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I have premature ejaculation problem
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Sexual Health & Wellness
Question #11597
3 hours ago
16

I have premature ejaculation problem - #11597

ayush

Doctor, I am 23 years old, in good health, and have no medical conditions or allergies. My concern is that I am experiencing premature ejaculation. Almost every time I have sex, I ejaculate in less than 30 seconds after penetration, sometimes even before I can properly begin. This issue has been present for several months and is causing frustration, anxiety, and a lack of satisfaction in my sexual life. I do not have erectile dysfunction — I can achieve and maintain an erection — but I am unable to control ejaculation. I have tried to improve my lifestyle, diet, and even experimented with some natural supplements, but there has been little improvement. I would like to understand the root cause of my problem, whether it is due to oversensitivity, psychological factors like performance anxiety, or possible hormonal or neurological issues. My main concern is whether this condition can be reversed or effectively managed. I would like to know about all possible treatment options, from behavioral techniques and natural remedies to safe medical therapies. Please guide me with the best approach so I can regain control, confidence, and satisfaction in my intimate life. Thank you

Age: 23
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Doctors’ responses

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.
3 hours ago
5

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

733 answered questions
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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.
3 hours ago
5

1.Premature ejaculation is very common in young men and happens due to a combination of factors like oversensitivity of nerves in the penis, performance anxiety, or sometimes hormonal imbalance.

2.Since you can achieve and maintain erections, the issue is with ejaculatory control rather than erectile dysfunction. This condition is treatable and often improves with the right methods.

3.First line management includes behavioral techniques like the stop start method and squeeze technique which train you to delay ejaculation. Practicing these regularly with or without a partner helps improve control.

4.Lifestyle measures such as regular exercise, stress reduction, good sleep, and avoiding excessive masturbation or pornography also make a difference.

5.Safe medical options are available. These include local numbing gels or sprays, selective serotonin reuptake inhibitors in low doses, or other oral medicines prescribed by a doctor. These are effective when lifestyle changes alone are not enough.

6.Since your problem has persisted for several months and is affecting confidence, I recommend consulting a urologist or sexologist. With proper evaluation and treatment, premature ejaculation can be reversed and managed successfully.

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