HomeAnswersAndrologypremature ejaculation (PE)

What steps can help manage premature ejaculation?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am experiencing a seminal leak and pain in my left testis when I get aroused, even without engaging in sexual activity. The situation worsens when I am aroused after exercising. This seminal discharge is causing me anxiety and pain. I have been dealing with this problem for the past 10 years.

Please help.
Answered by Dr. Purushottam Sah

Education:

MBBS

Professional Bio:

Dr. Purushottam Sah is an experienced Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, and the management of gynecological disorders. His expertise spans antenatal and postnatal care, high-risk pregnancy management, infertility evaluation, and advanced gynecological surgeries. He is proficient in both preventive and curative aspects of women’s health, ensuring safe deliveries, accurate diagnoses, and effective treatments. With a compassionate and patient-centered approach, he is committed to supporting women at every stage of life, promoting wellness, and improving overall quality of care.

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Hello,

Welcome to icliniq.com.

I have read and understood your problem.

It may be due to an infection of the epididymis or prostate. You should get an ultrasound of the scrotum and prostate, as well as a bacterial culture and drug sensitivity test of the prostatic massage fluid. A course of suitable antibiotics may help after these tests.

Regards.

Patient's Query

Hello doctor,

Thank you for your response.

Could this condition also be a cause of premature ejaculation? If so, what can help?

Answered by Dr. Purushottam Sah

Education:

MBBS

Professional Bio:

Dr. Purushottam Sah is an experienced Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, and the management of gynecological disorders. His expertise spans antenatal and postnatal care, high-risk pregnancy management, infertility evaluation, and advanced gynecological surgeries. He is proficient in both preventive and curative aspects of women’s health, ensuring safe deliveries, accurate diagnoses, and effective treatments. With a compassionate and patient-centered approach, he is committed to supporting women at every stage of life, promoting wellness, and improving overall quality of care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hello,

Welcome back to icliniq.com.

Yes, it is similar to premature ejaculation (PE). It is usually not associated with any disease, but it may be due to anxiety. However, sometimes there could be an issue with the prostate gland or thyroid hormone. You can learn to control PE by doing the following exercises:

  1. Pelvic floor exercises: At the end of urination, pull your pelvic muscles for a few seconds and then release. Repeat this several times daily.
  2. Stop-start technique: When you feel that you are about to ejaculate, stop the sexual stimulation and divert your mind. Once the penis relaxes, start the stimulation again and repeat the process.

If you continue these exercises, over a few months, you will gradually increase your ejaculation time. Most often, PE is a chronic issue with no permanent cure, so you may need to take medications as required.

I hope this helps you.

Thank you.

Medically reviewed by Dr. K. Shobana
Published At April 2, 2016
Reviewed At March 20, 2025

Education:

MBBS

Professional Bio:

Dr. Purushottam Sah is an experienced Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, and the management of gynecological disorders. His expertise spans antenatal and postnatal care, high-risk pregnancy management, infertility evaluation, and advanced gynecological surgeries. He is proficient in both preventive and curative aspects of women’s health, ensuring safe deliveries, accurate diagnoses, and effective treatments. With a compassionate and patient-centered approach, he is committed to supporting women at every stage of life, promoting wellness, and improving overall quality of care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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Dr. Purushottam Sah
Dr. Purushottam Sah

Obstetrics and Gynecology

Education:

MBBS

Professional Bio:

Dr. Purushottam Sah is an experienced Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, and the management of gynecological disorders. His expertise spans antenatal and postnatal care, high-risk pregnancy management, infertility evaluation, and advanced gynecological surgeries. He is proficient in both preventive and curative aspects of women’s health, ensuring safe deliveries, accurate diagnoses, and effective treatments. With a compassionate and patient-centered approach, he is committed to supporting women at every stage of life, promoting wellness, and improving overall quality of care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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