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.
Premature ejaculation (PE) is indeed a common issue, and it’s understandable to want to get to the bottom of it. You have correctly touched on several potential factors, including psychological like performance anxiety, as well as possible physiological factors which may contribute to this condition. It doesn’t necessarily stem from a single source, and often it’s a combination of factors. Since you’re otherwise in good health, it’s reasonable to first explore simpler interventions and then move to more specific treatments if necessary. Let’s start with some behavioral techniques, as they’re often effective. The ‘stop-start’ technique or ‘squeeze’ technique can help increase control over ejaculation. Both of these methods involve pausing or delaying ejaculation, which can help improve timing over practice.
You may also want to consider trying topical anesthetics like creams or sprays containing lidocaine or prilocaine, which are applied to the penis and reduce sensitivity. They can help extend the time, but remember these options could cause temporary numbness in your partner too. Medications, such as selective serotonin reuptake inhibitors (SSRIs) like sertraline, paroxetine, or fluoxetine, can also be prescribed to help delay ejaculation by increasing serotonin levels, though they may take some weeks to be effective.
It’s essential to talk about psychological factors. Cognitive-behavioral therapy can help with anxiety and control-related thoughts impacting your performance. Sometimes, seeing a therapist with experience in sexual health can be invaluable. If you suspect hormonal imbalances or other physiological causes, seeking a healthcare professional’s advice for tests might be beneficial to rule out these.
Lifestyle changes should not be dismissed either, but it seems you have tried, so ensure you’re managing stress and engaging in regular physical activity, both of which support sexual health. Remember, it’s crucial to identify what works best for you, as treatments can vary in effectiveness from person to person. If all else fails, consulting a specialist such as a urologist or a sexual health expert can offer more personalized solutions. They might suggest other interventions tailored to your precise situation. Always discuss any ongoing treatments, supplements, or medications you’re taking with a healthcare provider to ensure they don’t interact negatively.
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