Timing issue less then 5 minute - #11576

You have primary premature ejaculation (not ED). Start with behavioral training + topical cream/spray. If not controlled, very effective medicines are available and safe when prescribed. This condition is fully manageable. But 3-5 mins is normal. Avoid watching porn videos.

Hi Pankaj,

Stay calm , You have got this !!

Premature ejaculation is very common, especially in men under 30.

The good news is that it can be managed effectively with the right approach.

1.You can begin with behavioural methods;Start stop technique,Squeeze technique 2.Do kegel exercises 3.Use condoms 4.Maintain good lifestyle- exercise,good sleep

Then go with numbing sprays

You can try natural remedies like Aswagandha, Saffron,WALNUT (High success rate)

If and only if behavioural and topical methods is not working , (2-3 months)consult a sexologist or urologist for medical therapy.

Don’t worry. 🛑This is completely manageable in most cases.

Thank you 🙏🏻

Hello Pankaj,

I understand this might be distributing, but with these medicines you will se improvement.

Cap. Fluoxetine 20mg, once daily × 10 days, then follow up, if it is effective we will continue the same. Tab. Multivitamin once daily × 3 months.

feel free to reach out

Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Med

Premature ejaculation is a relatively common issue and can be frustrating. It’s good that you’re able to achieve a strong erection, as it indicates that the underlying physiological mechanisms are functioning well. The timing issue you are experiencing might be related to factors such as anxiety, stress, or even an established behavioral pattern. It’s critical to consider these potential underlying causes while evaluating your condition. While ayurvedic treatments can be complementary, they vary widely in efficacy and are not always the ideal primary treatment. Modern medical approaches can be more reliable and evidence-based. One of the pharmacological options is the use of selective serotonin reuptake inhibitors (SSRIs) in low doses, such as paroxetine or sertraline, which are sometimes used to prolong the duration before ejaculation. Another common medication might be a topical anesthetic, like lidocaine-prilocaine, applied to decrease hypersensitivity. Alongside these, behavioral techniques like the pause-squeeze method or pelvic floor exercises could also be beneficial. Practicing these may help improve control over time. It’s advisable to consult with a healthcare professional to tailor a treatment that’s specific to your needs, given the long duration you’ve faced this issue. They can ensure any medication or therapy you opt for is safe and won’t interfere with other treatments you are considering. Always discuss changes in your treatment plan with your doctor, particularly if it’s been four years without improvement, to rule out any other conditions that need addressing.