How improve the timing and performance - #11011

Nothing will accept medicine. Yes there is treatment available. In person consultation is better this requires counselling. Thank you.

For now, you can try using lignocaine/prilocaine spray or cream over glans penis which decreases penile sensitivity and helps in delaying ejaculation time. It should be applied 20-25 minutes before planned sex and washed off with water 5 minutes before sex. Hope this helps. Regards.

Premature ejaculation and performance anxiety are common and treatable with behavioral techniques, counseling, and sometimes medication. Treatment usually includes sex therapy, pelvic floor exercises, and medicines if required. Please consult a urologist or a sexologist for proper evaluation and treatment.

Premature ejaculation is indeed a common issue and it’s treatable, so there’s some good news here. Treatment usually varies based on the underlying cause, which can be physical, psychological, or a combination of both. You first want to make sure that there’s no underlying medical condition contributing to it. Conditions like thyroid problems, infection of the prostate or urethra, or abnormal hormone levels can sometimes be culprits, so a thorough medical evaluation is a good first step. Aside from a healthcare provider evaluation, there are a couple of effective strategies you can try that don’t require medication. Behavioral techniques, such as the ‘stop-start’ or ‘squeeze’ methods, can be practiced during intercourse to help improve control over ejaculation timing. These methods aim to increase awareness and control over ejaculation, allowing you to extend the duration before climax. Additionally, pelvic floor exercises, commonly known as Kegel exercises, help fortify the muscles involved in ejaculation, and can be performed daily to improve function over time. On the pharmacological side, certain medications used for other conditions, like SSRIs, are sometimes prescribed off-label because they can delay ejaculation. Topical numbing agents can also reduce sensation and help prolong ejaculation times in some men. Counseling or therapy can be effective when anxiety, stress, or relationship issues are part of the picture. It’s important to have a nuanced discussion about these topics with your partner and possibly with a therapist, as psychological aspects can greatly influence sexual performance. As feared about performance is a psychological component, addressing performance anxiety through relaxation techniques or cognitive behavioral therapy could be beneficial. Always ensure to have open communication with your partner, as understanding and supportive communication can alleviate anxiety during intimacy. Remember, consulting with healthcare professionals ensures that you receive personalized advice and treatment suited to your particular situation—only they can provide the detailed, personalized guidance you require. As for messaging personally via WhatsApp or any personal communication platforms, it’s crucial to adhere to professional protocols which typically require consultations, either in-office or via secured telemedicine platforms for privacy and safety.