Dr. Baban

Hello friends. I am Dr Vikas Deshmukh. I am neuropsychiatric and sexologist. Working in navaashi. Nawi Mumbai area. So today we are here to discuss the very important topic in our day to day life that is Premature Ejaculation. So what exactly premature ejaculation is? Simply premature ejaculation is early ejaculation, but scientifically according to the old concept it can be said as when your ejaculating time is within 1 or 1.5 minutes, it can be considered as a premature ejaculation. But according to recent changes, and recent science any ejaculation can be premature ejaculation when it does not satisfy you or your partner. So unsatisfactory ejaculation is called as premature ejaculation, okay. So what are the causes of premature ejaculation? Dominant causes are the anxiety of any, because of any reason. Second facidiety of pelvic floor muscles. Third hyper excitement during sexual activity. You are not able to control your excitement. So how you can manage your premature ejaculation. There are few tips I am going to give you on this premature ejaculation. I hope these are helpful to you. So one of the things is good foreplay. Most of them, most important cause that patient feel he is ejaculated prematurely because his partner is not satisfied and when you female partner is not satisfied you can increase, try to increase satisfaction level with help of good foreplay. Good foreplay excites her and using, by using, stimulating her, clitoris and vagina you can give her orgasm before inserting your penis in he. So the burden of satisfying her is decreased a little bit after using this technique. A good foreplay and stimulating her with her clitoris with your either manually or orally okay. So second thing is managing your anxieties. Try to find out your root cause of anxieties and try to manage those anxieties. If you are not able to find visit a therapist. He can help you to find out your anxieties. Where, weather it is occupational, whether it is financial problem or family problem or a sexually related problem. So he can also help you to manage your anxieties. Third thing is masturbation, masturbation is very helpful, during, like to increase your ejaculation time. When you masturbation regularly, it automatically increase your ejaculation time and especially when you masturbate just before one or two hour before sex, or one day before sex, your ejaculatinon can be increased, time can be increased dramatically. Third thing is a stop and start technique of master Johnson’s. so it is a very important technique. You can apply in a four phases. In stop and start technique, first you should know k where is your point of noredone. Jahan sy apko ejaculation rokna mushkil ho jata hai. To wo point k phly apko rokna hai ejaculation ko. To phly ap musterbate krty huwy kro. Q k hand is little bit hard than vagina. To us main ap jab musterbate karo gy to just wo jo the point of noredone any sy phly e apko stimulate krna rokna hai apny penis ko. Or us k bd apko thora sa apka excitement level ko cool down krna hai, cool off krna hai. Us k bd wapis apko same procedure repeat krna hai. Start stimulating your with the help of your hand or just noredone sy phly ap us ko relax kro to is sy kya hoga k apka time duration barhy ga. Aisy 3 cycles k bad ap 4th cycle main ejaculate karo. To 3 cycles ap just ejaculate nai kr rhy ho or 4th cycle main ap ejaculate kr rhy ho. So this is a practice you should apply every day, or twice or thrice a week. And similarly then gradually you can increase then, ap apny partner ko masturbate krny ko lagao. So with the help of increase stimulation also you can able to hold that ejaculation then, oral sex main agr ap try krna chahty ho to oral sex main ejaculation ko aisa kro gy k 3 bar rokna hai phr 4th bar ejaculate krna hai and finally in vaginal sex. To finally ap vaginal sex main ye use kr skty ho k andar dal k you will try to hold it before your end point. Okay. So ap gradual sensitivity barhaty huwy ye stop and start technique use kr skty ho. Third thing, medicines. There are very good medicines in the market that can increase your ejaculation time, but you should suppose to see your sexologist before taking it. Don’t take it over the counter. 4th things, there are many positions and many positons and many strokes, different strokes, different kind of strokes are there, that can increase your ejaculation time. In positions for example, one on the top position, okay. It is a very good position when your ejaculation time can be increase. Even in strokes, we know only strokes, only one stroke. Tis to and forth stroke. So there are many strokes like rounding up strokes, side by strokes, that can really increase your ejaculation time, so rounding up stroke is a good type of stroke jis main ap ka ejaculation time kafi had tk increase ho skta hai. 4th thing is many different kind of condoms are available over the counter and some anesthetic spray or gel are available but before taking these gels or spray please consult your doctors because these gels can really allergic for some person and for that expert opinion should be taken before doing this. Okay, last and the most important thing is kegel exercises. Kegel exercises are the exercises to strength your penvic muscle. You take so much care of your biceps, your triceps, your pelvic muscles, all of your muscles. But except the most important muscle of your body is pelvic muscle. Pelvic muscle is responsible for your proper Eraction is responsible for your increasing or deciding your ejaculation time. We never give time to strnghten our pelvic muscles. So these kegel exercises. These exercises are given on internet. I will advise you to consult a therapist for this proper exercise or proper guidance on it. I hope this video is helpful to you. And thank you very much for listening to me. And for contacting me, please logon to Lybrate.com
Thank you very much.