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Dr. Deelip Kale

Gynaecologist, Pune

500 at clinic
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Dr. Deelip Kale Gynaecologist, Pune
500 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Deelip Kale
Dr. Deelip Kale is a renowned Gynaecologist in central Panchgani, Pune. You can meet Dr. Deelip Kale personally at Kale Hospital in central Panchgani, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Deelip Kale on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 35 years of experience on Lybrate.com. You can find Gynaecologists online in Pune and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Kale Hospital

Vasantbag Society, Siddhivinayak Towers, Opposite Kothari Bus Stop, 1, Swami Vivekanand Marg, Landmark:-Near Mahavir Electronics, PunePune Get Directions
500 at clinic
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How To Prevent Premature Ejaculation ?

MS Ayurved, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Ayurveda, Junagadh
How To Prevent Premature Ejaculation ?

An estimated 30% of men suffer from premature ejaculation (PE) at some point in their life, which can cause significant distress.

Ejaculation can be considered premature when it occurs 30 seconds to 4 minutes into sex, depending on different cultures, countries and experts. However, it seems that most tend to agree that any sexual intercourse lasting less than 2 minutes can be considered premature ejaculation.

Behavioural techniques can help you delay orgasm. These include the start-and-stop method and the squeeze technique.

What Is Premature Ejaculation?

Premature ejaculation is ejaculation that happens too soon for a man and his partner to enjoy sex. There are two types of premature ejaculation: lifelong (or primary) and acquired (or secondary).

Lifelong PE starts early on, usually when you are a teenager experiencing first sexual contact. It is harder to treat and often has deeper psychological causes. Bad habits may also contribute (such as masturbating to ejaculate as fast as possible in order to avoid getting caught).

Acquired PE happens later in life and is usually triggered by either psychological (stress or relationship issues) or physical causes

How Can I Delay Ejaculation?

There are a wide range of "home-made" remedies for premature ejaculation like frequent sex, masturbating a couple of hours before sex, or having sex with the woman on top.

Thicker condoms: a thicker wall can decrease the sensitivity of the penis

Behavioural strategies: "start-stop" and "squeeze techniques" often prove effective, but do not provide a long-term solution.

It can take a few months for you to overcome PE with these techniques and many men have to keep using them on a permanent basis.

On average, 50% to 95% of men using sexual techniques manage to overcome PE eventually. There is a risk of relapse if there are significant changes in your sexual life (e.g. new partner, stressful event), especially if you feel anxious. In general, the sooner in life you learn to master these techniques the better.

Men who are over-sensitive, rather than being excessively anxious, might not benefit from these behavioural methods because they suffer from a different cause of premature ejaculation.

For these patients, medications that reduce your sensitivity (for example, EMLA a cream, or Priligy an oral tablet) are recommended. are a better solution and eventually improve control over ejaculation. Whilst they can be taken as long-term solutions for premature ejaculation, they don't fix the underlying causes of PE.

What Is The "Start-Stop" Technique?

This is by far the most simple technique and can be done alone or with a partner.

The technique involves stimulating the penis and stopping just before you feel you are about to ejaculate. Stop the stimulation for 30-60 seconds and start again once you feel that you have regained control. Repeat this process 4-5 times, stopping and “resting” every time you feel that you are about to have an orgasm. Finally, let the ejaculation occur, so that you can identify the “point of no-return”.

Many couples and partners complain, however, about the inconvenience of this “game” and find it frustrating. Try to incorporate it smoothly into sex and take advantage of the pauses to focus on sources of pleasure other than the penis.

What Is The "Squeeze" Technique?

The "squeeze" technique works by squeezing the penis in the area between the shaft and the glans (for about 30 seconds), just before you are about to ejaculate. This stops the ejaculation, but may affect your erection, at least until you are stimulated again. You should then repeat this process 4-5 times until you decide not to delay orgasm anymore.

To be effective, this method has to be used for several months and it requires great perseverance from the man and his partner.

The idea behind the "squeeze" technique is that, after a while, you are able to recognize the “point of no return” and may be able to delay future ejaculations. This technique may be frustrating though as it can disrupt sexual activity.

