Severe premature ejaculation from early age - #11271

Stress induced ho sakta …sath m testosterone level check karwao 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)

Hello Abhi. There are number of issues that can cause premature ejaculation like stress, anxiety, depression, or hypersensitive glans penis. Treatment needs to be planned depending on the underlying cause. Paroxetine is one good drug for the problem but if it is not working for you, it might need increase in dose. There are on-demand treatments also available like lidocaine-prilocaine spray or cream and Dapoxetine tablets. You can alternatively try start-stop or squeeze techniques consistently (you can find videos in YouTube). Having performance anxiety while doing sex will only worsen the problem. Try to engage in more foreplay and not to think about your performance during sexual activity. Let me know if you have any more doubts. Regards.

Premature ejaculation (PE) is indeed a common issue and can be quite frustrating. Since you’ve already seen a doctor and tried paroxetine, which is an SSRI commonly used to help manage this condition, it’s important to look at other potential strategies. PE can have both psychological and physiological components, so addressing both might be necessary. For physiological aspects, you can explore other medication options like topical anesthetics, which can numb sensation and help delay ejaculation. It’s crucial to use these as directed to avoid impacting erection negatively. For psychological factors, behavioral techniques like the ‘stop-start’ method or ‘squeeze’ technique during sexual activity can be helpful. These involve pauses or applying pressure to reduce arousal or ejaculatory urgency, giving you more control over the timing. While these techniques require practice and patience, they can be quite effective over time. Consulting a therapist who specializes in sexual health could provide further strategies tailored to your specific needs and concerns. Additionally, pelvic floor exercises, commonly known as Kegel exercises, might strengthen muscles in the pelvic region, offering better control. Regular practice of these exercises can sometimes improve sexual stamina. It’s essential, though, to discuss your symptoms with your doctor to optimize treatment, considering you already have experience with some forms of intervention. They might suggest or prescribe alternative medications or refer you to a specialist for more targeted therapy. Make sure the treatment plan aligns with your lifestyle and addresses all possible causes.