PREMATURE EJACULATION DUE TO HYPERSENSITIVITY - #10728

Ok ilI can understand and this is manageable condition. Don’t worry. This requires counselling with you need to ask many things before starting you treatment. In person consultation or individual consultation would be a better option . Thank you

Hello dear Please be aware Kindly follow below instructions Tablet shilajeet or triphala once a day for 1 month Do meditation Kegel exercises I hope improvement occurs In case of no improvement contact gynacolologist Regards

Thank you for reaching out and sharing your concerns openly. Premature ejaculation (PE), particularly when associated with glans hypersensitivity, is a common issue faced by many men and can have both physical and psychological contributors.

Based on your description, here are a few important considerations:

1. Possible Causes:

Glans Hypersensitivity: Overstimulation, especially from frequent or aggressive masturbation, can lead to increased sensitivity. This might result in a lower threshold for ejaculation.

Neurochemical Imbalance: Changes in serotonin or dopamine levels in the brain can contribute to PE.

Performance Anxiety or Stress: Mental factors often play a significant role and may worsen the problem.

Lack of Regular Sexual Activity: Infrequent intercourse can also lead to lower ejaculatory control.

2. Diagnostic Approach:

Detailed Sexual History: A clinical discussion focusing on the onset, frequency, duration of intercourse, masturbation habits, and emotional factors.

Neurological Sensitivity Test: Some urologists or andrologists may evaluate penile sensitivity if hypersensitivity is suspected.

Hormonal Evaluation: Occasionally, testosterone or prolactin levels are checked.

Rule Out Other Conditions: Such as prostatitis or pelvic floor dysfunction, if symptoms suggest.

3. Management and Treatment Options:

A. Behavioral Strategies:

Start-Stop Technique or Squeeze Technique during masturbation or intercourse.

Pelvic Floor Exercises (Kegels) to improve ejaculatory control.

Edging (delayed gratification practice) to train stamina.

B. Medical Treatment (under supervision):

Topical Desensitizing Creams: Lidocaine-prilocaine cream can reduce sensitivity but must be used carefully to avoid partner numbness.

Selective Serotonin Reuptake Inhibitors (SSRIs): Low doses like paroxetine, sertraline, or dapoxetine (short-acting) are sometimes prescribed to delay ejaculation.

Tramadol (occasionally used): Only under strict medical guidance due to addiction potential.

C. Lifestyle Modifications:

Reduce or regulate frequency of masturbation.

Avoid overstimulation with pornography.

Manage stress, anxiety, and improve sleep quality.

Next Steps:

I recommend scheduling an appointment with a urologist or sexologist for an in-depth evaluation. They may offer personalized therapy, prescribe medications if needed, or refer you to a psychosexual therapist if mental factors are prominent.

You’re taking the right step by seeking help—this condition is highly manageable with the right approach.