Good afternoon Sir, My name is suresh and Age is 32 years. My problem is duration of the sex time is very less (30 sec to Maximum up to 1 minute) after entering my penis in vagina Siemens is come out early that's why I can't sex long time, I doesn't satisfy my wife. Please advise me for increase the sex duration,

Dr. Rahul GuptaSexologist10yrs exp

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Hello- The following are the most practical ways to help reduce premature ejaculation without the use of medication or costly medical treatment. 1. PELVIC FLOOR MUSCLE TRAINING Strengthening your pelvic muscles is one of the most effective ways to prevent the onset of premature ejaculation. The pelvic muscles, which support and help control the penis, have the ability to short circuit premature ejaculation when they are actively engaged immediately before ejaculation is allowed to occur. For most men these muscles are weak and get weaker with age, increasing the likelihood of premature ejaculation. A recent study found pelvic muscle exercise to be more effective than medication in treating premature ejaculation. 2. DOWN TEMPO This technique requires you to slow the pace of pelvic thrusting and varying the angle and depth of penetration before the ?point of no return.? When done in conjunction with engaging your pelvic muscles this approach becomes very effective. 3. PAUSE-START METHOD If slowing the tempo is not sufficient to prevent the PE, one may need to stop thrusting completely while maintaining penetration in order for the ejaculatory ?urgency? to go away. Once the sensation to ejaculate subsides, pelvic thrusting may be resumed. Again, engaging the pelvic muscles once you?ve stopped thrusting helps to greatly reduce the sensation. 4. SQUEEZE TECHNIQUE Originated by Masters and Johnson, as imminent ejaculation approaches, the penis is withdrawn and the head of the penis is squeezed until the feeling of ejaculation passes, after which intercourse is resumed. Although effective, it requires sexual interruption, is cumbersome and demands a very cooperative partner. 

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