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Struggling with Premature Ejaculation for 2-3 Years
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Sexual Health & Wellness
Question #25779
147 days ago
317

Struggling with Premature Ejaculation for 2-3 Years

Client_48a71c

“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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Doctors' responses

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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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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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

3585 answered questions
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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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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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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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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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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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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.

1265 answered questions
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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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