Hello Am 32 year old unmarried guy I think am suffer from pe oftenly am used to masturbate 2 or times in month Last month I had sex Before having sex I took 100 mg vigora to have prolonged sex After playing oral for 5 mins as started penetration within 15 sec I ejaculate My partner wants me to hold ejaculation till her need but am not able to control overmyself But as I already taken pill Next penetration takes 3 min In 3rd time 8 min Even I masturbate after week first time am ejaculate very early sometime either I don't have proper erection Please give me permanent solution.

Dr. Jagadeesan M.S.Psychiatrist13yrs exp

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Masturbation does not cause PE, it is a perfectly normal and healthy form of outlet. Also, Viagra does not help PE. It increases the erectile capacity only. At your young age do not get used to it, in later stages you might have severe erectile dysfunction. For PE read below, Premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration or foreplay. It happens with minimal sexual stimulation and before the person wishes. It may result in unsatisfactory sex for both partners. This can increase the anxiety that may add to the problem. It is one of the most common forms of male sexual dysfunction. It has probably affected every man at some point in his life. Most cases of premature ejaculation do not have a clear cause. With sexual experience and age, men often learn to delay orgasm. Psychological factors such as anxiety, guilt, or depression can also cause it. In some cases, it may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines. Consult a psychiatrist Your doctor will discuss your medical and sexual history with you. He or she will do a thorough physical exam. Your doctor may want to talk to your partner also. Premature ejaculation can have many causes. So your doctor may order lab tests to rule out any other medical problem. In many cases premature ejaculation gets better on its own over time. Treatment may not be needed. Practicing relaxation techniques or using distraction methods may help you delay ejaculation. Your doctor may recommend that you and your partner practice certain techniques to help delay ejaculation, as well as medications are there to help. All the best. 

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