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Overview

Premature Ejaculation - Symptom, Treatment And Causes

What exactly is a premature ejaculation?

When a person ejaculates without control before or shortly after penetration during a sexual intercourse the condition is known as premature ejaculation. It is accompanied by a minimal amount of sexual stimulation and a person does not really wish to ejaculate that quickly. The result is deriving unsatisfactory amounts of pleasure from the sexual act for both of the partners. The pressure to perform can get to a person and the added anxiety only adds to the woes of a patient. It is one of the commonest of the manifestations of sexual dysfunctions in males. Almost all men have fallen prey to this condition at one point in their sexual lives.

What are the causes of premature ejaculation?

The exact cause of the majority of cases of premature ejaculation is yet to be ascertained and there is a lack of clarity regarding the same. With the passage of time, men learn to postpone their orgasms slightly. New sexual partners often trigger premature ejaculation. Certain sexual situations may trigger such a condition. Even long periods of time between ejaculations may be the culprit. Psychological issues are also terrible important in this form of sexual dysfunction. It may result from guilt, anxiety and also depression. The cause may also be medical in nature like problems with hormones, an injury or as a side effect of certain medications.

How is the diagnosis made?

In order to diagnose premature ejaculation, the doctor examining the patient will have in-depth discussions regarding his sexual and medical history. A comprehensive physical exam will be performed on him. Doctors may also, in addition, want to discuss the condition with the partner of the patient. As seen earlier, there are multiple causes of premature ejaculation. Doctors will obviously want to rule out medical problems through laboratory tests also.

How is premature ejaculation treated?

In a vast number of cases, the condition gets better over time to own its own without medical intervention. One may try to learn techniques for relaxation and delayed ejaculation to get over the problem. Alcohol, drugs, and tobacco too affect premature ejaculation. Refraining oneself from using them might be of help.

Doctors generally often offer advice on learning scientific techniques to delay the ejaculation. Together with one’s partner, one can slow sexual stimulation through effective communication. Condoms may help to reduce sensation on his sexual organ. Some intercourse positions too are less susceptible to premature ejaculation. Behavioural therapy and counselling can help get rid of psychological issues if any.

Treatable by medical professional Require medical diagnosis Lab test sometimes required Chronic: can last for years or be lifelong Non communicable
Symptoms
Poor control on ejaculation Unsatisfactory sexual intercourse Ejaculation on very little sexual stimulation

Popular Health Tips

Why Ayurveda Is the Best Way To Treat Sexual Problems?

Dr. Gulamnabi 81% (57 ratings)
Modern Allopathic System of Medicine
Ayurveda, Ahmedabad
Why Ayurveda Is the Best Way To Treat Sexual Problems?
Ayurveda, which is an age old medicinal practice and has its own influence on the very important and intimate aspect of one's life that is the sex life of a person. Vajikarna, better known as vishwachikitsa , is one of the specialities in the field of Ayurveda that deals with aphrodisiacs and virility leading to good physique and freedom from impotency. The various herbs of Ayurveda help in curing major sexual problems, such as penile dysfunction, premature ejaculation and sexual exhaustion. Here are a few reasons why Ayurvedic treatments should be preferred over conventional ones: The base of Ayurvedic treatments is all natural: The base of Ayurvedic treatments consists of herbs, plants, fruits and all vegetation growing around you. The usage of all natural elements for treatment of sexual diseases is more promising as they do not cause any side-effects as opposed to usage of supplements loaded with chemicals which might throw off the hormonal balance of your body. Ayurveda stresses on curing the doshas : The three doshas in the body are kapha , vata and pitta and Ayurveda focuses on removing these doshas along with curing the diseases. Removing these doshas while curing sex diseases is a major benefit of using Ayurveda because it helps you attain a better orgasm. Use of Ayurvedic herbs: All the medicinal plants used in Ayurveda are devoid of any side effect and help in reversing the side effects of over masturbation by strengthening the nervous system and increasing the blood flow to the penile area. Ashwagandha: This herb not only helps in getting rid of the side-effects but also prevents them from resurfacing. As an additional benefit, it helps in increasing the flow of libido, thus, reducing sexual exhaustion. Focus on overall well-being: Ayurveda is concerned with the overall physical well-being of the patient across all spheres that is physical, psychological, spiritual and is beneficial to social wellness as well while allopathic treatments rely solely on bio-chemistry and focus on fixing only one sexual problem at a time.
3139 people found this helpful

