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I suffer from being underweight and having a strong sex drive, but weak control and premature ejaculation.
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Sexual Health & Wellness
Question #19304
153 days ago
283

I suffer from being underweight and having a strong sex drive, but weak control and premature ejaculation. - #19304

Mohammed

I suffer from significant weight loss, increased sexual sensitivity and heightened arousal, lack of control over the duration of intercourse, ejaculation occurring in less than a minute, sudden increases in libido, and occasional anxiety. My hormones have been tested and are all normal. I am currently unable to see a doctor.

Age: 24
"sexual"
"sensitivity"
"sex drive"
"premature ejaculation"
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Doctors' responses

Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
153 days ago
5

Hello,

Likely causes Functional / neuro-chemical imbalance (high adrenaline and dopamine) Anxiety and performance stress Conditioned fast ejaculation habits Increased nerve sensitivity due to low body weight Weak pelvic floor muscle control

Key points This is common and reversible, especially at your age It is not infertility and not permanent damage

What helps Pelvic floor (Kegel) exercises daily Slowing sexual stimulation; avoid rushed masturbation Nervous-system calming: good sleep, less caffeine, no porn Gradual weight gain with regular, calorie-dense meals Start–stop and squeeze techniques during sex Thicker or mild-delay condoms if needed

Your symptoms are most consistent with anxiety-related premature ejaculation worsened by being underweight, not a hormonal disease.

With lifestyle changes and training, significant improvement is very likely.

I trust this helps Thank you

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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
153 days ago
5

I can understand your problem. But your problem requires personal counselling. This is treatable.

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In your situation, several factors could be contributing to your experiences. Since your hormonal levels are normal, lifestyle factors such as diet, stress, and even sleep can play a significant role in both weight and sexual function. For the weight issue, focus on a nutrient-dense diet with high-calorie foods like nuts, avocados, lean proteins, and whole grains. Eating smaller, frequent meals can be more manageable. You could also try including a resistance training regimen to help build muscle mass, which can contribute to weight gain. For premature ejaculation, techniques like the stop-start or squeeze method can help improve control. These involve temporarily pausing sexual stimulation before ejaculation or applying a gentle squeeze to the base of the penis. Additionally, pelvic floor exercises, known as Kegels, can strengthen the muscles involved in ejaculation control. Anxiety can exacerbate the situation, leading to a cycle of stress affecting your libido control. Mindfulness and relaxation techniques, or even guided meditations, can reduce anxiety levels. While seeing a specialist would be optimal, some over-the-counter topical anesthetic creams or delay sprays may cautiously be tried to reduce sensitivity. Keep an eye on these concerns and seek medical attention if they worsen or persist. Temporary solutions are no substitute for a proper medical evaluation when you’re able. Adjusting lifestyle factors and leveraging these techniques may help until you can access more personalized guidance.

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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.
152 days ago
5

Hello dear As per clinical history i suggest some preventive measures for improvement Avoid heavy meals and alcohol Take ashwagandha or triphala once a day for 2 months Do meditation Do physical exercises atleast for half an hour Especially kegel exercises Take shilajeet for 1 month once a day In case of no improvement in 1 month, kindly consult gynaecologist for further clarification Hopefully you recover soon Regards

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