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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
296 days ago
711

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

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

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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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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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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