Q. How can low confidence associated with premature ejaculation be managed?

Answered by
Dr. Ruhi Satija
and medically reviewed by Dr. Divya Banu M
This is a premium question & answer published on Mar 23, 2020

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". Could not get into relationship till 25th year old, had 7 times sex, with 10 seconds each. Troubling to stay erect, fast ejaculation, and even lower self-confindence than before.

Now I am troubling and overthinking what will happen next time, will there be next time, although it is hard to get into relationships because of that, cannot stop pressuring myself with being bad in bed and unexpirienced, as time pass, it only gets worse.

Dr. Ruhi Satija

Psychiatry
#

Hello,

Welcome to icliniq.com.

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 that came from the bullying and the trauma that you endured. I would suggest you to start therapy sessions to help you build your confidence which will help you in decreasing the performance anxiety and then it will of course improve the problem of premature ejaculation.

If the mental health is stable, sexual issues often resolve. Is there some neurological issues you will need to talk to a neurologist or a urologist for that. Try doing kegel exercise regularly which will help you in strengthening the muscle of pelvis which helps in premature ejaculation. Apart from that you will require therapy sessions to work on your confidence building and reducing anxiety. Cognitive behavioral therapy will help you in achieving this.


Was this answer helpful?

 | 

Ask a QueryAsk a Query Consult by PhoneConsult by Phone Video ChatVideo Chat
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


Why cannot I speak out against difficult people?

Query: Hi doctor, My writing skill is very strong but verbally I cannot protest at all against difficult people. My verbal communication skill is proper and organized if and only if I am focused and conscious at that moment. Otherwise, I tend to be unprofessional and non-intelligent in speaking. Even when ...  Read Full »

I have premature ejaculation after getting circumcised. What to do?

Query: Hi doctor,I had phimosis, so I got circumcised two years ago. But now, I have premature ejaculation after circumcision. I also have loss of sensation in my penis. Before circumcision, I enjoyed masturbating, but now I do not feel such enjoyment. What can I do? Was the decision to get circumcised wro...  Read Full »

Having fear of going out to public places.Can you suggest any treatments?

Query: Hello doctor, I am 30 years old and my height and weight are 5'8" and 88 kg respectively. I have symptoms of agoraphobia from my childhood. I cannot go to public places like mall, theater or grocery store. I cannot even travel alone and every time I depend on someone. I feel sad every time with ...  Read Full »

Popular

Popular

Ask your health query to a doctor online?

Ask a Psychiatrist Now

* guaranteed answer within 4 hours.
Enter Your Health Query
You can upload files and images in the next step.

Fee:  

 


Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.