What Causes Premature Ejaculation?

Brief Answer:
Do not worry sir, mostly anxiety related

Detailed Answer:
Hello sir and welcome.

Thank you for writing to us and congratulations on your wedding sir.

I can understand how society and your new spouse place high expectations on males to perform from the very first time we have sexual intercourse. But let me tell you that this is not the case.

Every male starts off with some amount of premature ejaculation (which is early climax attained during sexual intercourse). But this is short lived in most males, although the other males only experience it for longer due to anxiety and lack of experience.

Please understand that it is perfectly normal for a male who is being exposed to sexual intercourse for the first time to not be able to hold his climax for long. This only gets better with time, and is mostly due to the anxiety that you carry with you. You need to learn to relax, spend more time in foreplay which will help your partner to reach closer to climax and also help her to climax sooner and get more satisfied with foreplay alone and not feel neglected even if you do not achieve late climax.

Some techniques you can choose is to concentrate on her body parts by pleasuring them, especially those parts which are considered sensitive and sensual. You could also use contraception (condoms) available in the market, that help reduce the sensation on the penis during penetration which thus make you less sensitive, thus delaying ejaculation.

As for the craving and reduced libido, in my opinion there could be two categories of causes for this:
1. Psychological: Due to your thoughts and fears of early ejaculation
2. Medical issues: Low levels of testosterone, nutrient deficiencies, etc; which can all be easily corrected. For this I would request you to please visit a doctor and get your testosterone levels, serum vitamin B12 and semen analysed. A few other nutrient levels may also have to be checked, but they should be added to the list of investigations by a doctor who has elaborately evaluated the patient.

Please do not worry sir, and make sure both you and your wife understand that sexual intercourse only gets better with time and experience. I am sure you will soon come out of this phase to be more confident and approachable than ever before.

I would also like to help you with a technique that should be practiced with the help of both partners during intercourse, called the squeeze technique. Please let me know if you want me to explain this to you as well. You could choose to conduct the investigations first and then request for this technique or the other way around sir. Either way, I am always here to help.

I hope you find my response both helpful and informative sir. Please feel free to write back to me for any further clarifications, I would be more than happy to help you.

Best wishes.

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Brief Answer:
Doctors visit would be best; technique explained

Detailed Answer:
Hello once again my friend.

The dribbling of urine and semen after their respective acts is normal sir.

As for viagra, I would not advise it as you are a young male and your problem does not seem to be serious. I understand how it might be difficult to consult a doctor, but it would still be the best option to find a permanent solution to your problem and help you have a healthy sex life.

Let me help you with the squeeze technique:
-Initiate intercourse as normal
-Once you feel close to ejaculation/climax, request your partner to hold your penis in the region just below the head, the part which attaches the head to the body/shaft of the penis. Ask your partner to hold this region of the penis enveloping it like a ring using the thumb on one side, and the index finger and middle finger on the other side; and squeeze hard. This sensation might cause mild pain, but make sure your partner squeezes hard.

This sensation will help reduce the proximity of climax, and may also result in the loss of your erection. Do not worry about that, and initiate from the very beginning with foreplay. This will help in prolonging the whole sexual activity and in the meantime give you room to concentrate on the needs of your partner without actually involving in penetration. I would also suggest cunnillingus if you and your partner are comfortable with the act, which will also help you to greatly please your partner.

I hope you find my response helpful sir. Please do not try any medications sir, as they have more harmful effects than benefits. I would still strongly recommend a doctors visit as this can accurately diagnose the problem and provide you with a permanent solution.

Best wishes sir.

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Brief Answer:
It was my pleasure entirely sir

Detailed Answer:
You are most welcome.

Wishing you lots of luck and please take your time and be patient, avoid being anxious and just be relaxed during the sexual act.

Best wishes.

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