What Are The Other Options?

The "start-stop" and "squeeze" technique prove more effective when combined with these techniques:

  • Think about something else: something distracting, boring or annoying
  • Take a deep breath before ejaculation: this can delay orgasm by slowing
  • Masturbate first : Masturbate to orgasm an hour or two before intercourse; this can help delay ejaculation during sex. 
  • Hold off on penetration : Avoid penetration for the first 15 minutes of lovemaking. Focus on other sexual play to take the pressure off 
  • Do Kegels : Kegel exercises strengthen the pubococcygeus (PC) muscle, which contracts during orgasm; a well-toned muscle means better control. (To locate the muscle: When you urinate, tense up and interrupt the flow; what you’re clenching is the PC muscle.) Do several sets of Kegels every day.  

Talk to your doctor: PE is a very treatable condition, Since premature ejaculation can have psychological origins, talking to a sexual therapist can be an excellent approach. Remember guys, there is nothing wrong with talking about our sexual health - in fact, we should do more of it! Feel free to Contact me. 

2 people found this helpful

Hello doctor, My weight was 51 kg during beginning of my pregnancy.in middle of second trimester my weight was around 52 to 54 kg. Now I checked my weight in middle of trimester I gained upto 59 kg. Now I am in the end of trimester my weight is 60 kg. How is it possible to gain such much weight in short period of time. Even though I take only quantity of food. Is anything I have to do to control my weight or is it common to be like this during pregnancy time. please clear my doubt.

B.Sc, DBMS, BHMS, PGDCR, PGDHM
Homeopath, Kolkata
Hello doctor, My weight was 51 kg during beginning of my pregnancy.in middle of second trimester my weight was around...
don't worry dear! during pregnancy women takes much food + baby's body weight+ rest+ sedentary habit + fat deposition etc etc can enhance the body weight. but if you have further suspect, investigate Thyroid profile once. Thanks
1 person found this helpful
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I am 18 year old and I had unprotected sex with my boyfriend. I had a seven day period 2 weeks after that, but many online forums say it might be implantation bleeding. Can I be pregnant?

MD - Homeopathy, BHMS
Homeopath, Vadodara
I am 18 year old and I had unprotected sex with my boyfriend. I had a seven day period 2 weeks after that, but many o...
Hi lybrate-user. It can only be known by proper testing. You may first do the urine pregnancy test at home. It is almost conclusive. And very simple.
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I am 26 years old married female. I have no babies and I am not ready for conception. I want to have sex with my husband without using condom. What are the safest methods other than contraceptive pills which have no effect on period and does not causes any hormonal changes. I am looking at Copper T as a solution to it but have few questions about. 1. Does it cause obstruction during sex. 2. It is prescribed for newly married ladies.

MBBS, MS(Obstetrics and Gynaecology)
Obstetrician, Delhi
Hello lybrate-user Copper T is a good option, as - it has no effect on your hormones -no problem or obstruction or discomfort during intercourse but -may have irregular or heavy periods during initial 3 months but that can be taken care off with medications. -yes it can be prescribed for nullipara also.
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I had sex with my lover on 4th of last month. She miss her period on 15th. She show all pregnancy symptoms ,expect vomiting. So v did a urine pregnancy test. It show negative. 17 days passed no sign of period but she is saying he got pregnant, she can feels that change in her body.In this jan 1st. (After 17th day of period miss) she got bleeding. Actually she got pregnant or. Due to yeast infection in vagina nd the medicine she taken makes the period delay. Can any doctor can clarify my doubt?

MS Human Sexuality, M.Phil Clinical Psychology, PhD (Behaviour Modification), Certified In Treatment of Resistant Depression
Sexologist, Hyderabad
I had sex with my lover on 4th of last month. She miss her period on 15th. She show all pregnancy symptoms ,expect vo...
Due to stress that she might be pregnant her periods may have got delayed. Nothing to worry. Also in future practice safe sex to avoid unwanted pregnancy and sexually transmitted infections. All the best.
1 person found this helpful
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Sir I have 1 month pregnant and my health is not good I want to cancel the pregnancy please help me.

