Brief Answer:
there are some medicines and measures for improving & lenghtning erection

Detailed Answer:
Hello,

Thanks for writing to us.

You are talking about good erection and to keep erection for long.

I would like to mention some measures which can help in erectile dysfunction.

5- PDE inhibitor group of medicines like sildenafil or tadalafil are used. One of them should be used 2 hours prior to sex. They causes headache,stuffy nose nausea and gastric discomfort like common side effects. Proper physical check up of cardiac system should be done by a doctor before starting the same.These are prescription medicines and one needs to consult doctor/psychiatrist/sexologist for the prescription.

Another medicine cum vitamin supplement containing pyridoxal-5-phosphate, mecobalamin and l-methylfolate (trade name tetrafol plus in India)is very helpful in my patients. It has shown improvement in 50-60% patients of mine with ED.One should take it after meal twice a day. If some improvement is there in 20 days one should continue for at least 2 months. You may get this medicine over the counter as it is vitamin product.

Ayurvedic medicines tentax forte can also be used for ED.They are without any side effects.

Above medicines make erection more strong.

In market lots of oil are advertised saying that they can increase size of penis. But no medical scientific evidence of the same.

There are some natural lifestyle measures which help to improve blood flow to penis and overall sexual performance.

- The most important factor is healthy heart. Blood is pumped in to body by heart.So regular exercise and avoidance of fatty fast food are important measures to prevent heart disease. Regular walking, swimming or running overall improves blood flow to whole body circulation including penis and keep the mind fresh.

- Good healthy food is also an important aspect. Bananas, Garlic, dry fruits(they contains vitamins), eggs, cow milk, cow butter are good food which may help in erectile dysfunction.You can search specific aphrodisiac food items on net and you can use any of your choice.

- Avoid smoking and alcohol. Low amount of alcohol can help in increasing blood flow but more amount can cause opposite effects. So better to avoid the same.

Premature Ejaculation (PME) or early discharge defined when male partner ejaculates early before the female partner reaches to orgasm. There is no absolute time by which we can diagnose PME. It is relative term and female partner is the best judge.

There are medicinal and non medicinal approaches to treat PME.
Even if someone has no PME and wants to stay long, one of the following approaches can help.

Medicines:
Clomipramine and paroxetine are choice of medicines which are used as antidepressants(For depression dose is higher).
I prefer clomipramine for PME. No significant side effects with these medicines. Initially say for 20-30 days daily after dinner and later on just on the day when you do the sex.
Paroxetine is more potent but it may cause side effects like headache, gastric discomfort, giddiness and sedation. In patients with blood pressure it should be used in consultation with physician/cardiologist.

One molecule called depoxetine (duralast)has been used specifically for PME and should be taken before 2 hours of sex when required.

These medicines are prescription medicines and you need to consult doctor/psychiatrist/sexologist for prescription.

Ayurvedic medicines tentax royale and confido are also claimed to be helpful in prolonging the erection.
Behavioral approaches are as follows for your information:

1. Stop and Squeeze technique can be applied which you can learn from internet and ask me if any query in that.(In brief, method suggests that you should try to divert your mind for a moment when you feel ejaculation arousal and penis should be tightly squeezed with hand inwards by your partner preferably).

2. Master and XXXXXXX technique can also be learnt from qualified sexologist/Psychiatrist which includes sessions in couple as it is couple sex therapy. It can help in prolongation of time.

3. Sex counseling of your sexual behavior and methods. Like if you are down and female partner on top, gravity is going to help you for lengthening the time.

4. You should do masturbation before sex(at least 2 hours before ). It will make seminal vesicles somewhat empty and at time of sex semen will take more time to come out.

Another approach:
-Use of condoms. Sometime using condom while sex helps in delaying ejaculation by reducing sensitivity of glans penis.

--Topical application of anesthetic gel/spray. For this you have to consult doctor.

Hope I have answered your query, I will be happy to help further.

Regards,
Dr.Chintan Solanki.

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Brief Answer:
Medicines can help but think about other aspects also

Detailed Answer:
Hello,

Thanks for follow up.

In females after delivery due to physical and hormonal changes as well as emotional changes of motherhood sex drive is affected.

Woman libido is influenced by a variety of factors. A woman’s sexuality and libido are not only determined by hormones or other physical conditions. As with men, a woman’s sexual desire and pleasure are also strongly influenced by emotional factors such as having a healthy and trusting relationship with a compatible partner.

I recommend couples engage in nonsexual physical intimacy. Hold hands, cuddle, sit next to each other. And be sexual a minimum of once a week. When you're sexually intimate once a week, you're staying connected and committing to intimacy.

For libido she should be healthy physically as well as mentally. I mentioned some measures to improve libido in previous answer for you, same can be applied to her also.
She only herself can best described about her sex drive. If she feels it is reduced it can be treated.
Some sort of couple sex counselling also help if she is ready to go to doctor.

In woman only approved medical approach to improve sex drive is sildenafil and testosterone. You need to consult doctor for the same.

In conclusion keep her happy , give surprises(depends upon her hobbies and liking) , check that she is taking enough healthy meals and getting time for herself for relaxation.These measures make her overall joyful and in turn improve her sex drive.

Hope this answer is helpful. All the best.

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Brief Answer:
there is no squirting always in females

Detailed Answer:
Hello,

Thanks for new question.

In male with orgasm (deep relaxing joyful feelings for few seconds) there is ejaculation while in female orgasm is just only feelings without any specific liquid squirting.
In some females during arousal from vaginal walls clear fluid comes out which acts as lubricant to prevent friction while penis was moving. In few females sometime during orgasm this liquid comes out more in quantity but it is not there always and not in all females. During sex when female feels- it is enough now no more- called orgasm. Only female can feel and express that she can feel orgasm or not. There is no visible sign that we can confirm female orgasm objectively.

If she feels orgasm, it is more than enough. Squirting is not at all necessary.

If you continue after she feels satisfaction, she may feel pain or she may not allow to go ahead.

Whole body of the woman possess erotic areas. It can be ear pinna, back of neck, nipple or anything. Female herself can give the best answer which part she likes to be touched by man for erotic feelings. You can both find out the same while foreplay.

There is no specific position ideal for sex. It is couple's choice. The position in which you both are comfortable and enjoy should be used. I recommend changing positions or place of the sex if feasible. It will create more excitement. Using different erotic clothes, perfumes, chocolates, bed sheets can help also.

Hope I have answered your query. If still any query there, I will be happy to answer. If not, you can close the discussion and if feasible give your feedback so I can improve service. In future you can contact me directly if you wish with this link: http://bit.ly/drchintansolanki

Take care.

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