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
Hello doctor,
I have had a problem with premature ejaculation for the past four months; I also experienced the same problem before. It occurs quite consistently with different partners and in different situations. To prevent ejaculation, I have to interrupt intercourse multiple times, which does not allow me to maintain tempo for one to two minutes (and it starts right after penetration). There are cases when it does not happen (some combination of pose and my inner condition), in about one out of six intercourses.
And anesthetic condoms bring me erection problems.
Hi,
Welcome to icliniq.com.
I can understand your concern for your symptoms.
There are many reasons for premature ejaculation, such as stressful work–night duties, twenty-four-hour jobs, etc. In addition, diseases like diabetes, hypertension, and thyroid issues affect premature ejaculation. Keeping your blood sugar, blood pressure (BP), and thyroid hormones under control will help you. Long-term medication related to hypertension and anti-psychiatric medications, frequent masturbation or prone masturbation, excess porn, receiving less foreplay from a partner or lack of knowledge regarding foreplay and female masturbation, having an affair gives you guilty feelings, lack of exercise, obesity are all some of the causes of premature ejaculation.
I would suggest you check fasting blood sugar (FBS) and post-prandial blood sugar levels (PPBS) to rule out diabetes, check your BP, and free triiodothyronine (T3), thyroxine (T4), and thyroid-stimulating hormone (TSH) for ruling out thyroid issue. I suggest tablet Duralast (Dapoxetine) 30 mg as a temporary solution. Consult your specialist doctor, discuss with them and take medicines with their consent.
Natural methods for managing premature ejaculation include increasing the foreplay duration during sex. Women should receive 15 to 20 minutes of foreplay, and men should receive ten 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. Inserting the penis into the vagina is not everything in sex. Sex is not a race duration does not mean your partner is happy. Love your partner, learn about female masturbation, and give your partner an orgasm or climax.
Kindly share details regarding the above reason. So, we can work on understanding the cause and plan treatment.n understanding the cause and plan treatment.
Patient's Query
Hello doctor,
I wanted to add information based on your request:
I have a stressful job indeed (entrepreneur), but premature ejaculation occurs even during calm periods of my life. I have checked my blood sugar and T3, T4, and TSH. It seems fine (reports attached). My blood pressure is 78/32 mm of Hg. (although I was a bit nervous during the test and had morning coffee 15 minutes before). I do not take any long-term medications. I masturbate once or twice per week when I am not sexually active, and I do not masturbate if I am sexually active. I use porn rarely, about once per month. I am not in a relationship now, and the guilty feeling is not the issue. I am working out regularly and in good shape.
Also, I wanted to give additional insight into the issue; when I am in a long-term relationship and have a stable sexual life, the problem gets much better. This is because we are getting used to each other and finding things that work for both of us (although it remains challenging for me, premature ejaculation still occurs about one or two times).
I wanted to ask, what should I rule out or check next? Could you explain how receiving more foreplay can positively affect premature ejaculation? Is it intended for me to calm down before intercourse during foreplay?
Any other suggestions are welcome too.
Hi,
Welcome back to icliniq.com.
I have checked your report (attachment removed to preserve the patient's identity), and it is normal.
A stressful job is one of the reasons, and it will add to the primary cause of premature ejaculation. Diet and exercise give a long-term solution, and psychiatric counseling also helps. Masturbation duration is 30 seconds; more than that is normal. Only by sex can you diagnose premature ejaculation. You are using porn once a month is not an issue. Guilty feeling in a relationship plays a vital role. Working out is also good.
You should make sure you get a partner, get a healthy sex life, and continue the regular exercise. Foreplay increases the intensity without ejaculation, which makes the penis used for extended foreplay, resulting in better sex life.
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Sexology
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