4 Common Sex Fears Among Men!

Dr. Jolly Arora 87% (1125 ratings)
MBBS, MCCEE, Fellowship in Sexual Medicine
Sexologist, Jaipur
4 Common Sex Fears Among Men!
Men, as confident as they may seem, also live with many fears and anxieties related to sex and sexuality. Here are 4 common sex fears among men. 1. Fear about impotency One of the most common sexual fears among men is the fear of impotency. Men fear the consequences of impotency so much so that it leads to psychological impotency, if not biological. The fear of not being able to have an erection mostly comes from anxiety. Thinking too much about not being able to perform well in the bed has been the cause of most cases of impotency. In the case of biological impotence, the problem can be addressed through medications; however psychogenic impotency can be treated only by counseling and reassurance by trained sexual therapist or consultant. Also, understanding and support from the spouse or partner are highly warranted. Sometimes men may require multiple sessions with a sexual counselor. 2. Fear of premature ejaculation: Another common fear associated with sex in men is the fear of premature ejaculation. The cause is mostly self-imposed and psychological. Anxiety, fear and over thinking may lead to premature ejaculation and low self-confidence regarding performance in bed. Trying to use the counter drugs, sprays, etc may not work sometimes. The treatment needs to be comprehensive. Many times it needs psychological assistance, some exercises / techniques may help. Any medical assistance or counseling with an experienced sexologist will be helpful require. 3. Performance anxiety: Fear of performance in the bed that they won't be able to perform well enough in bed can also lead to erectile dysfunction in men. It is a very common issue among men that they have to deal with. This fear may arise as a result of prior negative experiences or anxiety. Stress can also lead to erectile dysfunction and result in a fear of performance. In most men, the fear can be decreased by reassurance by the partner and self-realization that this is a usual issue with men. Talking with the partner and a consultation with a sexual counselor will surely help. 4. Physical attributes: Being overweight or too skinny, having a small or curved penis and several other insecurities related to their physical appearance may act as a common cause of sexual fears in men. Such an imperfect body may make men think that they won't be able to perform well enough in bed or worse that they may be rejected altogether by their partner. This leads to anxiety and prevents them from taking the leap and daring to propose sex at all.
6 people found this helpful

Types and Causes of Premature Ejaculation

Dr. Jolly Arora 87% (1125 ratings)
MBBS, MCCEE, Fellowship in Sexual Medicine
Sexologist, Jaipur
Types and Causes of Premature Ejaculation
As many as 30-40 % men across the world including India experience problem of PE at some time of life. In Part 1, we learnt about the condition called Premature Ejaculation (PE). In this 2nd part, let s understand about it s diagnosis & types of PE - why and how it happens. How to Diagnose PE: The specific criteria for premature (early) ejaculation are as follows: - In almost 75-100% sexual activity, the experience of ejaculation occurring during sexual intercourse within 1 minute after vaginal penetration and before the individual wishes it. - The problem has persisted for at least 6 months and is a cause of mental stress to the person. - The dysfunction cannot be better explained by any other nonsexual mental disorder, any medical disease, the effects of a drug or medication, etc Severity of PE: The severity of premature (early) ejaculation is broadly defined as follows: 1. Mild (occurring within approximately 30 seconds to 1 minute of vaginal penetration) 2. Moderate (occurring within approximately 15-30 seconds of vaginal penetration) 3. Severe (occurring even before sexual activity, at the start of sexual activity, or within approximately 15 seconds of vaginal penetration). In such cases conception will not be possible unless artificial insemination is used. TYPES and Characteristics of P.E. : Premature ejaculation can be Chronic (lifelong) or Acquired (recent). Chronic PE: With chronic (lifelong) premature ejaculation, the person has been experiencing premature ejaculation since he became sexually active (ie, post puberty). Acquired PE: Acquired (recent) premature ejaculation means that the condition began in an individual who previously experienced an acceptable level of ejaculatory control and only recently has developed PE. What are the Causes? The causes of PE can be divided into two broad sub-heads, which are psychological or biological cause: 1. Psychological Causes: Premature ejaculation is believed to be a psychological problem and does not represent any known organic / physical disease involving the male reproductive organs or any known defect in the brain or nervous system. It is usually due to a pattern that is hard to change and is a result of your previous sexual experiences. One of the most common reason is childhood habit of reaching climax/ ejaculation quickly because of fear of discovery when masturbating or during early sexual experiences with a female partner. This pattern of rapid attainment of sexual release is difficult to change in later stage of life (in marriage or long-term relationships). Other reasons are situations in which one may have hurried climax/ ejaculation in order to hide any problem or feelings of guilt that make you rush through sexual encounters. Also, psychological causes include anxiety and relationship issues which can also result from deep anxiety about sex that relates to bad experiences encountered by the patient during development (eg: incest, sexual assault, conflict with parents, etc ). 2. Biological Causes A number of researchers have found differences in nervous stimulations and hormonal differences in men who experience premature ejaculation compared with individuals who do not. Some believe that some men have hyper-excitability or oversensitivity of their genitalia. Abnormal functioning of the ejaculatory system can be attributed to: - Thyroid problems; infection or inflammation of the urethra or prostate. - Nerve damage occurring due to trauma or surgery (a very rare cause). - Abnormal levels of hormones and/or neurotransmitters (chemicals present in the brain) - Higher free and total testosterone levels or varied other biochemical markers *The research however has been non-conclusive. In Part 3 and 4, we will discuss the right approach and therapy for the men / couple suffering due to PE.
5 people found this helpful

Premature Ejaculation: What You Need To Know?

