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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Premature Ejaculation And Smaller Penis Size

Dear Doctor, I was married last December and miss the zing in sex life. My wife is cooperative but she was not aware of sex properly before marriage. I taught her many things after marriage.Before my marriage I was very fast in making myself ready for next round. Nowadays it takes more time. My age is 33 yrs and my wife is 28. When I thrust normally then she enjoys a lot but doesnot cum. She cums only when she is on top or I thrust penetrating fully deep and rubbing her clitoris while giving thrusts. I also cum before her so to make pace have to follow stop-start technique. Pls suggest me how to improve my staying power and also the quality and volume of semen(she loves when i ejaculate heavily). Moreover I feel my penis small and I need to increase the length and girth somewhat more to stimulate her better? If so how? I want to satisfy her in all respect. will anal sex enjoyable if we both agree or it is always painful? Pls reply to YYYY@YYYY id was mistype
                         
Thu, 9 Jun 2016
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Psychiatrist 's  Response
Following strategies, in combination often help to delay the climax.
1. Stop-start technique of behavior therapy (keep it up)
2. Female on top with active role.
3. Double condom
4. Medicines like Fluoxetine 20 mg day or Paroxetine CR 25 mg per day.
(To be taken under medical supervision only)
5. Pelvic muscle strengthening exercise regularly. (As if try to hold urine intermittently during voiding)
6. Penile squeeze technique applied at the point of ejaculatory inevitability.
7. Applying a local anesthetic ointment to glans penis prior to penetration.

The width and length of penis vary from one individual to another. The normal length of vagina is about six inches. Only outer one third and the front wall of vagina have nerve fibers and hence sensitive to stimulation. Rest of inner two third is largely insensitive. So if you want to arouse your partner during sex, you should focus on the areas of maximum nerve endings hence clitoris and inner lips or labia minora, the outer wall and outer two third of vagina. So for female sexual gratification, the size of erect penis could be anything from two inches or more! You remember that what is important is strength and not the length! Its the technique that characterizes lover inside you, not size.
There is no proven medicine to increase semen volume. Volume and consistency varies on age, sexual stimulus intensity, period of sexual abstinence. It has nothing to do with sexual satisfaction with the partner.
Anal sex depends on partners experiences and choice. Discuss freely with your partner.
I hope this will help you.
Have a balanced diet and regular sleep, exercise in your daily life.
Wish you good health.
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Suggest Treatment For Premature Ejaculation And Smaller Penis Size

Following strategies, in combination often help to delay the climax. 1. Stop-start technique of behavior therapy (keep it up) 2. Female on top with active role. 3. Double condom 4. Medicines like Fluoxetine 20 mg day or Paroxetine CR 25 mg per day. (To be taken under medical supervision only) 5. Pelvic muscle strengthening exercise regularly. (As if try to hold urine intermittently during voiding) 6. Penile squeeze technique applied at the point of ejaculatory inevitability. 7. Applying a local anesthetic ointment to glans penis prior to penetration. The width and length of penis vary from one individual to another. The normal length of vagina is about six inches. Only outer one third and the front wall of vagina have nerve fibers and hence sensitive to stimulation. Rest of inner two third is largely insensitive. So if you want to arouse your partner during sex, you should focus on the areas of maximum nerve endings hence clitoris and inner lips or labia minora, the outer wall and outer two third of vagina. So for female sexual gratification, the size of erect penis could be anything from two inches or more! You remember that what is important is strength and not the length! Its the technique that characterizes lover inside you, not size. There is no proven medicine to increase semen volume. Volume and consistency varies on age, sexual stimulus intensity, period of sexual abstinence. It has nothing to do with sexual satisfaction with the partner. Anal sex depends on partners experiences and choice. Discuss freely with your partner. I hope this will help you. Have a balanced diet and regular sleep, exercise in your daily life. Wish you good health.