Premature Ejaculation

When a man reaches orgasm and ejaculates sooner than wanted, it is known as premature ejaculation. It is a form of sexual dysfunction and affects the quality of a man's sex life. Performance-related anxiety, stress, depression, thyroid disorder, prostate diseases, and diabetes are few causes.

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Is there any surgical treatment available for premature ejaculation?

Query: Hello doctor, I am suffering from premature ejaculation for last five years. Treatment is going on but no effect. My age is 47 years. Any injection is available for premature ejaculation suffering from the last five years? I am taking tablet Duralast-30 sos. But the result is very poor. No sugar o...  Read Full »

Dr. Kumarshri Shriniwas Saraswat

Psychiatrist, Psychologist Counsellor, Psychotherapist, Sexologist, Sleep Medicine Physician

Answer: Hello, Welcome to Premature ejaculation is defined as ejaculation with minimal sexual stimulation, before the patient desires and before or within one minute of penetration. There are two major reasons for premature ejaculation. Frequently, performance anxiety could be a cause of pre...  Read Full »

I have low self-confidence with premature ejaculation. Why?

Query: Hello doctor, I am male, 26 years old, sex insecure and low experienced, first trauma got 99 during bombing of Yugoslavia, had to get new urinal channel, and product of that is I am circumised. Later in school, I have been bullied for 4 years constantly, physical and mentally by my "school friends"...  Read Full »

Dr. Ruhi Satija


Answer: Hello, Welcome to I am so sorry to hear about your situation, I can imagine how hard it is for you. So you are describing a few things here, when is the problem of premature ejaculation, second is performance anxiety which is making you overthink, third is low self confidence. Probably ...  Read Full »

Is there any ayurvedic medicine for early ejaculation and to increase the size of penis?

Query: Hello doctor, I wanted to ask which medicine I can take that does not have any side effects so that I do not discharge early as I have once taken Suhagra force which contains Dapoxetine. Is there any medicine for it without any side effects? And how often can I take it before intercourse?Secondly, I...  Read Full »

Dr. Praveen Pushkar

Urologist, Andrologist

Answer: Hello, Welcome to There is no medicine available to increase the size of the penis. But by cosmetic surgery, the size can be increased by one to two inches. Premature ejaculation is mostly psychological. First, you try to divert your self in between while having sex. If you are about...  Read Full »

I have erectile dysfunction and premature ejaculation. How can I solve this?

Query: Hello doctor, I suffer from erectile dysfunction and also ejaculate even just with holding a women. How can I solve this problem? I am a healthy person who exercises regularly, is not over weight and my lab reports are also fine. I know I suffer from lack of libido but do not know how to handle it.  Read Full »

Dr. Ramchandra Lamba

Psychiatrist, Sexologist, Psychologist Counsellor

Answer: Hi, Welcome to Your blood test are normal except low vitamin D and B12 (attachment remoed to protect patient identity). Erectile dysfunction and premature ejaculation can be due to many causes. If erectile dysfunction is more prominent then first try Sildenafil and if it is improvi...  Read Full »

Why do I get pain in right testis during sex with PME and ED?

Query: Hello doctor, I have testicular pain in the right testis. I consulted with a primary care doctor. They gave me an ultrasound which came out negative. But revealed tiny right tunica albuginea cyst. I am covered under VA health care and the urologist consultation has taken months with no follow-up. M...  Read Full »

Dr. Sandip Pramanik


Answer: Hello, Welcome to I have gone through your queries. You are having two issues. One is testicular pain. Another is PME (premature ejaculation), and ED (erectile dysfunction). Firstly, I come to testicular pain. It may be due to mild epididymo-orchitis. Or it may be due to the cyst...  Read Full »

I am not getting erection as before with premature ejaculation. Why?

Query: Hello doctor, I am a 34-year-old male in good general health. Until 20 years of age, I never experienced any issue with erections or sexual health. When I turned 20, I had an episode with my girlfriend where over two consecutive nights, we had no sex, but rather very prolonged foreplay. Due to the ...  Read Full »

Dr. Devendra


Answer: Hi, Welcome to From the events you described, you had normal erection and ejaculation but over the years it has reduced. You have difficulty in maintaining erection and premature ejaculation. Have you recently changed the partner or stress in relationship? How much time do you take bef...  Read Full »

How is premature ejaculation treated?

Query: Hi doctor, I am a 34 year old male. I am married. I have good general health and good sexual appetite. But, I am suffering from premature ejaculation from the day of my marriage. When I insert, the semen ejaculates within a few seconds. I took a test and consulted a sexologist. He suggested Nano-Leo...  Read Full »

Dr. Purushottam Sah

Obstetrician And Gynaecologist, Sexologist, Andrologist, Infertility Specialist

Answer: Hi, Welcome to I have read and understood your problem. Premature ejaculation is very common problem and is usually not associated with any disease. But, may be due to anxiety and sometimes however may be problem with prostate gland and thyroid hormone. You can learn to control prematur...  Read Full »

Kindly suggest a solution for erectile dysfunction and premature ejaculation.

Query: Hi doctor, I am a 29 year old male. My height is 5'11" and weight is 90 kg. I am going to be married next year. My problem is that I am suffering from erectile dysfunction and premature ejaculation. In my case the erections are there, but the ejaculation is even quick. The erections are not full. Wh...  Read Full »

Dr. Seikhoo Bishnoi

Psychiatrist, Sexologist, Psychotherapist

Answer: Hi, Welcome to Erectile dysfunction and premature ejaculation can cause significant distress to a person. If your erectile dysfunction is persistent then I would advise you to get your serum testosterone and serum prolactin done to rule out any hormonal cause. If that comes back normal ...  Read Full »

My health issue is premature ejaculation due to excessive masturbation. Please help.

Query: Hello doctor, I am 24 years old. I am having a problem with premature ejaculation. And I am afraid as I have all symptoms of premature ejaculation due to excessive masturbation. I need your help.  Read Full »

Dr. Ashok Kumar Choudhary

Andrologist, General Practitioner, Geriatrician, Psychiatrist, Psychologist Counsellor, Psychotherapist, Sexologist

Answer: Hello, Welcome to I am sorry to hear that you are facing premature ejaculation problem. Before we proceed we need to identify the cause of the problem. In some case, it occurs from initial time and known as primary. In few others, it occurs after a normal sexual period and known as se...  Read Full »

My penile head slopes downward during erection. Is this due to damaged penile ligament?

Query: Hello doctor, I am a 27-year-old male. For the past six months I do not do any physical activities, no exercise, I work only on my laptop and drink very less amount of water. I masturbate almost daily for the past 10 years. I never had sex with any girl. I never used any kind of contaminated stuff...  Read Full »

Dr. Aamir Mohd

Family Physician, General Medicine Physician, General Practitioner, Internal Medicine Physician

Answer: Hello, Welcome to I have seen every picture you have uploaded and I understand your concern. (attachment removed to protect patient identity). Premature ejaculation is when you discharge within 30 seconds of masturbation or doing intercourse. Do you ejaculate before 30 seconds when ...  Read Full »

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