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Concerns About Premature Ejaculation During Foreplay
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Sexual Health & Wellness
Question #28689
19 days ago
92

Concerns About Premature Ejaculation During Foreplay - #28689

Client_0f690b

Hey ! Im 24 years old male . Im a virgin , but i had some physical experiences with my partner but never been into intercourse . Im like very worried these days as last time when i went into having sexual experience with my partner , i ejaculated too early . It happened with me for like 2-3 times now , in the foreplay , i ejaculat early , but it rarely happens with me while masturbating. Im unable to explain the situation more properlyhere in text .

How often do you experience this issue during foreplay?:

- Most times

Have you noticed any specific triggers for this early ejaculation?:

- Excitement or arousal

Have you tried any techniques or methods to manage this issue?:

- No, I haven't tried anything
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Doctors' responses

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.
19 days ago
5

Ok as a physician I can understand your problem. Personal consultation is preferred for this problem where interaction is needed. Don’t take any medicine from medical shops or anyone who is not qualified to treat this.

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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.
18 days ago
5

Hey! Thanks for opening up about this—what you’re describing is actually really common, especially for people who are new to sexual experiences with a partner. It sounds like you’re worried about ejaculating early during foreplay, but not so much when you’re alone.

### Why This Happens - Performance anxiety: Being with a partner for the first few times can make you nervous or excited, which can lead to early ejaculation. - New sensations: Physical intimacy with a partner feels different from masturbation, and your body might react more quickly. - Overthinking: Worrying about it can make it happen more often—kind of like a “cycle.”

### Is This a Problem? Not at all! Many men experience this, especially in the beginning. It usually improves with time, comfort, and experience.

### What Can Help? - Relax: Try to focus on enjoying the moment rather than worrying about performance. - Communication: If you feel comfortable, talk to your partner about it—they might be more understanding than you think. - Practice: With more experience, your control usually gets better. - Techniques: If it keeps happening and bothers you, there are simple techniques and exercises you can try (like the “stop-start” method), or you can talk to a doctor or counselor for more tips.

Thank you

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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.
10 days ago
5

What you’re describing sounds like situational premature ejaculation, commonly triggered by high arousal, excitement, and performance anxiety—especially during early sexual experiences. It’s normal that it happens more with a partner than during masturbation, because the psychological stimulation is much higher. You should consult a urologist or sexologist for proper guidance, as simple behavioral techniques or therapy can effectively manage this.

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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.
19 days ago
5

Hello dear Please be aware See following medications can be taken in case if preventive therapy is not successful

Sildenafil empty stomach to be taken Tadalafil Accordingly if recommended by gynacolologist Vardenafil Levitra or Staxyn in case if allergic to Sildenafil Avanafil accordingly if recommended In addition please take the following precautions 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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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.
18 days ago
5

Hello

This is very common, especially in new sexual experiences. Ejaculating early during foreplay — but not during masturbation — usually means excitement or anxiety, not a medical problem.

What to do: • Slow down or pause stimulation when you feel close.

Try the start–stop technique — pause stimulation for ~20–30 seconds when you feel you might ejaculate

• Use condoms to reduce sensitivity. • With experience, control usually improves naturally.

Medication like Dapoxetine is only considered if the problem continues for several months and causes distress.

Thank you Take care I trust this helps

1387 answered questions
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Ejaculating earlier than you’d like during foreplay is actually quite common, especially if you’re new to sexual experiences with a partner. What you’re describing could be a form of premature ejaculation, which is when ejaculation happens sooner during sexual activity than you or your partner would like. Since you’ve noticed a difference between what happens during foreplay with your partner and when you masturbate, this suggests there might be psychological factors at play. Anxiety and excitement about a new sexual situation can contribute to this. It’s good to acknowledge these feelings as they are pretty normal. It’s also worth considering techniques that focus on increasing your awareness and control over the process, such as stop-start or squeeze techniques, which you can practice during masturbation. Additionally, focusing on slow, deep breathing can help reduce anxiety and maintain a calm state during an intimate encounter. If these strategies don’t seem to help over time, or if it’s still causing concern, it might be beneficial to consult with a healthcare provider, potentially a urologist or a sex therapist, who can offer more personalized strategies or treatment options. They might explore further whether there’s a physical element like a hyper-responsive nervous system or another underlying issue. In some cases, behavioral therapies or medications can be advised. But for many, adjustments in technique and mental focus gradually offer improvement. Meanwhile, keeping open communication with your partner can also ease anxieties and create a supportive atmosphere as you explore solutions together.

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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.
16 days ago
5

Hi,

· Reassurance: Very common in first sexual experiences – especially with a new partner and no prior intercourse · Likely cause: Performance anxiety + high arousal, not a physical disorder (since it doesn’t happen with masturbation) · Try these techniques: · Pause-squeeze: When you feel close, pause and gently squeeze the tip of penis for a few seconds · Deep breathing and shift focus away from “performing” · Communication – let your partner know; reduces pressure · If needed: Desensitizing condoms or topical lidocaine spray (applied 10–15 min before) can help temporarily · Outlook: Usually improves with experience and confidence; if it continues after regular intercourse, see a urologist

No need to worry – your body is responding normally to excitement.

— 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.
12 days ago
5

Hello, I understand your concern. But first, try not to worry, this is very common, especially in your situation. Since you are new to sexual experiences, early ejaculation during foreplay is usually due to: High excitement/arousal, Performance anxiety, Lack of sexual experience and control. The fact that it rarely happens during masturbation is a good sign and suggests that this is more situational (psychological) rather than a medical problem. Here is my advise-

1. Behavioral techniques- Start–stop technique: pause stimulation when you feel close to ejaculation, then restart. Squeeze technique: gently press the tip of the penis to reduce urge. Focus on slow and controlled stimulation.

2. Reduce anxiety- Try to stay relaxed and avoid overthinking performance. Take things slowly, experience improves control over time.

3. Practice- During masturbation, practice delaying ejaculation. This helps improve control during real situations.

4. Communication-Be open with your partner, this reduces pressure and anxiety.

At this stage, no medication is needed. Medicines are considered only if the problem persists over time Pjysically consult a doctor: If the problem continues for several months, If it starts affecting confidence or relationship. This is very common in beginners and usually improves naturally with time, experience, and confidence. You’re completely normal, just give yourself time and don’t stress about it.

Feel free to reach out again.

Regards, Dr. Nirav Jain MBBS, D.Fam.Medicine

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