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

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.