I have Premature ejaculation problem - #11598

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.

Hi Ayush,

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 🙏🏻

Hello Ayush,

I understand that this is worrisome.

Here’s you should understand, that you mostly don’t have any hormonal or neurological issues. The great news is that you are able to hold your erection.

With some behavioural techniques and medications, we can overcome this problem. I would like to know more about your dietary habits, lifestyle.

This is probably happening due to performance anxiety and over stimulation.

My advise -

1. Try edging. Edging is pulling yourself back when you feel you are going to ejaculate if you don’t stop. But also keep your partner’s pleasure in mind as well. This will increase your time gradually. It’s okay if you’re not able to edge everytime, just try your max.

2. Have a balanced, protein and fiber rich diet.

3. Regular exercise, Kegel exercise helps a lot.

4. Take Cap. Fluoxetine 20 mg, after breakfast daily for 10 days, and follow up with me after 10 days. This medication should be taken for a duration. There’s no medicine in the world which doesn’t have any side effects, but this medicine has very rare chances of producing side effects, so be assured.

You’ll be fine ultimately.

Regards,

Dr. Nirav Jain MBBS, DNB D.Fam.Med

Hello Friend, The problem of timing is a normal problem. 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 7. Start a MULTIVITAMIN daily

Take care

Premature ejaculation is usually treatable and can improve with behavioral techniques like the start–stop method, Kegel exercises, and reducing penile sensitivity using topical sprays or gels. If lifestyle changes don’t help, medicines such as SSRIs or on-demand therapy can be very effective under medical supervision. I recommend consulting a urologist or sexologist to evaluate hormonal, neurological, or psychological factors and guide you on safe, personalized treatment.

Premature ejaculation is indeed a very common issue, and it’s great you’re seeking advice on how to address it. Since you’ve ruled out factors like stress, smoking, or drinking, let’s delve into potential causes and solutions. Premature ejaculation can sometimes be linked to biological or psychological factors. It might be due to hypersensitivity of the penis or some kind of neurotransmitter imbalances in the brain. Psychological factors like anxiety, even if not felt in other areas of your life, can also play a significant role when one is predisposed to this condition. Understanding these could provide clearer paths to treatment. Behavioral techniques can be quite effective. Methods such as the “Stop-Start Technique” or the “Squeeze Technique” are designed to help you gain better ejaculatory control. These involve stimulating the penis to the point right before ejaculation and then pausing or applying light pressure to the shaft, respectively, to reduce arousal levels. Practicing these regularly can expand the time frame. On the medical front, topical anesthetic creams can reduce sensation and thus delay ejaculation but be sure to consult a healthcare professional about these as incorrect use can cause unwanted side effects. Another option could be selective serotonin reuptake inhibitors (SSRIs), traditionally used as antidepressants but have shown effectiveness in delaying ejaculation when taken regularly or just some hours prior to intercourse. Again, discussing their suitability and dosage with a doctor is essential. Notably, pelvic floor exercises may also firm up lasting strength and control, essentially known as Kegel exercises. These exercises are simple and can be done discretely throughout the day. In pursuing herbal supplements, the benefits are often inconsistent and mostly anecdotal, so proceed with caution here. It’s heartening to know that many men are able to find a manageable solution or a significant reduction in their symptoms, sometimes needing a mishmash of the methods above. Lastly, visiting a urologist can be prudent if there’s a need to rule out any underlined issues or get started on some of the prescription treatments. So, considering speaking to a healthcare provider sure to create a well-guided path forward catered specifically towards your condition and overall expectations. Don’t hesitate to reach out for professional assistance; it’s an important step towards reclaiming control and satisfaction.