How can premature ejaculation be effectively managed?

Question

Hello doctor,

I am a 36-year-old individual. During intercourse, my penis achieves an erection, but I ejaculate in less than a minute. This situation is becoming increasingly challenging, and I am losing confidence. The glans penis (head) is entirely covered by the foreskin and cannot be seen when attempting to retract it. Retracting the foreskin is painful and not possible when erect, but it can be retracted and cleaned without pain when not erect. The primary issue I am facing is premature ejaculation, and I also have diabetes.

Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

Premature ejaculation is very common and is typically not associated with any specific disease, though it may be related to anxiety. However, it can sometimes be associated with infections of the male accessory glands, which are treatable. You can work on controlling premature ejaculation through specific exercises. One method involves contracting the muscles you use to stop urination for a few seconds and then releasing. Repeat this exercise several times daily. Another technique is the stop-start method: when you feel you are about to ejaculate, stop sexual stimulation and distract yourself. Once the arousal decreases, resume stimulation and repeat the process. Over several months, this practice can help extend ejaculation time.

There are also medications available to help manage premature ejaculation, though there is no permanent cure. In your case, it is important to manage diabetes effectively and aim to reduce weight by walking slowly for 15 minutes daily. Your tight foreskin may be due to an infection, which is more common in obese diabetics. If the pain becomes severe, circumcision—a minor surgical procedure—might be beneficial.

I hope this helps you.

Thank you.