Premature ejaculation is happening

Question #11582

275 days ago

451

Premature ejaculation is happening - #11582

Anzar Ahammed k

Iam facing premature ejaculation it happens sooner than me and my partner desire causing us distress and it occurs nearly all sexual activities typically with in a few minutes so which medicines should I take before sex

Age: 22

300 INR (~3.53 USD)

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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.

274 days ago

Hello dear
See i think stres is the ultimate cause in your life which is causing this condition
Iam suggesting some medication and precautions for improvement
Kindly follow them for atleast 2 months
Do meditation
Do kegel exercises for atleast half an hour daily
Avoid smoking or alcohol of taking already
Avoid any medications
Avoid heavy meals
Take shilajeet once a day for 1 month
Take triphala once a day for 1 month
Im case of no improvement consult gynacolologist in person for better clarification
Hopefully you recover soon
Regards

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Dr. Nirav Jain

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

274 days ago

Take Cap. Fluoxetine 20 mg every morning after breakfast. Take for 10 days and have a follow up regarding results. Also taking therapy regarding the same.
Regards,
Dr. Nirav Jain
MBBS, DNB D.Fam.Med

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

274 days ago

Hi Anzar,
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 🙏🏻

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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.

274 days ago

Your condition is common and reversible. Start with behavioral techniques + topical spray, continue lifestyle measures. If insufficient, safe medications  under medical supervision work very well. Confidence will return gradually.
So I can’t prescribe any medicine here without having counselling with you.
Need interaction.

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Dr. Perambalur Ayyadurai Rohith

I am a general physician with more than 10 yr of clinical experiance, and in this time I worked with patients from all age groups, from young kids to elderly with multiple chronic issues. My practice has been wide, but I gradually developed deeper intrest in diabetology. I spend much of my day focusing on prevention, early diagnosis and management of diabetes, using lifestyle modification, medical therapy and regular monitoring. Many patients come worried about complications, and I try to explain things in simple language, whether it is diet, excercise, or understanding lab reports, so they dont feel lost. I also conduct detailed diagnostic evaluation and use evidence based protocols to make sure treatment is reliable and updated, even if sometimes I double check myself when results dont match the clinical picture. Apart from regular OPD practice, I gained strong experiance in occupational health. Over years I worked with multiple companies handling pre employment checks, annual medical exams, workplace wellness programs, and ensuring compliance with industrial health and safety standards. It is diffrent from hospital practice, but equally important, because healthy workers mean safe and productive workplace. I run medical surveillance programs and health awareness sessions in collaboration with corporates, and this also gave me exposure to preventive strategies on a large scale. For me, patient care is not just treatment but building trust. My career revolve around preventive medicine, ethical clinical practice, and continuous learning. I keep myself updated with modern medical protocols, but I also value listening to patient worries, since medicine is not only about lab values but also about how a person feels in daily life. I make mistakes in words sometimes, but in my work I try to be very precise. At end of day, my aim is to provide care that is accessible, evidence based and truly centered on patient well being.

274 days ago

Premature ejaculation is common at your age and usually linked to oversensitivity, anxiety, or performance pressure.
Medicines like selective SSRIs (e.g. paroxetine, sertraline) or topical anesthetic sprays/creams can delay ejaculation, but they should only be taken after a doctor’s prescription.
Behavioral techniques such as the stop-start or squeeze method, and pelvic floor strengthening (Kegel exercises), are very effective in gaining control.
Lifestyle measures like reducing stress, avoiding excess masturbation, and limiting alcohol or smoking help improve sexual stamina.
Using condoms, especially thicker ones or desensitizing condoms, can reduce sensitivity and prolong intercourse.
Since this problem is causing distress, it is best to consult a urologist or sexologist who can guide you on safe medicines tailored for you.

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Dr. Abhishek Gill

I am a doctor with 5 years total experience, mostly split between Emergency and Obstetrics & Gynaecology—and honestly both keep you on your toes in totally different ways. In the ER, you don’t get time to second-guess much. Things come at you fast—trauma, active bleeding, breathlessness, collapsed vitals—and you learn to think, act, then think again. But in Obs/Gyn, it’s more layered. One moment you’re handling routine antenatal care, the next you're managing obstructed labour at 3am with everything depending on timing. I try not to treat anyone like "just another case." I take proper history—like actual, detailed listening—and then move step by step. Exam, investigations only if needed (not just because), and explaining things clearly to the patient and attenders. Not gonna lie, sometimes I do repeat myself twice or thrice. People are stressed, they don’t hear it all the first time. Communication I’d say is one of my stronger areas, but not in some fancy textbook way. Just knowing *how* to talk, when to pause, when not to overload info. Like with a first-time mother in pain who doesn’t care about medical terms—she just wants to know if her baby’s okay. Those moments taught me more about medicine than most of my exams. I handle postpartum issues, early pregnancy complications, PCOD, menstrual complaints, emergency contraception consults too—bit of everything. And in casualty shifts, I’ve done everything from inserting Ryle’s tubes to managing hypertensive crises. You have to stay sharp. But also know when to slow down and re-evalutate something that doesn’t fit right. Counselling’s part of the job too. Sometimes patients need reassurance more than a prescription. Sometimes they just need honesty, even if the answer isn't simple. I don’t pretend to have all the answers, but I do care enough to find them. Bit by bit. Every single day.

272 days ago

Hello ANZAR,
No need to be worried. Most importantly, discuss the situation with your partner.
Try these approaches for better timing:
1. Use a LUBRICANT with anesthesia property
2. Use a lubricated lidocaine CONDOM
3. Do roleplay before penetration, don’t rush for it.
4. Keep your mind calm and relaxed.
5. Exercise daily
6. Maintain healthy diet
All the best !
Take care

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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.

272 days ago

Premature ejaculation is a common and treatable concern. Medicines sometimes used include SSRIs (like paroxetine, sertraline, dapoxetine) and topical anesthetic sprays/gels to reduce sensitivity, but these should be started only under a doctor’s supervision because they need correct dosing and may have side effects. I strongly recommend you consult a urologist or sexologist, who can guide you on safe medicines, behavioral techniques (start–stop, squeeze method), and lifestyle changes for better control.

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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.

253 days ago

Premature ejaculation affects many men, and it’s understandable to seek solutions. Medications can indeed help manage it, but it’s crucial to approach this holistically. Prescription medications like selective serotonin reuptake inhibitors (SSRIs) such as paroxetine, sertraline, or fluoxetine can be prescribed by a doctor and may help prolong ejaculation time when taken daily. Another option is a topical anesthetic, such as lidocaine-prilocaine cream, which can be applied to the penis before intercourse to reduce sensitivity. Delay sprays and creams work by numbing the skin, but it’s essential to follow instructions carefully to avoid excessive numbness or transferring it to your partner. Over-the-counter supplements are also marketed for this issue, but their efficacy and safety aren’t reliably established, unlike regulated medication. Beyond medications, consider behavioral techniques. The “stop-start” method or “squeeze” technique, which involves pausing stimulation to reduce excitement and then resuming, can gradually increase your control. Additionally, incorporating pelvic floor exercises can help strengthen muscles related to ejaculation control. Counseling or therapy may be beneficial, especially if anxiety or other psychological factors contribute. Consultation with a healthcare provider would ensure you explore the most suitable and safe options based on individual needs. Self-medicating without professional guidance isn’t advisable. Managing partner communication and ensuring mutual understanding is also important, to reduce pressure and anxiety surrounding sexual encounters.

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