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Hello Doctor. I am reaching out through chat because I feel shy discussing this face-to-face. I am experiencing premature ejaculation. When I masturbate, I reach climax in about 1 minute. I want to improve my stamina and last longer safely. I do not have any problems getting or keeping an erection, but I cannot delay the climax. Could you please advise me on behavioral exercises, safe over-the-counter sprays, or prescription tablets that can help delay this reflex? Thank you
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Premature ejaculation is common and often improves with behavioral techniques (start-stop, squeeze method, pelvic floor exercises). Delay sprays may help temporarily. Consult for personalized treatment, especially if symptoms are persistent or bothersome.
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connect plz
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First of all, please understand that premature ejaculation (PE) is a very common concern among men and is often treatable. The time taken to reach climax during masturbation does not always accurately reflect performance during partnered intimacy. Since you are able to achieve and maintain an erection normally, the issue appears to be related primarily to ejaculatory control rather than erectile function.
Premature ejaculation can be influenced by factors such as performance anxiety, stress, excessive arousal, long gaps between sexual activity, relationship concerns, poor sleep, and heightened sensitivity. In many individuals, improvement can be achieved through behavioral techniques, relaxation strategies, and addressing contributing lifestyle factors. The good news is that most men can learn to improve ejaculatory control with proper guidance and practice.
Next Steps
Start by focusing on behavioral techniques such as the "start-stop" method and the "squeeze" technique, which are designed to help increase awareness and control of the ejaculatory reflex over time. Pelvic floor exercises (Kegel exercises) performed correctly may also improve control in some individuals. During intimacy, slowing the pace, incorporating longer foreplay, and reducing performance pressure can be beneficial. Avoid excessive self-monitoring or anxiety about timing, as this often worsens the problem. Regarding sprays or medications, these should ideally be considered only after a proper assessment of your symptoms, overall health, relationship factors, and expectations. Self-medicating without professional guidance may not address the root cause and can sometimes lead to unsatisfactory results. For personalized assessment, better guidance, and a holistic treatment approach aimed at improving sexual confidence and ejaculatory control, you may connect with us at 9 3 1 5 6 6 1 5 6 5.
Health Tips
Maintain regular physical activity, adequate sleep, and effective stress management, as these have a significant impact on sexual health. Avoid excessive pornography consumption if applicable, as it can sometimes contribute to unrealistic expectations and altered arousal patterns. Practice mindfulness and relaxation techniques to reduce performance anxiety. Remember that improvement in ejaculatory control is usually gradual, and consistent practice of behavioral techniques often yields better long-term results than relying solely on temporary solutions. Thank you
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Hello Practo User, use homoeopathic medications for your problem to get Instant and effective results.Its Curable, no need to worry about. Homoeopathic medicines plays Excellent role to treat Such problems in a hollistic way without any side effect.I suggest you to message me your complete history in private chat with all reports & details & Consult Online through Practo. I will guide you for holistic & effective Results with homoeopathy ! Take care !! Best Regards:)
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-Yes it can be permanently cured with Homeopathy treatment.
-Very effective medicines are there in Homeopathic.
-With my treatment of 1.5 months you will get permanent relief.
-Will prescribe the complete treatment.
-You can consult me now through online. Warm Regards
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Start proper ayurvedic medicine...
To get rid of this problem permanently without any side effects..
To be sexually fit completely ..
To increase discharge time..
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consult for prescription and guidance
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Tila majlooq apply locally with gental massage bed time (stop if it take any reaction or itching.
Ashwaganda power 100gram plus kalonji powed 100 gram and pure honey mix all these three and take i teaspoon at bed time
1 tab od of laboob kabeer.
Do regular kegal exercise
Avoid stress junk and fast food
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Hi. Medicines can help. Consult online for treatment
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Dr. Moin Ahmad Siddiqui
Trichologist
7 yrs exp
Lucknow
Kegel exercises
Consult online for proper evaluation and treatment options
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Dr. Mrinal Gautam
Psychiatrist
3 yrs exp
Kolhapur
Reaching climax quickly during solo practice is extremely common and highly treatable. Clinically, premature ejaculation (PE) during masturbation does not automatically mean you will experience the same timeline during partner intercourse. However, since your erectile function is perfectly intact, the issue lies purely in training your body's nervous system to delay its automatic ejaculatory reflex.
You do not need to feel shy—this is a straightforward neuromuscular response that can be successfully reconditioned using standard medical treatments and physical exercises.
Next Steps
Consult a Psychiatrist or Urologist: A brief teleconsultation or clinical visit will allow a specialist to safely evaluate you and provide a targeted prescription. You can book a session with me for Psychiatric evaluation
Discuss Pharmacotherapy: Highly effective, clinical prescription options exist, including short-acting SSRIs (like Dapoxetine) taken strictly on an as-needed basis, which safely delay the chemical signals triggering rapid climax.
Consider Topical Agents: A specialist can guide you on the correct use of over-the-counter desensitizing sprays or gels (containing Lidocaine/Prilocaine) to mildly lower surface sensitivity without losing pleasure.
Health Tips
Master Behavioral Conditioning: Practice the "Start-Stop" technique during masturbation. Bring yourself close to the point of no return, stop completely until the urge subsides, and repeat. This builds physical stamina over time.
Pelvic Floor Exercises: Regularly practicing Kegels strengthens the pubococcygeus (PC) muscle, giving you direct physical control to clamp down and halt an oncoming ejaculation reflex.
A Word of Caution: Always seek professional clinical guidance before using desensitizing sprays, as improper usage or over-application can lead to a temporary loss of erection or cause mild numbness for a partner.
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Dr. Yashwant Singh
Sexologist
32 yrs exp
Ghaziabad
Do kegel exercise to improve blood flow to pelvic are it will help you
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