Struggling with Premature Ejaculation for 2-3 Years

Question #25779

45 days ago

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Struggling with Premature Ejaculation for 2-3 Years - #25779

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“Sir, mujhe 2–3 saal se premature ejaculation ka problem hai. Lagbhag 1 minute ke andar ho jata hai aur control karne par bhi nahi rukta. Is wajah se stress ho raha hai. Please guide kariye.”

How often do you experience premature ejaculation?:

- Every time

Have you tried any treatments or therapies for this issue?:

- Yes, other methods

Does this issue cause significant stress or anxiety in your daily life?:

- Yes, very much

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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.

45 days ago

Hello
Samajh aa raha hai — 2–3 saal se har baar 1 minute ke andar ho jana aur uski wajah se stress feel karna tough hota hai. Ye kaafi common aur treatable issue hai.
Kya karein (practical steps):
1.	Start–Stop technique: stimulation rok-rok kar control practice karein (daily practice helpful hoti hai).
2.	Squeeze technique: ejaculation se pehle halka pressure glans par 5–10 sec.
3.	Desensitizing condoms / delay gel: sensitivity kam karke time badha sakte hain.
4.	Pelvic floor (Kegel) exercises: roz 10–15 min, 6–8 hafton me improvement milta hai.
5.	Stress control: performance anxiety problem ko badhati hai — slow breathing, realistic expectations.
6.	Doctor consult: agar har baar ho raha hai aur stress zyada hai, to urologist/sexologist se milkar medication (jaise SSRI-based therapy) consider ki ja sakti hai.
Important: Ye permanent problem nahi hoti — behavior therapy + exercises se kaafi logon me clear improvement aata hai.
I trust this helps
Thank you
Take care

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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

45 days ago

Hello
मैं समझता हूँ कि यह एक परेशानी वाली स्थिति है। Premature ejaculation एक आम समस्या है और इसके लिए प्रभावी इलाज हैं।
आपको क्या करना चाहिए:
एक sexologist या urologist से मिलें—वे:
- आपकी स्थिति का सही आकलन करेंगे
- Behavioral techniques सिखाएंगे (जैसे stop-start method, squeeze technique)
- यदि जरूरत हो तो topical creams या oral medications suggest करेंगे
- Underlying causes (anxiety, hormonal issues, etc.) को rule out करेंगे
यह महत्वपूर्ण है:
- 2-3 साल से यह चल रहा है, तो professional help लेना जरूरी है
- Self-medication या गलत तरीके आजमाने से बचें
- Stress और anxiety इसे बदतर बना सकते हैं—इसलिए counseling भी मददगार हो सकती है
There are a few techniques and exercises that may help with premature ejaculation:
1. Stop-Start Technique:
- During sexual activity, when you feel close to ejaculation, stop all stimulation.
- Wait for the urge to subside before resuming. Repeat this process several times.
2. Squeeze Technique:
- When you feel close to ejaculation, have your partner squeeze the base of your penis for a few seconds until the urge decreases.
- This can help you gain better control.
3. Kegel Exercises:
- Strengthen your pelvic floor muscles by contracting and relaxing them.
- To do this, identify the muscles you use to stop urination. Contract them for 5 seconds, then relax for 5 seconds. Aim for 10-15 repetitions, three times a day.
4. Mindfulness and Relaxation Techniques:
- Practice deep breathing or meditation to reduce anxiety and improve focus during sexual activity.
5. Gradual Desensitization:
- Engage in solo activities (like masturbation) to practice control without the pressure of a partner.
These techniques may take time and practice to be effective. It’s also a good idea to discuss these with a healthcare professional for personalized guidance.
अभी के लिए:
एक अच्छे sexologist या urologist को खोजें और appointment लें। यह समस्या पूरी तरह इलाज योग्य है।
Thank you

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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.

44 days ago

Hello dear
See premature ejaculation can be improved with proper counselling and medical evaluation.
Iam suggesting some precautions for improvement
Please follow them for atleast two months
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 2 month, kindly consult gynaecologist for further clarification
Hopefully you recover soon
Regards

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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.

