Q. I am facing premature ejaculation. How do I overcome it?

Answered by
Dr. Parth Singh
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Jan 08, 2016 and last reviewed on: May 15, 2019

Hi doctor,

I am 28 years old. My height is 5'11'' and I weigh 91 kg. I plan to get married this year. I am currently on no medication. I currently have the following problems for which I desire to seek some solution for premature ejaculation. I think so, there is some kind of problem on the forehead of the penis because of which my foreskin cannot get retracted. Some sort of skin attachment is present at one end of the foreskin and the head of the penis due to which the foreskin is getting hurt at times when I tried to push back. I apologize that I am not able to make myself clear enough at this point in words. I request you to provide some remedy to the problems that I am facing. Thank you.

#

Hi,

Welcome to icliniq.com.

I completely empathize with you. The problem of premature ejaculation is quite common and is distressing to a young man but is seldom discussed.

See most of the time the problem is secondary to the anxiety attached to your expectations in the bed. It has been wrongly projected by unscientific magazine articles and porn that a man can last for 30 minutes or more. Honestly, most of the male ejaculate before 5 minutes.

When you are anxious about not lasting long in bed, you actually do not enjoy the act of intercourse and keep on thinking about prolonging the act without enjoying it. The preoccupation and anxiety about not lasting enough, in fact, cause hyperarousal and lead to premature ejaculation.

Moreover, when the male start to thrust himself into the partner the moment he undresses leads to early termination of the coital act (the sexual union that takes place between male and female during insertion of the penis into the vagina).

There are also lots of young men who are suffering from premature ejaculation without any associated anxiety or apprehension. Such men as well as you may benefit by taking oral medication like tablet Dapoxetine or Paroxetine before the sexual act. But in your case, I would like to suggest relaxation techniques like breathing exercises and progressive muscular relaxation.

Regarding your problem pertaining to the non-retractable foreskin, my opinion is that you must consult a surgeon. It is always better to remove foreskin if it is causing inflammation or itchiness.

Non-retractable foreskin is often associated with problems of genital hygiene that may subsequently lead to chronic infections. So make an appointment with a general surgeon.

Hello doctor,

Is it always necessary to undergo circumcision? I have attached a picture. Please have a look and give me your kind advice. I do not think I can explain this very clearly in words and apologize me for that.

#

Hi,

Welcome back to icliniq.com.

Circumcision is a healthy practice to maintain good genital hygiene and to prevent disorders related to the foreskin. But, it is not always necessary if there is no structural problem associated.

In your case, the foreskin is attached to the glans penis and you are unable to retract it. So, I advise you to see a surgeon so that a diagnosis can be made and proper management can be done.

I am not suggesting that in your case circumcision will be necessary. Maybe a small outdoor procedure to detach the foreskin from glans penis is all you needed.


Was this answer helpful?

 | 


Related Questions:
Can anxiety and stress cause frequent urination?

I use to get those episodes every few months when I had stress but since I got the fear it might never go away I get it almost daily now ... Can anxiety cause polyuria like this clear urine when I am stressed ...   Read full

Generalized Anxiety Disorder(GAD)

that worsens with life stressors with the occurrence of negative life events ... stress of GAD ...   Read full

Keeping Your Teeth Clean !!!

.. daily helps to remove the plaque and food particles between the teeth and helps to maintain optimal oral health .. ...   Read full

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Also Read


COVID-19 Vaccines
A COVID-19 vaccine provides acquired immunity against the new Coronavirus. Read the article to know everything about the...  Read more»
The Perils of Social Media Addiction
Social media addiction affects both physical and mental health. Read this article to know more.  Read more»
COVID-19 - Second Wave
The second wave of COVID-19 is a red flag. Read more to know about the precautionary measures.  Read more»

Ask your health query to a doctor online?

Ask a Sexologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare 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.