Start And Stop Technique

Dr. Sudhir BholaMD - Alternate Medicine, Sexologist, C.A.P.Sexologist

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Behavioral 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. 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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Mr. Saul PereiraReparenting Technique, BA, BEd, Transactional AnalysisPsychologist

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These are all psychotic symptoms and need not only medication but also intense psychotherapy. If you have not tried therapy, you are likely to get worse and suffer unnecessary disturbances. So now you need not follow therapy blindly because you will be taught tools, skills, and techniques to help you deal with the psychosis. This is a difficult path but it is clearly the best way to sort out your problems effectively. There is no doubt that this disease is debilitating but you must persevere not only with the medication but also with counseling. The counseling gives you an avenue to work with your emotional issues and you will develop skills in coping with the everyday challenges that life throws at you. I hope your visits to the psychiatrist were regular and the medication has been frequently reviewed during these eight years. You need to be occupied and fit into a routine of interesting activities every day. Yoga and meditation are also necessary to train your brain to be disciplined. Exercise always plays a stabilizing role and is the most holistic medicine besides. Since unreal fears regularly perturb the paranoid mind, a reality check through counseling will help you discern fact from fiction. Your socializing and maintaining steady relations are the hallmark of a good recovery program. You should also try a keto diet, follow a tight time-schedule and adhere to it meticulously. 

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Dr. M S HaqueBUMSSexologist

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For increasing sperm count: clomiphene citrate: sometimes prescribed to stimulate the production of hormones that trigger sperm production. Letrozole: similar to clomiphene, letrozole is used in some cases to stimulate hormonal pathways and promote sperm production. Hormone replacement therapy (hrt): in cases of hormonal imbalances, your healthcare professional may recommend hormone replacement therapy. Antioxidant supplements: antioxidants like vitamin e, vitamin c, and coenzyme q10 are believed to have potential benefits for sperm health. For premature ejaculation: topical anesthetics: some topical creams or sprays containing lidocaine or prilocaine may be prescribed to desensitize the penis and delay ejaculation. Selective serotonin reuptake inhibitors (ssris): certain antidepressants, such as sertraline or dapoxetine, may be prescribed off-label to help delay ejaculation. Behavioral techniques: therapeutic approaches, such as the "stop-start" technique or the "squeeze" technique, can be employed to improve ejaculatory control. Regards Dr. Ms. haque. 

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Dr. Rahul GuptaMD-Ayurveda, BAMSSexologist

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Hello- two of the most common sexual dysfunctions that affect a large percentage of men are premature ejaculation (pe) and erectile dysfunction (ed). The incidence of these conditions have been found to be equitably spread among all socio-economic groups and can affect men of all ages. Most men who have been diagnosed with ed as a primary problem, the secondary concern in most instances is pe, the two are often thought to be mutually inclusive. Also because reduced or hampered blood flow, critical to achieve a penetrable erection, to the genital areas is one of the main reason for premature ejaculation and erectile dysfunction, the logic of 'one reason one problem' gets applied. In the last few decades, significant advancements in treatment procedures and options have improved the outlook for both premature ejaculation and erectile dysfunction and the comprehensive treatment for both the weakness is possible with the help of medications. 

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Dr. Rahul GuptaMD-Ayurveda, BAMSSexologist

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Hello- the stop-start technique, also known as orgasm control or “edging,” can help delay climax by drawing out pleasure. When you feel the urge to ejaculate, stop having sexual activity completely. Once you feel less aroused, slowly start to have sexual activity again. Repeat this process as much as necessary to help you manage ejaculation. 

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Dr. M S HaqueBUMSSexologist

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Consult a healthcare professional: if you're experiencing issues with premature ejaculation and changes in the size of your penis, it's essential to consult a healthcare professional, such as a urologist or a sexologist. They can help identify the underlying causes and provide appropriate guidance. Healthy lifestyle: maintain a healthy lifestyle, including regular exercise, a balanced diet, and adequate sleep. These factors can positively impact your overall well-being, including sexual health. Pelvic floor exercises: kegel exercises, which involve contracting and relaxing the pelvic floor muscles, may help improve ejaculatory control. Consult with a healthcare professional to learn how to perform these exercises correctly. Masturbation habits: if you feel that your masturbation habits may be contributing to the issues, consider moderating the frequency and focusing on a slower and more controlled approach. Taking breaks and allowing sufficient time between sessions may also be beneficial. Reduce stress: stress and anxiety can contribute to sexual issues. Practice stress-reducing techniques such as deep breathing, meditation, or yoga to help manage stress. Medication: in some cases, healthcare professionals may prescribe medications to address premature ejaculation. However, this should only be done under their supervision. Regards, Dr. Ms. haque. 

