Hello,
Thanks for your query.
I appreciate your efforts for medical consultation in so much distress.

Premature ejaculation is diagnosed when ejaculation time is less than 3 Min, or both partners are not satisfied with sex. In your case ejaculation time is 30-40 seconds, which need attention.

Premature ejaculation (PE) is common problem and depends on multiple factors like:
*Psychological factors: most common. The psychological factors may include stress, performance anxiety and depression

*Medical causes: Reflex activity of ejaculatory system, thyroid problems, diabetes, hypertension and neurological causes.

But masturbation is not a cause for premature ejaculation. Masturbation is normal habit and practiced by >80% peoples. But if you have guilt related to masturbation then it can lead to premature ejaculation by causing depression, so do not worry about masturbation.

Following steps will be help you to increase ejaculation time:

-Treatment of above conditions (if present) after examination.

-Start jogging in morning as it reduces stress and performance anxiety. It will also improve erection by improving blood circulation in body.

- Try distracting yourself when you feel you are about to ejaculate. Like take a deep breath and stay relaxed during intercourse.

- Do not worry about performance and talk to your partner openly about any apprehensions if you have. Conversation with partner during sex also delay ejaculation.

- Stop-start or squeeze-pause technique- In stop start technique, near ejaculation stop all movements, relax and think about something else. Then wait for 1 minute before starting movements. According to number of stops, ejaculation time will come under your control.

-Squeeze- pause technique: squeeze the end or the tip of the penis for 10 to 20 seconds when you are close to ejaculation and then resume stimulation after withholding for half a minute.

-In many persons woman on top position increases ejaculation time.

- If the symptoms persist then condoms with desensitizing creams (marketed as Kohinoor extra time) help in delaying ejaculation. Ejaculation time also increases with experience in sex. So, with time and practice your ejaculation time will increase.

-Priligy contain dapoxetine. Dapoxetine 30mg will be helpful and should be taken 1-2 hours before sex, which you can get after prescription from physician.

Follow all these above methods regularly and your problem will solve in few weeks.

Regarding penis size: There is wide variation in length of penis among different individual. It can vary between 4 and 9 inch in erect state among different individual according to some studies. So, never compare size of penis with others (friends or porn stars). Like people have different height so true is for penile length. So there is point for worrying, if size of penis is between 4 and 9 inch. Let me know if your penile length less than 4 inch in erect state.

I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.

Wish you good health.
Regards,

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Hello again,
Thanks for follow up.

Dapoxetine salt come under brand name of priligy and prilyxet (sun pharma). It is not very costly. Its cost 30-60 Rs (INR) per tablet.

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Wish you good health.
Regards.

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Hello again,
Thanks for follow up.

Premature ejaculation is a chronic problem, which need long term attention. In method mentioned in primary reply, only priligy is drug, others are non drug measures, which should be used for long term.

Apart from that, ejaculation time increases with experience in sex, after developing confidence.

Non drug measures to follow routinely with or without priligy:

-Jogging in morning as it reduces stress and performance anxiety. It will also improve erection by improving blood circulation in body.

- Try distracting yourself when you feel you are about to ejaculate. Like take a deep breath and stay relaxed during intercourse.

- Do not worry about performance and talk to your partner openly about any apprehensions if you have. Conversation with partner during sex also delay ejaculation.

- Stop-start or squeeze-pause technique- In stop start technique, near ejaculation stop all movements, relax and think about something else. Then wait for 1 minute before starting movements. According to number of stops, ejaculation time will come under your control.

-Squeeze- pause technique: squeeze the end or the tip of the penis for 10 to 20 seconds when you are close to ejaculation and then resume stimulation after withholding for half a minute.

-In many persons woman on top position increases ejaculation time.

Wish you good health.
Regards.

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