Ok answer few questions before starting on medication.
Are you married? Do you get palpitations? Do you have anxiety? Depression? Answer these then will prescribe medicine. Follow up soon Thank you
Your symptoms suggest performance-related anxiety, low stamina, or possibly low testosterone, which can cause early ejaculation and poor erection in the second round. You may benefit from medications like Dapoxetine 30mg (for PE) and a short course of Tadalafil 10mg (for erection) under a doctor’s supervision. Please consult a qualified sexologist or andrologist for hormone testing and permanent treatment tailored to your needs.
Hello dear Please be aware
I request you to please follow below instructions Do kegel exercises Do meditation Take shilajeet/ triphala once a day for 1 month Do regular exercise Avoid medicines like viagra In case of no improvement in 1 month consult gynacolologist or sexologist
Hi Francis. This condition is called Premature ejaculation which is characterized by ejaculation occuring within 1-2 minutes of penetrative sex. It could occur as standalone condition or could occur due to depression, anxiety and high stress levels. Looking at your age, it is least likely caused by medical causes, but however, we cannot be sure. Premature ejaculation can be managed by both medications and sex therapy. Sex therapy helps you in managing performance anxiety and few other techniques like Stop-start to manage the problem. If can’t obtain medications, you can try lignocaine sprays or lignocaine filled condoms to delay ejaculation. A normal male in 30s may have a longer resolution period after ejaculation during which achieving another erection is difficult and it’s totally normal. Please don’t get worried by it. Consult a psychiatrist or sexologist either in-person or online for further evaluation and treatment. Regards, Dr. Charan Kumar Pottem, MD Psychiatry (NIMHANS).
Thanks for sharing openly — this situation is more common than you might think, and it’s treatable. Based on what you shared, you’re likely facing secondary premature ejaculation, fatigue during sex, and possible low libido or psychological block. Here’s a detailed plan for permanent, holistic treatment:
🔍 Root Problems You Mentioned:
Quick ejaculation during second round (within a minute)
Fatigue, low mood, low sexual stamina
Tried hospitals and Ayurveda — no results
✅ Step-by-Step Permanent Solution
1. Medical Evaluation (Don’t Skip This)
Hormone test: Check Testosterone, Prolactin, TSH.
Penile sensitivity test (if available).
Rule out conditions like chronic prostatitis, nerve fatigue, or performance anxiety.
2. Treatment Plan
🧠 A. Mind + Mood Focus (Psychosexual)
Most second-round ejaculation issues are due to performance pressure, fatigue, or hypersensitivity.
Practice “stop-start” technique or “squeeze technique” with your partner/masturbation.
Therapy or counseling (CBT-based) for performance anxiety may help if mood is affecting desire.
💊 B. Medicines for Ejaculation Control
Consult a urologist or sexologist to get a prescription — these help increase stamina:
Dapoxetine 30–60mg (Short-acting SSRI – take 1–3 hours before sex)
Clomipramine (low dose) – helps in long-term control if taken regularly
Lidocaine spray (numbs penis slightly – short-term help)
⚠️ Take only under doctor supervision.
🌿 C. Ayurvedic + Natural Add-ons
Some herbs and adaptogens may help over time:
Ashwagandha: improves strength, stamina, testosterone
Shilajit (pure form): boosts vitality and sexual endurance
Kaunch Beej + Safed Musli: sperm health + delayed ejaculation
→ Use high-quality branded capsules (Baidyanath, Himalaya, or Jiva Ayurveda)
🥦 D. Lifestyle & Diet Essentials
These directly affect stamina and mood:
Sleep: 7–8 hours daily (lack of sleep kills libido)
Exercise: 30 min/day (especially squats, running – increases testosterone)
Avoid: smoking, alcohol, porn overuse, excessive masturbation
Eat:
Zinc-rich foods: pumpkin seeds, eggs, nuts
Protein: paneer, dal, chicken, tofu
Fats: ghee, olive oil, almonds
🧘 E. Pelvic Floor & Breathing Exercises
Build control and endurance:
Kegel exercises (10–15 reps × 3 daily)
Anulom Vilom + Bhramari pranayama: relax mind and boost circulation
🔁 Summary:
Problem Solution
Quick second-round ejaculation Dapoxetine / Clomipramine + techniques + pelvic floor exercises Low stamina/mood Ashwagandha + Shilajit + sleep/diet correction Tried Ayurveda with no result Use high-quality, purified extracts with medical support Permanent treatment Combine modern meds + therapy + lifestyle + pelvic training
Francis, your symptoms suggest premature ejaculation and weak erection in the second round, possibly linked to performance anxiety, fatigue, or hormonal imbalance. Since Ayurvedic and hospital treatments haven’t helped, you should consult a qualified andrologist or sexologist for a detailed evaluation, including hormone tests and psychological assessment. With proper treatment — including medications, behavioral therapy, and lifestyle changes — long-term improvement and control are absolutely possible.
Premature ejaculation and difficulties with maintaining or achieving an erection for a subsequent “second round” is a common condition that can be addressed with several strategies, both non-pharmacological and medical. First, it’s important to piece together if there are specific factors affecting this, such as stress, fatigue, or any lifestyle habits like excessive alcohol consumption and smoking that might interfere with sexual performance. Prioritize sleep, regular exercise, and a balanced diet to support overall physical stamina and mood. It can also be beneficial to explore behavioral strategies like the stop-start or squeeze technique, which can gradually help in gaining better control over ejaculation timing during intercourse. Engaging in pelvic floor exercises known as Kegels may improve control and strength around the pelvic region.
In terms of medications, you can discuss with your healthcare provider options like selective serotonin reuptake inhibitors (SSRIs), which have been known to delay ejaculation. For addressing erectile difficulties, phosphodiesterase type 5 (PDE5) inhibitors like sildenafil (commonly known as Viagra) can be effective, but make sure to use these under medical guidance due to potential side effects and interactions. Since you mentioned mood problems, ruling out or addressing any underlying psychological factors like anxiety or depression could also contribute significantly to improvement. Professional therapy or counseling can provide useful coping mechanisms and perspective shifts if needed.
Be sure to follow up with a specialist who can offer personalized advice that’s tailored to your specific condition and help refine a treatment plan that suits your daily life. Consulting a urologist or a specialist in sexual health could uncover any underlying issues that may have been missed or need further investigation. Always consider the possibility of underlying medical issues, and work closely with your provider to rule these out and follow a treatment plan tailored to you.