45 days ago

Aapke symptoms ke hisaab se, kyunki aapko 2–3 saal se har baar 1 minute ke andar ejaculation ho jata hai aur control nahi ho pata, yeh premature ejaculation (PE) ka common sexual health issue hai aur bahut se young men me stress, anxiety, over-excitement, ya performance pressure ki wajah se hota hai. Yeh koi dangerous ya permanent bimari nahi hoti aur theek ho sakti hai. Iske liye aap daily pelvic floor (Kegel) exercises, start–stop technique, deep breathing, aur masturbation control practice try kar sakte hain; saath hi stress kam karein, regular exercise karein, aur excessive pornography avoid karein. Kuch cases me doctor topical desensitizing creams ya medicines bhi prescribe kar sakte hain agar natural methods se improvement na ho. Conclusion: yeh treatable condition hai, lifestyle changes aur behavioral techniques se kaafi control mil sakta hai, aur agar problem continue rahe to sexologist ya urologist se consult karna best rahega.

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Dr. Nikhil Chauhan

I am currently working as a urologist and kidney transplant surgeon at Graphic Era Medical College & Hospital, Dehradun. It's a role that keeps me on my toes, honestly. I handle a pretty wide range of urology cases—stones, prostate issues, urinary tract obstructions, infections, you name it. Some are straightforward, others way more complex than you expect at first glance. Every patient walks in with a different story and that’s what keeps the work real for me. Kidney transplant surgery, though, that’s a whole different zone. You’re not just working on anatomy—you’re dealing with timelines, matching, medications, family dynamics, emotional pressure... and yeah, very precise coordination. I’m part of a team that manages the entire transplant process—from evaluation to surgery to post-op care. Not gonna lie, it’s intense. But seeing someone who’s been on dialysis for years finally get a new shot at life—there’s nothing really like that feeling. In the OR, I’m detail-focused. Outside of it, I try to stay accessible—patients don’t always need answers right away, sometimes they just need to feel heard. I believe in walking them through what’s going on rather than just giving reports and instructions. Especially in transplant cases, trust matters. And clear, honest conversation helps build that. Urology itself is such a misunderstood field sometimes. People ignore symptoms for years because it feels “awkward” or they think it’s not serious until it becomes unmanageable. I’ve had patients who came in late just because they were embarassed to talk about urine flow or testicular pain. That’s why I also try to make the space judgment-free—like whatever it is, we’ll figure it out. At the end of the day, whether I’m scrubbing in for surgery or doing OPD rounds, I just want to make sure what I do *actually* helps. That the effort’s not wasted. And yeah, some days are frustrating—some procedures don’t go clean, some recoveries take longer than they should—but I keep showing up, cause the work’s worth doing. Always is.

44 days ago

Hi, thanks for reaching out.
I understand your concern and the stress it is causing. Please do not worry; this is a very common and treatable medical condition.
Here is a quick guide for you:
· Medical Condition: Premature Ejaculation (PE) is often a medical issue, not just “weakness” or a mental problem.
· Duration & Frequency: Since it happens every time and has persisted for years, it is likely Lifelong PE, which responds very well to specific treatment.
· The “Control” Factor: If it is not stopping despite your efforts to control it, your pelvic floor muscles or penile sensitivity might be involved.
· Past Treatments: Since you mentioned trying other methods without success, it is important to avoid unqualified advice or “local” remedies. We need a proper medical plan.
· Treatment Options: Modern treatment includes specific medications, desensitizing sprays, and pelvic floor exercises. These have high success rates.
· Next Step: A proper diagnosis is key. We need to rule out any underlying causes and tailor a treatment plan specifically for you.
Please consult a specialist for the right guidance.
Dr. Nikhil Chauhan
Urologist