BHMS
Homeopath, Hooghly
Sir I have 1 month pregnant and my health is not good I want to cancel the pregnancy please help me.
Then u have to abort..u know if u want to be a mother u have to suffer this kind of health problem..soo choice is urs.i will advise u not to quit...be positive..have to engulf pain.u have to gain ur mental strength..
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I am 38 year old my 2 ivf cycle fail and going for 3rd cycle with egg donor but during follicular study I come to know that I am having multiple cervical nabothian cyst seen should I must discontinue this cycle or there is some medicine for nabothian cyst or if continue with cycle no problem for pregnancy please advise.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I am 38 year old my 2 ivf cycle fail and going for 3rd cycle with egg donor but during follicular study I come to kno...
Nabothian cysts usually do not cause problems in conceiving. Usually they disappear on their own. They can be opened and drained if they are large and causing distortion of cervical canal. Otherwise it is not a problem for IVF.
1 person found this helpful
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Hi Doctor. I'm going through a very stressful time and the last thing I need is my period. I'm on yaz and my withdrawal bleed started today. I was wondering, can I still skip my withdrawal bleed by going on with the active tablets without doing major harm to my body?

DNB (Obstetrics and Gynecology), DGO, MBBS, Fellowship in Minimal Access Surgery(FMAS) & Reproductive Medicine
Gynaecologist, Hyderabad
Hi Doctor. I'm going through a very stressful time and the last thing I need is my period. I'm on yaz and my withdraw...
Hi Idaelly if your withdrawl bleeding is already started than you should not stop it,, beacuse it will change hormonal balance in your body. there is a possibilty of 1-2 irregular cycle after that if you continue taking tablets Thanks
1 person found this helpful
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Should All Women be Taking Folic Acid?

D.Sc (Urology), PhD (Pscho Sexual Medicine)U.K., M.D.(Medicine)GOLD MEDALIST, M.B.B.S.
Sexologist, Lucknow
Should All Women be Taking Folic Acid?

Folic acid is an important form of vitamin B, which women must take during pregnancy. It is a form of man-made vitamin B known as folate. Folate plays a significant role in producing red blood cells and helps in the development of your baby’s neural tube into the brain and spinal cord, preventing any kind of birth defects in your baby. Birth defects of the brain or spinal cord may occur in early stages of pregnancy.
Therefore, by the time a woman discovers her pregnancy, it may become too late to prevent the defects.

How much folic acid should be taken?
A woman should start taking folic acid within the first three to four weeks of pregnancy, as birth defects may occur during this time. Women who start taking folic acid a year before getting pregnant produce healthy babies without birth defects.

400 mcg of folic acid is the recommended dose for all women who are of childbearing age and also in the first trimester of pregnancy. Multivitamins with the recommended amount of folate and folic acid supplements are generally prescribed as they help the mother deliver a healthy child. From the fourth to ninth month of pregnancy, the dose must be increased to 600 mcg.

Benefits of folic acid
Without sufficient folic acid in your body, the neural tube of your developing baby may not close properly. This may lead to neural tube defects, which include:
1. Spina bifida, a condition where the spinal cord or vertebrae develop incompletely. A baby with spina bifida may be disabled permanently.
2. Anencephaly, a condition that features incomplete development of the brain. Babies affected with anencephaly do not live long.

Having a sufficient supply of folic acid prevents these neural defects from developing in your baby.
Taking folic acid before and during pregnancy protects your baby against many other conditions. They include:
1. Cleft lip and palate
2. Low weight during birth
3. Chances of miscarriage
4. Premature birth

Folic acid also reduces the risk of developing pregnancy complications in the mother such as heart diseases, stroke, several cancers and Alzheimer’s disease. Folic acid is naturally found in dark-green vegetables, which you must consume in abundance. Other sources of folic acid include fortified breakfast cereals, beef liver, lentils, egg noodles and great northern beans. If you wish to discuss about any specific problem, you can consult a gynaecologist.

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