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Dr. Sushil Kumar SompurMBBS, MD - Psychiatry, MBA - HealthcarePsychiatrist

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I'm truly sorry to hear about the struggles and anxiety you're experiencing. It sounds like you're going through a very challenging time. It's important to remember that feelings of anxiety and depression can be overwhelming, but there are ways to manage and improve your situation. Here are some suggestions: seek professional help: given the intensity of your feelings and the fluctuation in your response to medication, it's crucial to continue working closely with a healthcare professional, preferably a psychiatrist or a psychologist. They can help in reassessing your medication needs and provide therapy that can address your fears and feelings of depression. Medication review: since you've had varying experiences with cipralex (escitalopram) and amisulpride, discussing these with your doctor is essential. They can evaluate whether a change in medication or dosage is necessary. Therapy: psychological therapies, particularly cognitive-behavioral therapy (cbt), can be very effective for anxiety and depression. Therapy can provide you with strategies to manage your fears about changes in family dynamics and your concerns about being a burden. Support system: lean on your support system – friends, family, or support groups. Share your feelings with them. Sometimes, just talking about what you're going through can be incredibly relieving. Self-care practices: engaging in self-care activities is crucial. This can include regular exercise, a balanced diet, maintaining a regular sleep schedule, and engaging in activities that you find relaxing or enjoyable. Mindfulness and relaxation techniques: practices such as mindfulness meditation, deep breathing exercises, or yoga can help manage anxiety and improve your mood. Journaling: writing down your thoughts and feelings can be a helpful way to process them and gain clarity. Understanding change: it's natural to feel anxious about changes in life, like your sister starting a job. Recognize that change is a part of life and can bring positive growth for both you and your family members. Educate yourself: learning more about anxiety and depression can empower you to understand your condition better and find effective ways to cope. Consider lifestyle adjustments: sometimes, making small changes in your daily routine can have a big impact on your mood and anxiety levels. Remember, it's okay to ask for help, and it's important to take your feelings seriously. Mental health is just as important as physical health. If you ever feel overwhelmed or have thoughts of not wanting to live, please seek immediate help from a mental health professional or a crisis hotline. You're not alone in this, and with the right support and treatment, it's possible to feel better and manage these challenges more effectively. 

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Dr. Sudhir BholaMD - Alternate Medicine, Sexologist, C.A.P.Sexologist

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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. 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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Dr. Rahul GuptaMD-Ayurveda, BAMSSexologist

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Hello- you may be able to help stop a quick release due to premature ejaculation naturally. This can include supplements, practices, and products applied to the skin like medicated oils. Strengthening your pelvic floor muscles can have a big effect on how long it takes you to climax. An older 2014 studytrusted source found that pelvic floor exercises can help men dealing with lifelong premature ejaculation manage their ejaculatory reflex, increasing the time it takes for them to climax. To perform pelvic floor exercises: find the right muscles by stopping mid-stream while peeing or tightening the muscles that stop you from passing gas. While laying down, contract your pelvic floor muscles for 3 seconds, and then relax for 3 seconds. Do this at least 10 times in a row. Repeat at least 3 times a day. Gradually increase the number of seconds as your muscles become stronger. Try new positions, like standing, walking, or sitting down. Don’t forget to breathe, and remember to focus only on your pelvic floor muscles. Don’t tighten your abs, thighs, or buttocks. 

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Dr. Rahul GuptaMD-Ayurveda, BAMSSexologist

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Hello-"phimosis" is the technical term for an un-retractable foreskin or short frenulum. The foreskin of the penis is not retractable in an infant or a young child. This is considered to be a normal part of development. As the child grows into puberty the foreskin naturally separates itself from the head of the penis, allowing for complete retraction. This becomes a particularly important function for the male in terms of hygiene, especially with cleaning of the penis and its head as well as in terms of sexual intercourse or masturbation. An acute case of phimosis may create problems for the person when he would want to pass urine or to perform sex, as this action may either be restricted or become troublesome. This is when phimosis becomes a medical emergency. It has been linked with an increased risk of infection, loss of sexual stimulation of the penis and even penis cancer. Traditionally medicine offers conservative treatment of phimosis. It is worth noting that in recent years, medicine has made great progress in this field. So, if you looking for a permanent solution for your tight foreskin, yes it is possible with ayurveda. Surgery (circumcision) can be avoided. 

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