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What could be the reasons for 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,

My habit of masturbating causes me to last only 30 seconds during intercourse with my wife.

Please help.

Hello,

Welcome to icliniq.com.

I understand your concern.

It sounds like you are experiencing premature ejaculation (PE), which is very common. Since you do not have a history of medical conditions or medication use, your issue may be linked to psychological factors (performance anxiety, over-sensitivity) or your masturbation habits. Here is how you can improve your stamina during intercourse:

Change your masturbation technique:

  1. Slow down and extend the duration of masturbation. If you usually finish in 30 seconds, try to stretch it to five to ten minutes.

  2. Use the "stop-and-start" method to stop stimulation when you feel close to climax, wait, and then start again.

Kegel exercises for better control:

  1. Strengthen your pelvic floor muscles by practicing Kegels (contract and hold for five to ten seconds, then release).

  2. Do three sets of ten reps daily as this can improve ejaculation control.

Behavioral techniques during intercourse:

  1. The "pause-squeeze" method: When you feel close to ejaculation, stop and gently squeeze the base of your penis until the urge fades.

  2. Use different positions: Some positions (like missionary) may increase sensitivity, while others (like side-lying or spooning) may help you last longer.

Try a desensitizing gel or condom:

  1. Use a numbing spray or gel (like Lidocaine-based products) five to ten minutes before sex to reduce sensitivity.

  2. Thicker condoms can also help reduce stimulation.

Improve mental control:

  1. Avoid focusing on climax; instead, focus on the sensations or your partner’s pleasure.

  2. Practice deep breathing: Slow, controlled breathing can delay ejaculation.

If needed, consider medications or supplements:

  1. Some men benefit from SSRIs (selective serotonin reuptake inhibitors) like Dapoxetine, which are prescribed for PE (pulmonary embolism).

  2. Natural supplements like Ashwagandha, L-arginine, or Maca root may help with stamina.

When to see a doctor?

  1. If the problem persists for more than three to six months, despite trying these methods.

  2. If you also experience erectile dysfunction, stress, or relationship issues.

Would you like recommendations for specific sprays, supplements, or exercises?

I hope this has helped you.

Please feel free to reach out to me again if you have further queries.

Thank you.

Medically reviewed byiCliniq medical review team

Published At May 3, 2025
Reviewed AtMay 9, 2025

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