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Premature ejaculation
Though I have a strong desire to last long in bed I suffer from PME so badly. Sometimes even before intercourse itself or even within seconds from having to started the intercourse. I have a border line HBA1C level of 6. Also I suffer from nervous weakness issue which is mild and highly sensitive penile tip. Kindly suggest a good treatment. I prefer homeopathy or allopathy.
Answers (5)
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Quick discharge/ Premature Ejaculation is very common and is usually not associated with any disease but may be due to anxiety, sometimes however there may be problem with prostate gland and thyroid hormone. Most often it is a chronic problem and you have to take medicines off and on. Also there are exercises to control it.
You can learn to control quick discharge by doing this exercise- pull your muscles that you pull at the end of urination for few seconds then release repeat this several times daily. Another is stop-start technique: when you feel that you are going to ejaculate stop the sexual stimulation and divert your mind, the penis will relax, after sometime start the stimulation again and repeat the procedure. Over few months you will gradually increase your ejaculation time.
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For medicine prescription you can go for a paid consultanion online.
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Dr. Arjit Gaurav
Sexologist
20 yrs exp
Gandhinagar
senstivity causing PME.its very easy to write tadalafil or viagara or dapoxetine or antidepressent but it is not permanent solution for your age and sideeffects.
u can increase time by diet exercise lifestyle and natural resources without sideeeffrcts
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Dr. Anand P R
Sexologist
19 yrs exp
Bangalore
Consult online please
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Dr. Rahul Kansal
Neuropsychiatrist
8 yrs exp
Jaipur
Before moving directly to any treatment follow the advice as given below. For further help you can consult online on practo.
You are indeed developing signs of ED - erectile dysfunction and PME- premature ejaculation. You also suffer from exaggerated masturbation guilt. Around 90% males start masturbation before the age of 14. Rest 8-9 % start after age 14. Virtually every man masturbates. It is a normal male sexual behavior. But excess of everything is bad, there is no problem if masturbation is done in moderation.
We may need reports of following tests to rule out Physical causes of Erectile dysfunction & Pre-mature ejaculation.
1. CBC
2. T3, T4, TSH
3. HbA1c
4. Serum Testosterone
5. Serum Prolactin
To rule out Psychological causes, Answer Following Questions
1. How is your mood?
2. How are your energy levels?
3. How is your appetite?
4. Do you have any sleep disturbances or do you oversleep?
5. Any past history of anxiety or Depression?
6. Any family members suffering from anxiety or Depression?
Please respond to above questions and send me reports to enable me to make a complete assessment of your condition and advise treatment accordingly. Depression can cause ED, PME and Masturbation Guilt/Compulsive Masturbation.
All that you may require is a proper consultation and treatment about your sexual problems. (ED - erectile dysfunction; PME - premature ejaculation)
Dr Rahul Kansal
MBBS (AIIMS New Delhi), MD
CE (UCLA, USA)
Neuro-psychiatrist
Sexologist & De-addiction Expert
Kansal Hospital : 120/238, Sector 12, Aggarwal Farm, Mansarovar, Jaipur.
Regarding follow up:
Follow up with Reports and answer to needed medical enquiry.
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Consult online on practo for the detailed Evaluation, accurate diagnosis and appropriate treatment.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.