Dr. Shyam Mithiya 93% (699 ratings)
MD - Psychiatry, Diploma in Psychological Medicine, MBBS
Sexologist, Mumbai
Premature Ejaculation: What You Need To Know?
In my previous health tip, featured here last time, I talked about what actually is Premature Ejaculation (PE) or early ejaculation, what is its actual condition and how is it defined. Today I will share some statistics, diagnosis, variants and causes of PE. Statistics of PE: You are not alone! PE is a common sexual complaint. Estimates vary, but as many as 30-40% men across the world experience PE at some point in their lives. In US alone, about 60%-70% of people experience premature ejaculation. The National Health and Social Life Survey (NHSLS) indicate a prevalence of 30%, which is fairly spread across all adult age groups. Diagnosis of PE: As per DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition), the specific criteria for PE are as follows: In almost 75-100% sexual activities, the experience of ejaculation occurs within one minute of vaginal penetration. The problem of PE has persisted for at least six months The symptoms cause significant mental stress to the person It occurred due to a nonsexual mental disorder, a medical disease, effects of a drug or medication, etc. Severity of PE: The severity of PE or early ejaculation is broadly defined as follows: Mild: Occurring within 30 seconds to one minute Moderate: Occurring within 15-30 seconds Severe: Occurring even before sexual activity, at the start of it, or within 15 seconds of vaginal penetration Even the severe form is not uncommon. Many times men approach the doctors with complaint that they are not able to penetrate the vagina. They ejaculate on minor physical stimulation and it occurs again and again. In such case, pregnancy will not be possible unless artificial insemination is used. Types and characteristics of P.E. PE can be Chronic or Acquired Chronic (lifelong) PE is when the person has been experiencing it since he became sexually active (i.e., post puberty). Usually it is seen that PE starts occurring from the beginning of sexual activity, probably the first sexual intercourse or even on masturbation, when the discharge occurs early. Acquired (recent) PE means that the condition began in an individual who previously experienced an acceptable level of ejaculatory control and had successful sexual escapades but only recently (couple of weeks to months) has developed the tendency to ejaculate early. What causes P.E? Not a particular cause is responsible for causing PE. However, the causes of PE can be divided into two broad sub-heads, which are psychological and biological cause: Psychological causes: PE is believed to be a psychological problem and does not represent any known defect in the brain or nervous system. Psychological causes behind PE may include a certain pattern that is hard to change as result of your previous sexual experiences. They may arise from following: Atmosphere at Work or school Relationships with peer groups General attitude toward sex Any bad feelings about sex that relates to one or more bad experiences encountered Erectile dysfunction Performance anxiety, where men want to show a good performance of sexual act with the female partner. Type of the relationship/sexual engagement (e.g., married/unmarried/live in relationship) Sexual attitude or interest of the female partner Early sexual experiences, like development of habit of reaching climax soon for pleasure or ejaculating quickly because of fear of being discovered by others when masturbating as teenagers or during early sexual experiences with female partner. This pattern of rapid attainment of sexual release is difficult to change in later stage of life during marriage or long-term relationships. Last but not least, a situation in which you may have hurried climax/ejaculation in order to hide your problem from your female partner; or feelings of guilt that make you rush through sexual encounters. Biological causes of PE: Many scientists have questioned whether PE is purely psychological. A number of investigators have found differences in nervous stimulations and hormonal differences in men who experience PE as compared to individuals who do not. Some believe that some men have hyper-excitability or oversensitivity in their genitalia, which is again not proven. So, among the biological causes of PE, the most common are: Abnormal functioning of the ejaculatory system Thyroid problems Infection or inflammation of the urethra or prostate Nerve damage occurring due to trauma or surgery (a very rare cause) Abnormal levels of hormones and/or neurotransmitters (which are chemicals present in the brain) Higher, free and total testosterone levels have been demonstrated in men with PE than in men without premature ejaculation. Recent article in a Chinese andrology journal showed that semen from men with PE contained significantly less acid phosphatase and alpha-glucosidase than the counterparts Another study found that many men with PE have low serum prolactin levels. Somehow these biochemical markers play only a partial role in contributing to PE. Further research is needed. Abnormal functioning of the ejaculatory system.
3 people found this helpful

Aphrodisiac Medicine: Why You Must Consult A doctor Before consuming Them?

