Hello doctor sir I am 41 years of age never married. My physical condition is good. I am 5 feet 7 inch and weight 66-67 kg. Recently I started living with my girlfriend. During sex I found I am suffering from premature ejaculation. I know about it when I did masturbate, I can't hold up for more than a minute. Now its really creating problems between us. I do not suffering from any anxiety or any kind of illness or job related issue. My erection is normal. Only thing is I can't hold it up. Please guide me. Thank you in advance.

Dr. Sudhir BholaSexologist24yrs exp

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Behavioural techniques are often the first line of treatment for premature ejaculation. These techniques aim to improve control over ejaculation through practice and conditioning. Some commonly recommended behavioral techniques include: - the stop-start technique: this involves stimulating the penis until you feel close to ejaculation, then stopping all stimulation until the urge to ejaculate subsides. Repeat this process several times before allowing ejaculation. - the squeeze technique: similar to the stop-start technique, this method involves squeezing the base of the penis when you feel close to ejaculation. This helps reduce arousal and delay ejaculation. - the pelvic floor exercises: strengthening the pelvic floor muscles through exercises such as kegels can improve ejaculatory control. Lifestyle modifications: certain lifestyle modifications can also contribute to better ejaculatory control. These include: - regular exercise: engaging in regular physical activity can help reduce stress, improve overall well-being, and enhance sexual function. - healthy diet: a balanced diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats can support overall sexual health. - stress management: learning stress reduction techniques such as meditation, deep breathing exercises, or yoga can help alleviate anxiety and improve sexual performance. It is important to note that the effectiveness of these approaches may vary from person to person. If these methods don’t work for you, you can consult me directly for permanent treatment of premature ejaculation.  

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