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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Premature Ejaculation Be Treated?

dear sir, i am a 3oyears old man. unmarried. since the age of 5 years i was practicing masturbation and anal sex. earlier in a day i use masturbation 2-3 times, then slowly it came less, now a days sometimes after 3-4 days only. in the age of 25 years i have seen a liquid (ordinary) comes through my penis whenever i comes in contact with sex. these days it comes more even if i see sexy pictures or i think about the sex. earlier days i had not feel any weekness but during the last 3 years after mastubation i feel more weekness. even if see the sexy photographs and the liquid comes out i feel weekness. i gets pain in my knees, hips (sometimes right sometimes left.). my penis is little bend towards right. now a days i feel pain in my penis too at the time of masturbating. few days back when i went to have a sex with one of my male partner i could not get erected my penis a long time and before ejaculation i got discharged. i also feel sometimes headaque and weekness through my eyes. i smokes about 15 to 20 cigarettes daily. i also feel eaching in my penis and nearby areas sometimes. i never made sex with a female but with male partner only. few years back oce a time i get in contact with a female but when i start kiss her and within 2 minutes when i came to make a sex with her immediately i got discharged and the same same time i left the girl. now within a period of six months i am going to marry and i am much worried that in this position how can i have a proper sex with my wife. these are some symptoms. hence you are requested to advice me on this condition what i have to do. i am residing in sultanate of oman . So, pls. suggest some medicines to relief from pain and to increase the sexual power. is there any home remedies or excercises for the above. regards arindam
Mon, 25 Aug 2014
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Psychiatrist,  's  Response

Hello and welcome to Healthcare Magic. Thanks for your query.

The few drops of liquid discharge from the penis which you have observed is called preseminal fluid. This is not semen or ejaculation and this is absolutely normal. When a male is very sexually aroused and gets a strong erection, often there is a discharge of one or two drops of clear, watery fluid. This is meant for lubrication of the penis during sexual intercourse. Once the penis is further stimulated by intercourse or masturbation, then ejaculation of semen happens during orgasm. So, having a preseminal fluid discharge is a normal physiological phenomenon and you don't have to worry about this.

Premature ejaculation can be due to different causes - both psychological causes and medical causes. But in a young person, it is more likely due to a psychological cause such as anxiety.

To increase the ejaculation time, you can try practicing certain exercises like Kegel's exercises or techniques like the Masters and Johnson technique. Alternatively, there are medication available which can help delay ejaculation time.

Regarding you doubt about married life, you have mentioned that you have homosexual tendencies and have had sexual contact mostly with males. So, you need to think seriously whether you are attracted to females and whether your homosexual tendencies would result in problems after marriage.

Wish you all the best.

Regards,
Dr. Jonas Sundarakumar MBBS., DPM., MRCPsych.(U.K.)
Consultant Psychiatrist
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How Can Premature Ejaculation Be Treated?

Hello and welcome to Healthcare Magic. Thanks for your query. The few drops of liquid discharge from the penis which you have observed is called preseminal fluid. This is not semen or ejaculation and this is absolutely normal. When a male is very sexually aroused and gets a strong erection, often there is a discharge of one or two drops of clear, watery fluid. This is meant for lubrication of the penis during sexual intercourse. Once the penis is further stimulated by intercourse or masturbation, then ejaculation of semen happens during orgasm. So, having a preseminal fluid discharge is a normal physiological phenomenon and you don t have to worry about this. Premature ejaculation can be due to different causes - both psychological causes and medical causes. But in a young person, it is more likely due to a psychological cause such as anxiety. To increase the ejaculation time, you can try practicing certain exercises like Kegel s exercises or techniques like the Masters and Johnson technique. Alternatively, there are medication available which can help delay ejaculation time. Regarding you doubt about married life, you have mentioned that you have homosexual tendencies and have had sexual contact mostly with males. So, you need to think seriously whether you are attracted to females and whether your homosexual tendencies would result in problems after marriage. Wish you all the best. Regards, Dr. Jonas Sundarakumar MBBS., DPM., MRCPsych.(U.K.) Consultant Psychiatrist