I have premature ejaculation problem - #11597
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
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Doctors’ responses
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
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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