How Should Premature Ejaculation Be Managed In A Young Male Adult?

Posted on Sat, 3 Dec 2022

Question: Hi Doctor, I am 28 years old and it's been 1.5 year married. I always used condoms for sex(sometimes climax delay for long lasting) as I am scared about pain due to the tight foreskin. But recently I am trying to do without condoms and observed I cannot withstand the penetration for longer time. It is so quick almost in seconds. I try not to get excited but not able to withstand. I searched this on net and understood this is called premature ejaculation and it's common. But this may seriously affect my married life and we are planning for kids in next few months as well. So kindly help in this which solves the problem and doesn't affect male fertility. I am 90 kgs of weight currently (trying to lose weight, recently lost almost 4kgs recently due to change in diet plan) My recent health check up results are good and no issue reported. Regards

Answered by Dr. Dr. P. T. Patil (3 hours later)

Brief Answer:
Premature Ejaculation is mostly due to Performance Anxiety .

Detailed Answer:

Hello,

Based on the facts that you have posted you are facing problem of Premature Ejaculation since very recently. It is a very common sexual problem that every individual faces it at some time or other in his sexual life and is due to what is called as Performance anxiety .

Following measure will help you to boost up your confidence and getting good erection and delay ejaculation.

1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.

2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E and Zinc

3)Take anti oxidants like Almonds 5-6 everyday

4) Avoid alcohol and smoking

Taking combination of Sildenafil (Viagra) and Paroxetine as on demand will help to get good hard sustainable erection and to delay ejaculation and to have enjoyable sex.

Get the prescription of medicines from your family Physician. It is very important to discuss your problem with your wife as her
cooperation is equally important to resolve the issue. Consult qualified Sexologist for counselling and to learn to modify sex techniques like start and stop and squeeze technique.

Hope I have answered your query. Please feel free to ask if you have more questions, I shall be happy to help you.

Thanks.

Regards,
Dr. Patil

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar