Hi Dr. I dnt hav any of the bad habits lke smoking, alcohol etc. Bt my rate of ejaculation s vry fast. As soon I jst engage with my wife. My sperm ll b out. I hav tried mny thing lke kegal exercises, mind diversion & mny other things. Bt I dnt get any result. Nw i'm nt able lead my sexual life happy with my partner. Plzz tell me hw cn make my ejaculation time to maximum as possible. And it is better to take tablet lke viagra or penegra befr hvng sex. By taking ths tablets will I gt any side effects. Totally i'm nt able satisfy my wife in bed. Plz make me to gt rid of ths problem and make me to lead a better sexual life with my partner. My ejaculation rate s with in 5-10 seconds. My penis s gud in size bt only the problem s with ejaculation.

Dr. Jagadeesan M.S.Psychiatrist13yrs exp

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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 online or in person 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 There are excellent medications for PE, but you need to answer few questions on general health as well as PE for any psychiatrist to prescribe. Consult anyone in person or online if you wish. All the best.  

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