Patient's Query
Hello doctor,
How can I improve my sexual performance? Why am I unable to last longer than two minutes during sexual activity? What can I do to increase my duration during intercourse?
Kindly suggest.
Hello,
Welcome to icliniq.com.
I understand your concern. You have provided very limited information, which makes it challenging to offer personalized clinical guidance. As a clinician, I would require more detailed background information, such as your age, marital status, duration of marriage, level of education, profession, number of children, and religious and ethnic background. These factors are often relevant when assessing concerns related to sexual health.
From the details you have shared, it appears that you may be experiencing premature ejaculation, which means ejaculation occurs sooner than desired during sexual activity.
In many cases, premature ejaculation is linked to psychological factors, particularly anxiety. If you tend to feel anxious, this can significantly impact your ability to control ejaculation. Therefore, managing anxiety is a key part of treatment. You can begin with:
Relaxation techniques and deep breathing exercises. Practicing these regularly can help calm your mind and improve sexual control.
Start-stop technique. One helpful method is to practice control during urination. When you go to the toilet, intentionally stop your urine flow for three to four seconds, then allow it to continue. Repeat this four to five times during each visit. This can strengthen the muscles involved in ejaculation control.
Sexual intimacy is a shared experience. You may ask your partner to help distract your mind during climax, which can help delay ejaculation. Mutual cooperation often leads to better results.
Try to understand the natural patterns. It is normal for the first ejaculation to occur quickly, and the second attempt usually lasts longer without intervention.
If these techniques do not lead to noticeable improvement, you can start with short-acting medication such as Dapoxetine 30 milligrams, to be taken approximately one to 1.5 hours before intercourse. Please consult your specialist doctor, discuss your symptoms thoroughly, and take any medications only with their guidance and approval. This medication has been shown to help increase ejaculatory control in many individuals.
I hope this information helps you.
Thank you.
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Answered byDr. Pankaj Kumar Mittal
Medically reviewed byiCliniq medical review team
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