Sir, I want to know that the penis top of a sexual healthy man is covered with skin or not. Because my penis top is covered with the skin and very sensitive. When I touched the top it irritates. And I also have a problem of premature ejaculation. I was taken medicine from both English and ayurvedic but no use.

Dr. Jagadeesan M.S.Psychiatrist13yrs exp

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Foreskin on top of penis is normal, but you can get it removed surgically for better hygiene and if it is tight or cannot be retracted, for few days the sensitivity would continue. For PE, 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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