Dr. Raveendran S R
Sexology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
Three years ago, I had sexual exposure that lasted nearly 30 to 40 minutes, including oral and vaginal sex. But the girl was a sex worker, I was very stressed out about HIV, but sex was protected, including oral sex. I checked the condom after having sex. It was intact and did not leak. But after this exposure, I had sex again with a commercial sex worker after two months which lasted for 10 seconds. Then six months later, I had another sex, and it lasted for 10 seconds. Then two years after the third encounter again, I had sex that lasted for 10 seconds or so. Do I have premature ejaculation? Of course, and I am very stressed while having sex. But during this period of three years, many times, I had protected blow jobs from escorts, and I lasted for 20 to 25 minutes. Am I sexually unwell? Before having sex, I get scared too. The fourth encounter was last evening, and I did not want to do it. But I still did it. Kindly help.
Hi,
Welcome to icliniq.com.
I can understand your concern. Yes, you are right; It is premature ejaculation considering the duration. It can be due to the following,
1) Stressful work – night duties, 24-hour jobs.
2) Diabetes, hypertension, thyroid issue affects premature ejaculation. Keeping your blood sugar, blood pressure, and thyroid hormones under control will help you.
3) On long-term medication related to hypertension and anti-psychiatric drugs.
4) Frequent masturbation or prone masturbation.
5) Excess porn.
6) Receiving less foreplay from partner or lack of knowledge regarding foreplay and female masturbation.
7) Having an affair gives you a guilty feeling.
8) Lack of exercise and obesity.
I suggest you check fasting blood sugar (FBS) or post-prandial blood sugar (PPBS) to rule out diabetes. I also suggest checking your blood pressure, free triiodothyronine (T3), thyroxine (T4), and thyroid-stimulating hormone (TSH) to rule out thyroid issues. I suggest you take tablet Duralast 30 mg as a temporary solution. I also suggest the following:
1) Increase the foreplay duration during sex. The women should receive 15 to 20 minutes of foreplay, and men should receive 10 to 15 minutes of foreplay for good blood supply to the penis for a long and hard erection. Your partner should learn to give foreplay in a way you do not ejaculate and enjoy.
2) Inserting a penis into the vagina is not everything in sex. Sex is not a race duration. Love your partner, learn about female masturbation, and give your partner an orgasm.
Kindly share details regarding the above reason.
Thank you.
Patient's Query
Hello doctor,
Thank you for the reply. My height is 5.5 inches, and my weight is 79 kg. I will start by saying I have never had sex with someone I love, and I have been with four women with whom I had sex. All were sex workers. My first encounter with a sex worker was a very long time after that, and I had sex thrice, which lasted for 10 to 15 seconds. But the blow job part was a very long time with all three. But in all three cases, I feared HIV very much, and what if the condom breaks. I have not had any long-term medication. I had frequent masturbation twice daily, and it took longer. I have watched excess porn, and I felt guilty after all four sexual interactions. I am not doing any physical exercise, and I am overweight with a big tummy. I do not have blood pressure or diabetes. But I will get that tested and let you know. I am unmarried, so I do not have sex often. Last evening I had sex after two and a half years. But, when workers perform oral sex on me blow job, I do not ejaculate quickly. It will last for 20 minutes or more. But as soon as I insert it into the vagina, I ejaculate. And I fear HIV a lot. But sometimes lonely ness consumes me. And I got sex workers for protected blow jobs or hand jobs. Kindly help.
Hi,
Welcome back to icliniq.com.
I can understand your concern. Anxiety can cause this issue, and it aggravates more during sex, not during oral sex. Guiltiness also increases the anxiety issue. I suggest you need to do regular exercise. Yes, HIV (human immunodeficiency virus) is a major concern, but you had protected sex. There is no need to worry about that. Try to find a partner with the same wavelength as yours so you can have nonanxious unprotected sex. I also suggest using tablet Duralast 30 mg 30 minutes before sex.
I hope you understand.
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