained. The nerves responsible for the ejaculation are located in the lower part of the spinal cord, namely the scaral nerve roots. When there is any injury or inflamation or irritation to these nerve roots, there can be problems in ejaculation such as what you have mentioned.

Now, since you do not seem to have any other neurological deficits, it is likely that even if there is a spinal problem, it has to be a mild or a transient one. Sometimes, it may take a few months for the edema (swelling) after the acute injury to settle down. So, hopefully, your problem should gradually improve with time.

In the meantime, if your problem is causing you a lot of distress, then I would suggest that you report this to your neurologist and have a physical / neurological examination done. There are remedies available for your problem, in the form of medication or certain sexual techniques. There are certain medication like Dapoxetine (Prilyxet), which can help you with this specific problem of premature ejaculation. You can also try certain specific sexual techniques like "stop-start technique" or "squeeze technique" which have been proven to be successful in increasing the ejaculatory time.

In the stop-start technique, the penis can be stimulated (by masturbation) till a point when you feel close to orgasm. Then the stimulation is stopped for a while and again the process is repeated a few times.
In the squeeze technique, the penis can be stimulated (by masturbation) till a point when you feel close to orgasm. At this point the lower part of the head of the penis is squeezed tightly with the index finger and thumb around for a few seconds till the erection decreases. Then the stimulation can be restarted and the process is repeated a few times.

So, please try these techniques regularly and also have a review consultation with your neurologist. In case your problem is persisting, then you may need medication to help you with this problem.

- Dr. Jonas Sundarakumar
Consultant Pychiatrist
Above answer was peer-reviewed by
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