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Dr. Nirav Jain

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

44 days ago

Mai aapki pareshani samajh sakta hoon. Aapko chronic premature ejaculation hai, iska treatment possible hai, tension lene ki zarurat nahi hai. Ye meri advise hai aapke liye-
1. Behavioral techniques-
- Start–Stop technique: Jab ejaculation feeling aaye, stimulation rok dijiye 20–30 sec ke liye, phir restart kariye.
- Squeeze technique: Glans ke just neeche halka pressure 10–15 sec ke liye.
- Slow deep breathing during intercourse.
-Ye methods ko 4–6 weeks practice karna padta hai.
2. Lidocaine-prilocaine spray/cream (intercourse se 10–15 min pehle, condom ke sath use karein). Isse sensitivity kam hoti hai.
3. Aapko Oral medication bhi prescribe ho sakti hai, lekin iske liye aapko ek certified Psychiatrist/Family Medicine specialist se consult karna chahiye (online/offline). Bina one on one consultation ke oral medicine lena dangerous ho sakta hai. Ye medicines effective hote hain, especially jab stress zyada ho.
4. Lifestyle improvement- Regular exercise, Porn use kam karein, Masturbation frequency control karein, Stress management (meditation / breathing).
Ye bahut common problem hai. Aap akele nahi hain. 70–80% cases me proper guidance se improvement hota hai.
Feel free to reach out again.
Regards,
Dr. Nirav Jain
MBBS, D.Fam.Medicine

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

43 days ago

Premature ejaculation (PE) is a common sexual health issue which can be a bit frustrating. It’s important to remember it’s not uncommon and there are ways to manage it. It can be caused by a combination of psychological and biological factors, so addressing both might be helpful. The first step is to consider lifestyle factors like stress, anxiety, or relationship issues that may contribute to the problem. Trying techniques to reduce anxiety and relax, such as meditation or deep-breathing exercises, can be valuable. Furthermore, certain behavioral techniques such as the stop-start or squeeze method can help you gain better control over ejaculation. These involve temporarily stopping sexual stimulation to delay ejaculation. For some individuals, using a condom may also reduce sensitivity and help prolong ejaculation time. If these strategies are not sufficient, medical options are available. Medications like selective serotonin reuptake inhibitors (SSRIs) or topical anesthetics can be effective in prolonging time to ejaculation but do consult a healthcare professional before starting any medication. It’s essential to speak to a doctor or urologist who can tailor the treatment plan to your specific condition, offer a proper diagnosis, and rule out any other underlying issues. There’s also the possibility that therapy or counseling can help, especially if the issues are part of a broader psychological pattern. Overall, PE can often be improved with the right combination of strategies and professional guidance.

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Dr. Alan Reji

I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.

41 days ago

Premature ejaculation lasting 2–3 years is common and usually related to performance anxiety, stress, or increased sensitivity, and it can be treated with behavioral techniques (stop-start method), pelvic exercises, or medicines if needed. Try stress reduction, regular exercise, and avoiding excessive stimulation, but proper evaluation is important since it is causing significant distress. You should consult a Urology specialist or Psychiatry specialist for personalized treatment and guidance.

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Dr. Alan Reji

41 days ago

2–3 saal se har baar 1 minute ke andar ejaculation hona premature ejaculation kehlata hai aur yeh aksar anxiety, stress, ya sensitivity se related hota hai, lekin iska treatment possible hai. Behavioral techniques (stop-start method, pelvic/Kegel exercises), stress control, aur zarurat padne par medicines se control improve ho sakta hai. Aapko proper evaluation ke liye Urology specialist ya Psychiatry specialist se consult karna chahiye.

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Dr. Alan Reji

41 days ago

2–3 saal se har baar 1 minute ke andar ejaculation hona premature ejaculation hai, jo aksar anxiety, stress, ya sensitivity se related hota hai aur iska treatment behavioral techniques (stop-start method, Kegel exercises), counseling, ya medicines se possible hai. Stress control, regular exercise, aur performance anxiety kam karna bhi helpful hota hai. Aapko proper evaluation aur treatment ke liye Urology specialist ya Psychiatry specialist se consult karna chahiye.

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