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Suggest Treatment For Premature Ejaculation

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Posted on Tue, 5 Jul 2016
Question: Hi Doctor,
I am 24 year old male. I have the habit of masturbation for the past 6 years. I am not married and I have not had sex with anyone. I usually masturbate 7-10 times in a month. I don’t smoke and I don’t drink.
My problem is for the past one year I ejaculate within 2-3 seconds of starting masturbation. I usually masturbate with my dry hands. For the past 2 years when I give 2-3 strokes to my penis I ejaculate. Sometimes I lie on my stomach with my erect penis on bed or on the spongy towel spread on the floor and rub myself on the towel and with 2-3 strokes I ejaculate. Sometimes I used to ejaculate 3 times a day.Lastweek while bathing I soaped my penis for 5 seconds and I ejaculated immediately. When I sleep I have erotic dreams and I rub myself and I ejaculate within 2-3 seconds.
I have a habit of watching Porn when I am alone. Usually I watch it with my underwear. For the past one year when I start getting an erection the erection rubs across my underwear’s waistband 2 or 3 times and I ejaculate.
I measured my penis and it’s only about 4.5 inches long when erect. Plus I read in a health magazine that frequent masturbation can shrink our penis and cause problems such as early old age, black circle under eyes, burning sensation in eyes, nervous weakness, premature ejaculation, scanty semen, frequent cold ,small penis size etc.
My parents want me to get married at 26.But I am scared of my small penis and I have doubts whether I will have a good sex life and whether I will be able to satisfy my wife with my 4 inch penis.I am scared that I will ejaculate within 2-3 seconds of starting sex with my wife. Please suggest some solution to solve my problem.I want increase my sexual stamina,my penis size and prevent quick ejaculation.
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (2 hours later)
Brief Answer:
It is premature ejaculation

Detailed Answer:
Hello,
Thanks for using Healthcaremagic.

First I will answer about small size of penis. The normal erect size of penis in most South Asians is 4-6 inch and I think your size falls withing normal range. Above this only approximately three inch of female vagina is sensitive to touch and any penis of more than three inch size id able to stimulate all sensitive parts of vagina. So it absulutely normal to have the penis size of 4.5 inch when erect and there is nothing to worry.

n regard to early ejaculation I feel that is definitely pathological and needs treatment.


Premature ejaculation can be treated or controlled with the help of behavioral methods and the medications.
The behavioral techniques need to be practiced during sex and yield results over a time. Even your partner can assist you in some of the techniques like squeeze technique but I think this is not applicable for you as you are not in relationship.

For you it will be best to practice Kegel exercise. The techniques is difficult to explain here but you can just google 'kegel method ' to understand it. For good results it is recommended to have 100 contractions per day which can be divided in three to four times a day as per your convenience. Slowly increase the duration of contractions to 15 seconds from intial one or two seconds.


Premature ejaculation can also be controlled by medications.

SSRI antidepressant drugs cause delayed ejaculation as a side effect, and this side effect is used therapeutically in the treatment of premature ejaculation. These drugs are as following:
Tablet. Paroxetine
Tablet. Fluoxetine
Tablet. Sertraline .

A person with premature ejaculation need to take any of these drugs regularly and its effect will appear only after 15 to 20 days.

Another strategy is to take drug one hour before sex. The another antidepressant drug dapoxetine is given one hour before sex and it cause delayed ejaculation.

I hope this answers your question.
If you need to know more feel free to contact me.
If not, you may close the discussion and if possible you may rate the answer for my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386

Thanks and regards
Dr Ashok Kumar
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (13 minutes later)
Thanks,

Doctor Should I stop masturbating?

Plus Can I take Himalaya Confido or Himalaya Speman to cure Premature ejaculation.

If so please mention the dosage and duration of Confido/Speman.
And food that I must eat.
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (6 minutes later)
Brief Answer:
Stop prone position masturbation

Detailed Answer:
Hello,
Thanks for reverting back to me.

Rather than stopping masturbation it is important to stop masturbation in prone position which may cause injury to soft tissues of the penis.

I do not think six to seven masturbation is wrong in a month but use gentle pressure only and avoid hard surfaces while having masturbation.

In regard to treatment the best treatment is behavioral methods which have long lasting effects. The Himalaya products are well advertised but most of my patients do not get any benefit so avoiding them is more advisable.

I hope this helps you.
Thanks and regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (8 minutes later)
Can you please suggest some other medicines such as tonic or capsules.

For example:dabur shilajit gold.
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (52 minutes later)
Brief Answer:
In my view again no

Detailed Answer:
Hello,
Thanks for follow up.

I need to repeat the earlier statement that was used in last answer. Stop relying on advertisements and sense of security offered by them. As I said medications have little role and that too temporary and shilazit and other Ayurvedic products included in same category.

I hope this clarifies further.
Thanks and regards.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3355 Questions

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Suggest Treatment For Premature Ejaculation

Brief Answer: It is premature ejaculation Detailed Answer: Hello, Thanks for using Healthcaremagic. First I will answer about small size of penis. The normal erect size of penis in most South Asians is 4-6 inch and I think your size falls withing normal range. Above this only approximately three inch of female vagina is sensitive to touch and any penis of more than three inch size id able to stimulate all sensitive parts of vagina. So it absulutely normal to have the penis size of 4.5 inch when erect and there is nothing to worry. n regard to early ejaculation I feel that is definitely pathological and needs treatment. Premature ejaculation can be treated or controlled with the help of behavioral methods and the medications. The behavioral techniques need to be practiced during sex and yield results over a time. Even your partner can assist you in some of the techniques like squeeze technique but I think this is not applicable for you as you are not in relationship. For you it will be best to practice Kegel exercise. The techniques is difficult to explain here but you can just google 'kegel method ' to understand it. For good results it is recommended to have 100 contractions per day which can be divided in three to four times a day as per your convenience. Slowly increase the duration of contractions to 15 seconds from intial one or two seconds. Premature ejaculation can also be controlled by medications. SSRI antidepressant drugs cause delayed ejaculation as a side effect, and this side effect is used therapeutically in the treatment of premature ejaculation. These drugs are as following: Tablet. Paroxetine Tablet. Fluoxetine Tablet. Sertraline . A person with premature ejaculation need to take any of these drugs regularly and its effect will appear only after 15 to 20 days. Another strategy is to take drug one hour before sex. The another antidepressant drug dapoxetine is given one hour before sex and it cause delayed ejaculation. I hope this answers your question. If you need to know more feel free to contact me. If not, you may close the discussion and if possible you may rate the answer for my future patients. In future if you wish to contact me directly, you can use the below mentioned link: http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386 Thanks and regards Dr Ashok Kumar