I have suffering from pe from last 3-4 year. I had a habit of daily masturbation, but now I reduce to twice in a week. But I noticed one thing's that before sex, during sex, after sex, when I think or watch about pornographic it's too much pre-cum emitting. I think due to too much pre-cum I suffering from pe. There is also erectile dysfunction. Please prescribed some medicine. I don't want to use viagra or something like dejac-t. I never used anything like that. I want permanent solution to cure from the root.

Dr. Satyajeet P PattnaikUrologist11yrs exp

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Premature ejaculation can be caused by psychological factors such as stress, depression, relationship issues or performance-related anxiety. It can also be due to physical causes, such as diabetes, high blood pressure, thyroid problems or prostate disease. Both psychological and biological factors can play a role in premature ejaculation. Although many men feel embarrassed talking about it, premature ejaculation is a common and treatable condition. Medications, counseling and sexual techniques that delay ejaculation ? or a combination of these ? can help improve sex for you and your partner. Treatment common treatment options for premature ejaculation include behavioral techniques, topical anesthetics, medications and counseling. Keep in mind that it might take time to find the treatment or combination of treatments that will work for you. Behavioral treatment plus drug therapy might be the most effective course. Behavioral techniques in some cases, therapy for premature ejaculation might involve taking simple steps, such as masturbating an hour or two before intercourse so that you're able to delay ejaculation during sex. Your doctor also might recommend avoiding intercourse for a period of time and focusing on other types of sexual play so that pressure is removed from your sexual encounters. Pelvic floor exercises male pelvic floor muscles weak pelvic floor muscles might impair your ability to delay ejaculation. Pelvic floor exercises (kegel exercises) can help strengthen these muscles. To perform these exercises: find the right muscles.�to identify your pelvic floor muscles, stop urination in midstream or tighten the muscles that keep you from passing gas. These maneuvers use your pelvic floor muscles. Once you've identified your pelvic floor muscles, you can do the exercises in any position, although you might find it easier to do them lying down at first. Perfect your technique.�tighten your pelvic floor muscles, hold the contraction for three seconds, and then relax for three seconds. Try it a few times in a row. When your muscles get stronger, try doing kegel exercises while sitting, standing or walking. Maintain your focus.�for best results, focus on tightening only your pelvic floor muscles. Be careful not to flex the muscles in your abdomen, thighs or buttocks. Avoid holding your breath. Instead, breathe freely during the exercises. Repeat 3 times a day.�aim for at least three sets of 10 repetitions a day. The pause-squeeze technique your doctor might instruct you and your partner in the use of a method called the pause-squeeze technique. This method works as follows: begin sexual activity as usual, including stimulation of the penis, until you feel almost ready to ejaculate. Have your partner squeeze the end of your penis, at the point where the head (glans) joins the shaft, and maintain the squeeze for several seconds, until the urge to ejaculate passes. Have your partner repeat the squeeze process as necessary. By repeating as many times as necessary, you can reach the point of entering your partner without ejaculating. After some practice sessions, the feeling of knowing how to delay ejaculation might become a habit that no longer requires the pause-squeeze technique. If the pause-squeeze technique causes pain or discomfort, another technique is to stop sexual stimulation just prior to ejaculation, wait until the level of arousal has diminished and then start again. This approach is known as the stop-start technique. Condoms condoms might decrease penis sensitivity, which can help delay ejaculation. "climax control" condoms are available over the counter. These condoms contain numbing agents such as benzocaine or lidocaine or are made of thicker latex to delay ejaculation. Examples include trojan extended, durex performax intense and lifestyles everlast intense. Medications topical anesthetics anesthetic creams and sprays that contain a numbing agent, such as benzocaine, lidocaine or prilocaine, are sometimes used to treat premature ejaculation. These products are applied to the penis 10 to 15 minutes before sex to reduce sensation and help delay ejaculation. A lidocaine-prilocaine cream for premature ejaculation (emla) is available by prescription. Lidocaine sprays for premature ejaculation are available over-the-counter. Although topical anesthetic agents are effective and well-tolerated, they have potential side effects. For example, some men report temporary loss of sensitivity and decreased sexual pleasure. Sometimes, female partners also have reported these effects.  

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