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HomeAnswersSexologypremature ejaculationWhy am I not able to last longer during sex?

I am facing the issue of PME during sex. Please help.

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Aditya Gupta

Medically reviewed by

Dr. Chithranjali Ravichandran

Published At April 26, 2021
Reviewed AtFebruary 21, 2023

Patient's Query

Hi doctor,

I am facing the issue of pme during sex. I do not last for even 10 seconds. Normally come even during the foreplay of 2 to 3 minutes which involves kissing and touching. I tried the medicines below (prescription attached) for three months, but no help. Please assist. I am feeling very guilty. Stress is more than normal in my marriage due to no parental consent. I am 38 years old, and my wife is 37 years old. I do not smoke, drink or do any drugs. I do not have depression. I do not use any steroids. I have been walking regularly. But exercise routine is not very frequent. I have ankylosing spondylitis for the last 12 years.

Answered by Dr. Aditya Gupta

Hello,

Welcome to icliniq.com.

Do not worry. Treatment is possible. Do not worry if one treatment fails. There are several other options available. You need to consult a specialist, i.e., a psychiatrist, in person for evaluation, and treatment can then be given accordingly.

Besides following steps can help you: Maintaining a healthy lifestyle does help, so do continue with it. Just be regular with exercise.

Stress management is also important as anxiety and stress are one of the common reasons for sexual dysfunctions. Giving at least one hour daily for your hobbies is the easiest way to manage stress. Practice kegel exercises like hold your urine stream for 2 to 3 seconds 2 to 3 times every time you go for urination. This will help strengthen the tissues and thus increase timing.

The start-stop technique also helps.

Dried amla powder plus mishri powder mixed in a ratio of 1:2 to be taken in the morning with milk.

Investigations to be done

FBS (fasting blood sugar). TSH (thyroid stimulating hormone). Lipid profile.

Probable diagnosis

PME.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Aditya Gupta
Dr. Aditya Gupta

Psychiatry

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