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Premature ejaculation and performance anxiety - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Premature Ejaculation
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hi,I am looking for a sexologist who can help me come over the premature ejaculation problem. I am living in
User :   hi
User :   Is anyone online
Doctor :   Hi
Doctor :   `Iam Dr.
Doctor :   I am a General Practitioner, I believe I can help you within my expertise and If
required I shall recommend a specialist.
User :   hello Dr
Doctor :   Yes, I understood the problem
User :   I have been doing the masturbation for a long time.. my age is 29
Doctor :   I will ask you few Qs and then I will cousill what to do. OK
User :   sure..
Doctor :   You go a head with all ur queries first?
User :   please carry on with your Qs
Doctor :   DO you have problem with erections or ejaculations?
User :   i have problem with ejaculations. erection has never been a problem and i get erected easily.
Doctor :   ok
Doctor :   Are you married?
User :   yes. Its been around 1 year now.
Doctor :   You said you were masturbating before, at that do u used to have premature ejaculation
User :   Till now we have not succeed to make any intercourse.
User :   well i am not sure. It takes around 1-2 mins in this process of masturbating.
Doctor :   May I clearly understand, was there any penetration of penis?
User :   not at all.
Doctor :   ANd the problem there with masturbation too
User :   there is no prob in the masturbation.
Doctor :   So u can able to masturbate for long time with out ejaculating? is that right?
User :   well as i said.. the in the masturbating the ejaculation happens within 2-3 mins..
Doctor :   That is very quck
User :   yes
Doctor :   May I know your occupation and How many hours do you work?
User :   I am an IT professional. Works around 10 hours per day.. Have a normal life style and does not have any bad habit except of the masturbation.
Doctor :   Masturbation is not bad habit
Doctor :   Do you think are you under stress from work and family?
User :   Well as a family we have ups and downs and things are finally getting sorted out.
Doctor :   What abt work? is it stressful?
Doctor :   What time u come home?
User :   not at all... I enjoy it..
User :   i reach home at around 8 PM every day.
Doctor :   OK
Doctor :   Sorry but I have to ask these: Doctor :   Do you have any anxity or are you depressed?
User :   no probs
Doctor :   oK
User :   i do not have any anxity. I feel depressed due to the problems in the family.
Doctor :   Do u have any medical problem, high BP. Diabetes
User :   No i do not have medical problem
Doctor :   Are you taking any medicines?
User :   no. not yet.
Doctor :   Do you have fear of failing in sexual act?
User :   yes.
Doctor :   Mr. AAAAAAA there are few reason for u: Doctor :   2. Anxiety related to performance, partner
User :   go ahead..
Doctor :   1. Increased penile sensitivity
Doctor :   These two things are causing your problem
Doctor :   I have few tips and practice these.
User :   ok..
Doctor :   There is a technique Sqeeze technique
User :   ok..
Doctor :   Masturabte , when u get full erections and when u r abt to ejaculate stop masturabating
User :   ok.
Doctor :   and with with the thumb and index finger squeeze tighly
Doctor :   Do u follw me?
User :   all right..
User :   yes i got u.
Doctor :   so after these u loose erections , right
User :   ok..
Doctor :   start again masturbating and get full erections
User :   ok..
Doctor :   u get it bcoz u have not ejaculated and u mentally excited
User :   all right..
Doctor :   AND stop and squeeze when u r abt to ejaculate
Doctor :   practice many times
User :   okk..
Doctor :   increase the fequency
User :   ok..
Doctor :   Thus u develop mental stamina/will power on body/ to delay ejaculation voluntarily
Doctor :   Yo can even do with while u r having intercourse
User :   how much time i should practice this..
Doctor :   untill u ejaculate
Doctor :   increase the numbers
Doctor :   3 is your target
User :   i mean.. how many days
User :   okk..
Doctor :   it takes 3 mon to get the capacity
Doctor :   it is a slow process
User :   ok.. and should i see any doctor for this?
Doctor :   but u will be building the capacity to delay
User :   ok.
Doctor :   Try these and if failis you can consult sexologist
User :   ok...
Doctor :   You can even try this technique while u r having intercourse
Doctor :   take out your penis from vagina when u r about to ejaculate
User :   all right..
Doctor :   and squeez it
Doctor :   Ask ur partner to cooperate
User :   this is one thing i am afraid of... till now we are not able to put the penis in the vagina
User :   my partner is ready to cooperate.. but some how this seems to be impossible..
Doctor :   Then that one problem
Doctor :   you have performance anxity
User :   ok..
Doctor :   Relax completely before sexual act
Doctor :   Listen musci
Doctor :   Divert ur mood away from sex
User :   ok..
Doctor :   think abt child hood
User :   all right..
Doctor :   think abt movie
Doctor :   Divert thouts
User :   sure..
Doctor :   FOrget that idea that You will not do it
Doctor :   Go and try
User :   i got u..
Doctor :   Use DELAY cream while masturbating or having intercourse
User :   is it okay...
Doctor :   Stimulate your partner to a state of high arousal before you have your genitals touched, that way ejaculation and orgasm can be achieved about the same time.
Doctor :   Did u follow this
Doctor :   u stimulate her
User :   i do stimulate her..
Doctor :   delay /stop touching ur genitals
User :   can i get the DELAY cream from any medicos..
Doctor :   yes
Doctor :   there are some medicine but u need to consult sexologist
Doctor :   and get evaluated and get the prescription
User :   ok.. but is the delay cream can be used...
Doctor :   YES
Doctor :   Sleep eight to ten hours daily.
Doctor :   Go for morning and evening walk regularly.
User :   ok.. doctor.. i have a good chat with you. Thank you very much for your help...
Doctor :   Do exercise half of an hour early in the morning regularly.
User :   is there any way i can contact you directly for any further help..
Doctor :   Avoid overworking
Doctor :   You can Dr.
User :   how..
Doctor :   xxxxxx
Doctor :   Did I counselled ur problem
Doctor :   Do u have any other questions?
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