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फोरप्ले के दौरान शीघ्रपतन की चिंता
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Sexual Health & Wellness
Question #28689
215 days ago
613

फोरप्ले के दौरान शीघ्रपतन की चिंता

Client_0f690b

हे! मैं 24 साल का लड़का हूँ। मैं वर्जिन हूँ, लेकिन मैंने अपने पार्टनर के साथ कुछ शारीरिक अनुभव किए हैं, लेकिन कभी इंटरकोर्स नहीं किया। इन दिनों मैं बहुत चिंतित हूँ क्योंकि पिछली बार जब मैंने अपने पार्टनर के साथ शारीरिक अनुभव किया, तो मैं बहुत जल्दी स्खलित हो गया। ऐसा मेरे साथ 2-3 बार हो चुका है, फोरप्ले के दौरान मैं जल्दी स्खलित हो जाता हूँ, लेकिन मास्टरबेट करते समय ऐसा कम ही होता है। मैं इस स्थिति को यहाँ टेक्स्ट में ठीक से समझा नहीं पा रहा हूँ।

How often do you experience this issue during foreplay?:

- Most times

Have you noticed any specific triggers for this early ejaculation?:

- Excitement or arousal

Have you tried any techniques or methods to manage this issue?:

- No, I haven't tried anything
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Doctors' responses

Ok as a physician I can understand your problem. Personal consultation is preferred for this problem where interaction is needed. Don’t take any medicine from medical shops or anyone who is not qualified to treat this.

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Hey! Thanks for opening up about this—what you’re describing is actually really common, especially for people who are new to sexual experiences with a partner. It sounds like you’re worried about ejaculating early during foreplay, but not so much when you’re alone.

### Why This Happens - Performance anxiety: Being with a partner for the first few times can make you nervous or excited, which can lead to early ejaculation. - New sensations: Physical intimacy with a partner feels different from masturbation, and your body might react more quickly. - Overthinking: Worrying about it can make it happen more often—kind of like a “cycle.”

### Is This a Problem? Not at all! Many men experience this, especially in the beginning. It usually improves with time, comfort, and experience.

### What Can Help? - Relax: Try to focus on enjoying the moment rather than worrying about performance. - Communication: If you feel comfortable, talk to your partner about it—they might be more understanding than you think. - Practice: With more experience, your control usually gets better. - Techniques: If it keeps happening and bothers you, there are simple techniques and exercises you can try (like the “stop-start” method), or you can talk to a doctor or counselor for more tips.

Thank you

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What you’re describing sounds like situational premature ejaculation, commonly triggered by high arousal, excitement, and performance anxiety—especially during early sexual experiences. It’s normal that it happens more with a partner than during masturbation, because the psychological stimulation is much higher. You should consult a urologist or sexologist for proper guidance, as simple behavioral techniques or therapy can effectively manage this.

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Hello dear Please be aware See following medications can be taken in case if preventive therapy is not successful

Sildenafil empty stomach to be taken Tadalafil Accordingly if recommended by gynacolologist Vardenafil Levitra or Staxyn in case if allergic to Sildenafil Avanafil accordingly if recommended In addition please take the following precautions Avoid heavy meals and alcohol Take ashwagandha or triphala once a day for 2 months Do meditation Do physical exercises atleast for half an hour Especially kegel exercises Take shilajeet for 1 month once a day In case of no improvement in 1 month, kindly consult gynaecologist for further clarification Hopefully you recover soon Regards

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Hello

This is very common, especially in new sexual experiences. Ejaculating early during foreplay — but not during masturbation — usually means excitement or anxiety, not a medical problem.

What to do: • Slow down or pause stimulation when you feel close.

Try the start–stop technique — pause stimulation for ~20–30 seconds when you feel you might ejaculate

• Use condoms to reduce sensitivity. • With experience, control usually improves naturally.

Medication like Dapoxetine is only considered if the problem continues for several months and causes distress.

Thank you Take care I trust this helps

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Ejaculating earlier than you’d like during foreplay is actually quite common, especially if you’re new to sexual experiences with a partner. What you’re describing could be a form of premature ejaculation, which is when ejaculation happens sooner during sexual activity than you or your partner would like. Since you’ve noticed a difference between what happens during foreplay with your partner and when you masturbate, this suggests there might be psychological factors at play. Anxiety and excitement about a new sexual situation can contribute to this. It’s good to acknowledge these feelings as they are pretty normal. It’s also worth considering techniques that focus on increasing your awareness and control over the process, such as stop-start or squeeze techniques, which you can practice during masturbation. Additionally, focusing on slow, deep breathing can help reduce anxiety and maintain a calm state during an intimate encounter. If these strategies don’t seem to help over time, or if it’s still causing concern, it might be beneficial to consult with a healthcare provider, potentially a urologist or a sex therapist, who can offer more personalized strategies or treatment options. They might explore further whether there’s a physical element like a hyper-responsive nervous system or another underlying issue. In some cases, behavioral therapies or medications can be advised. But for many, adjustments in technique and mental focus gradually offer improvement. Meanwhile, keeping open communication with your partner can also ease anxieties and create a supportive atmosphere as you explore solutions together.

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Hi,

· Reassurance: Very common in first sexual experiences – especially with a new partner and no prior intercourse · Likely cause: Performance anxiety + high arousal, not a physical disorder (since it doesn’t happen with masturbation) · Try these techniques: · Pause-squeeze: When you feel close, pause and gently squeeze the tip of penis for a few seconds · Deep breathing and shift focus away from “performing” · Communication – let your partner know; reduces pressure · If needed: Desensitizing condoms or topical lidocaine spray (applied 10–15 min before) can help temporarily · Outlook: Usually improves with experience and confidence; if it continues after regular intercourse, see a urologist

No need to worry – your body is responding normally to excitement.

— Dr. Nikhil Chauhan Urologist

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Hello, I understand your concern. But first, try not to worry, this is very common, especially in your situation. Since you are new to sexual experiences, early ejaculation during foreplay is usually due to: High excitement/arousal, Performance anxiety, Lack of sexual experience and control. The fact that it rarely happens during masturbation is a good sign and suggests that this is more situational (psychological) rather than a medical problem. Here is my advise-

1. Behavioral techniques- Start–stop technique: pause stimulation when you feel close to ejaculation, then restart. Squeeze technique: gently press the tip of the penis to reduce urge. Focus on slow and controlled stimulation.

2. Reduce anxiety- Try to stay relaxed and avoid overthinking performance. Take things slowly, experience improves control over time.

3. Practice- During masturbation, practice delaying ejaculation. This helps improve control during real situations.

4. Communication-Be open with your partner, this reduces pressure and anxiety.

At this stage, no medication is needed. Medicines are considered only if the problem persists over time Pjysically consult a doctor: If the problem continues for several months, If it starts affecting confidence or relationship. This is very common in beginners and usually improves naturally with time, experience, and confidence. You’re completely normal, just give yourself time and don’t stress about it.

Feel free to reach out again.

Regards, Dr. Nirav Jain MBBS, D.Fam.Medicine

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