Premature ejacuvalation my spermsis coming out quickly within a minute can't able to go second round erjection problem

Question #10730

281 days ago

437

Premature ejacuvalation my spermsis coming out quickly within a minute can't able to go second round erjection problem - #10730

Francis

Erjection problem for second round I need a solution I tried many hospital ad ayurveda didn'work i need a solution. Mood problems getting tried to do sex . I need a permanent treatment. My sperms iscoming out quickly within a minute

Age: 30

Chronic illnesses: No

300 INR (~3.53 USD)

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Dr. Neeraj Agarwal

I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.

280 days ago

Fracis you are suffering from performance anxiety which is causing early ejaculation
Rather focus on enjoying the process rather thinking about it
Changes that will help you
Kegel exercises: Strengthen pelvic floor, improve erection firmness.
Losing belly fat: Exposes more of the base, giving the illusion of greater length.
Good sleep + testosterone-friendly diet
#Diet for you
Zinc: Pumpkin seeds, cashews, eggs
Vitamin C & E: Amla, oranges, almonds
Omega-3s: Walnuts, flaxseeds, fish
L-Carnitine: Found in dairy and red meat
Ashwagandha: Shown to improve sperm count and motility
Shilajit to increase testosterone level
#avoid
Smoking, alcohol, and excess caffeine
Heat on testicles (tight underwear, laptops on lap, hot tubs)

545 answered questions

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

280 days ago

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

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Dr. Alan Reji

I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.

280 days ago

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.

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

280 days ago

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

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Dr. Charan Kumar Pottem

I did my MD in Psychiatry from NIMHANS, which is widely respected for its work in mental health. During my time there, I worked with a wide variety of adult psychiatric conditions, including substance use issues and neurodevelopmental disorders. The hands-on experience gave me strong insight into how mental health is shaped by a mix of biological changes, life circumstances, and emotional patterns—how they all overlap and affect each other in real life. In my work, I focus more on the person than just the label of a diagnosis. I do use methods supported by research, yes, but I also think what really matters is showing up fully—really hearing someone out, staying with their story, and figuring things out together to see what actually works for them. Mental health care, to me, should go beyond just calming symptoms—it should also help someone regain balance and clarity in their day-to-day life. I keep learning, always trying to stay up-to-date with new findings and better ways of treatment. That way, anyone who comes to me can expect care that’s both thoughtful and informed by the latest in psychiatry. What drives me is a mix of clinical commitment and a deep belief in spreading awareness around mental well-being. Helping people strengthen their emotional resilience and live fuller lives is what keeps me going.

280 days ago

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).

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Dr. Aakash Shah

I am someone who's sorta grown into emergency medicine through a mix of intense training, sharp turns, and long nights that just don’t let up. I did my MBBS from SN Medical College, which gave me the base, but things really picked up during my DNB in Emergency Medicine at RTIICS, Kolkata—those years? hectic. You don't forget the pressure of working through back-to-back codes or handling trauma cases that change within seconds. Later, at AIIMS Delhi, during my senior residency, I got to see how clinical decision-making works in high-stakes, real-time setups. I had to push myself—mentally, technically, even emotionally. AIIMS was hard, but it kinda redefined how I approach chaos... you know, how to be calm when nothing else is. Right now, I’m working as a Consultant & Asst. Professor at Kiran Hospital and Medical College. Which is weirdly satisfying, coz I get to flip between clinical practice and teaching. Like one hour I’m in resus managing a poisoned patient, next I’m guiding a batch of med students through triage protocols. It’s demanding, but it keeps me sharp. I try not to get stuck in patterns—I mean emergency medicine is always shifting. I stay updated with new guidelines, courses, journals—some of it sticks, some doesn’t haha. But that’s how you keep growing. My thing is blending strong protocols with some human stuff—listening better, watching closer, explaining things in a way people can actually get. And yeah, mentoring’s important to me. Watching younger docs or interns go from nervous to confident... feels good. I’m all for building that bridge between practice and teaching, science and instinct. Maybe I don’t always get it right—but I care, a lot. That counts right?

279 days ago

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

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Dr. Alan Reji

276 days ago

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.

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

209 days ago

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.

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