I have Premature ejaculation problem - #11598
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. Even I never smoke or drink and I doesn't have any stress or tention in my life
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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 Also Do meditation Engage in social activities for mind engagement Indulge in hobbies for mental health Im case of no improvement consult gynacolologist in person for better clarification Hopefully you recover soon Regards
1.Premature ejaculation is one of the most common concerns in young men. It happens due to oversensitivity of penile nerves in some men, psychological factors like performance anxiety, or rarely hormonal and neurological causes.
2.The good news is that this condition is treatable and most men improve with a structured approach. Since you do not have erectile dysfunction or lifestyle risk factors, the issue is mainly with ejaculatory control.
3.First line treatment involves behavioral techniques such as the stop start method and the squeeze technique. These train your body to delay ejaculation over time. Practicing regularly with or without a partner helps.
4.Pelvic floor strengthening exercises, regular physical activity, and mindfulness or relaxation techniques further improve stamina and control.
5.Medical options include local numbing gels or sprays applied before intercourse, and certain oral medicines like low dose antidepressants that are prescribed by a doctor specifically for this problem.
6.Since your issue has been persistent and is affecting your confidence, I recommend consulting a urologist or sexologist. With proper guidance, premature ejaculation can be reversed or effectively managed, helping you regain control and satisfaction in your intimate life.
Your condition is common and reversible. Start with behavioral techniques + topical spray, continue lifestyle measures. If insufficient, safe medications (SSRIs or dapoxetine) under medical supervision work very well. Confidence will return gradually.
This requires proper counselling for treatment. Need to have proper conversation.
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