Brief Answer:
further necessary information

Detailed Answer:
Dear
Thanks for contacting with your health concern, and after reviewing your health query, I am of the following opinion:

1. It has been observed through clinical study that people who does take steroid based inhalers, usually do not have any complaint of PE [premature ejaculation] as side effect, so your concern could not be attributed to the medicine you are taking for Rhinitis..

2. Thus two other factors of men who consistently ejaculate rapidly is/are: High sexual excitement and high psychological anxiety, for which:
. Reduce the sensation of Glans, by applying Lignocaine Ointment or by wearing a condom.
. Divert the mind to non-sexual activities like sports or business matters.
. Perineal Exercise:when there are partial erections, which cannot be maintained, practice perineal exercises, i.e. while urinating, stop the flow of urine, start again, stop & start again 4-5 times.

3. Ejaculation and Orgasm can be voluntarily controlled. You have to learn to recognize the sensations prior to orgasm and stop.

Stage I: Man is advised to masturbate himself, and when ejaculation is near, stop. Allow the erection to subside. Start again. Repeat this number of times before allowing ejaculation. Practice for 2-4 weeks.

Stage II: Learn the same with your partner. She will masturbate you near orgasm, stop when you indicate, and wait for erection to subside, and then start again. Repeat this a few times & then allow ejaculation. Practice for 2-4 weeks

Stage III: Follow the same method for intercourse, initially with female superior position and then with male superior position. The principle is to stop before ejaculation, wait for the erection to subside & then start again. Practice for 3-4 months, or more till perfect control is achieved.

PS. You may consult an Ayurveda Physician for " Tantric Vajroli" which is a very easy, very effective method to have a full control over ejaculation

. Belly breathing: Lie comfortably on a bed, on your back. Loosen [if any] tight clothing. Place one hand on your abdomen and the other on your heart. Now take a deep slow breath that you can feel all the way down to your abdomen. Breathe as if you are drawing breath down through your body, into your legs and toes. This time tested exercise will help allay anxiety, increase the ability to relax and activate the energies of the parasympathetic nervous system. [duration: 10 minutes]

4.     In my Clinical Practice I usually treat the patient on line of ": Shukragat Vata" which is characterized by a group of clinical presentations either with the impairment of ejaculation or with seminal abnormalities.

5. Dietary Regime
i. Take: banana, coconut, water melon, pomegranate, raisins,dates, almonds, apple, pears, walnut, urad dal, carrots, apricots, amla, musk melon, bottle gourd, brinjal, potato, milk, milk cream, fresh curd, butter, onion

ii. Avoid: clove, hot milk, musli, sheelajit, in any form.

iii. take trifla churana at bed time.

iv. . The line of treatment should be based on 'vrishya', 'medhya', 'shukrastambhaka', and 'vatahara' properties.
If interested I can courier you the said medicines along with the dose, duration and charges.

Dr. Munish
Naimittika

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