Dr. Jolly Arora 87% (1125 ratings)
MBBS, MCCEE, Fellowship in Sexual Medicine
Sexologist, Jaipur
Aphrodisiac Medicine: Why You Must Consult A doctor Before consuming Them?
The physical side to love in any relationship is very important. Just like the need to have food and water, intimacy is also a primal requirement in life. Most human beings have a need for intimacy for a healthy sexual life, which determines their overall wellbeing. If there are physical or psychological problems with a person s sexuality, it can hamper their self-confidence and thus degrade the quality of their life. In such cases a medical professional such as a urologist, gynecologist or sexologist who are qualified doctors need to be consulted. The hocus pocus medicine- In the modern world, aggressive marketing and pseudo-science have teamed up to make healthy people insecure about their sexuality to make a quick buck. This results in harm to an individual s body, mind and general well-being. Sometimes people may take genuine drugs for enhancement themselves which may end up having adverse effects on the body. Some of the bogus treatments as well as the dangers of self-medication are mentioned here. Treatments which are bogus by nature- While there are some genuine medications as well as sexual prosthetics available form genuine sources, a large section of the devices available are bogus and don t come from genuine sources. Some of these are:- Penile Enlargement Devices: This is possibly the largest industry based on medical hoax and pseudo medical therapy in the world. There are a range of medical products which claim to enlarge penis size. None of the products available actually do anything but play on the fears of the customer that they are small. Some examples of these are:- Penis Enlargement Pills: Claims to make the penis larger by encouraging blood flow into the penis. However, the only things that can be achieved by this means at best are longer and harder erections although it does nothing about the size of the penis. It may even have adverse effects on your heart and lungs if you have an undiagnosed condition and self-medicate. They may even be placebo pills or in a worst case scenario contain chemicals toxic to your body. Penis Extenders: These are one of the most dangerous of devices touted as a miracle in penis enlargement. These devices contain two clamp like structures which are held in place by rods which are extendable in length. They claim to work by keeping the penis stretched and then slowly increasing the tension to increase the size gradually over time. However, this may only end up damaging your organ permanently and even cause erectile dysfunction by rupturing tissue. Vacuum Pumps: More in the realm of sex toys, some have been touted to increase penis size in the long run. These devices are placed on base of the penis with a rubber mounting and a glass or plastic case on top. The air is drained out mechanically and the lower air pressure within draws blood into the penis. This engorges the penis and causes a hard and large erection which may often be misconstrued as an enlargement. Prolonged use of this can damage the blood vessels within the organ causing them to rupture and leading to erectile dysfunction. Enlargement Creams and Oils: This is another scam which claims to enlarge the penis with the help of special creams that claim to have natural ingredients . At best they can induce an erection by stimulating blood flow but can also cause irritations and allergies. It may lead to serious skin disorders due to an adverse reaction as well. Vaginal Tightening Gels: This is another category of product which claims to perform permanent changes when used over time. Vaginal tightening gels may work for a short period by engorging the blood vessels inside the vagina. However, these don t work in the long run and may, in fact, end up causing infections, or gynecological disorders caused by reactions to the ingredients. Herbal Supplements: Another category which has caught on all over the world and is very dangerous are the medications that are touted to come from alternative forms of medicine. What is an Aphrodisiac? In recent times, use of aphrodisiacs has become the rage. Aphrodisiacs are substances that are said to increase sexual desires when consumed. It functions by increasing the sex drive, your performance in bed and increasing your sexual energy. Some people take it to save their marriages and others just take it prior to sex every time to show an increase in their sexual prowess. Is it really safe to use it? Sometimes, people are so carried away by the effects they have on them, that they simply seem to ignore or bypass its probable ugly side. While the aphrodisiacs may function by increasing the blood flow to the genital areas, it can also call a severe drop in blood pressure that is very harmful. It can also include side effects such as nausea, dizziness, stroke, increased risk of cancer, enlargement of the prostate, loss of consciousness and even severe headaches. People do not consider the safety of these drugs and consume the same without knowing its effects. Some aphrodisiacs are shown to cause damage to the liver and in more severe cases, can cause liver cirrhosis. Uses and Dangers of Using Sex Enhancing Instruments- Instruments such as penis pumps, penis extensors and exercises such as Jelquing exercises are used to increase the size of the penis by physical methods. These techniques can be used to temporarily cure impotence. These techniques can be very dangerous, and it may cause vascular damages to the penis. The Jelquing exercise if done without lubrication can cause severe damage due to friction. The promise of an easy and quick fix through aggressive marketing may sound very good. However, you should remember that if something sounds too good to be true in most cases it is. What you need to do is to consult a qualified medical practitioner, who can give you the best treatment for your problem. Remember, in most cases, the sexual problems are created with the help of media, marketing and false advertising such as in the case of penile enlargement (which plays on the fears that a man is small). This can then allow someone to buy into a hoax as they think they may have a problem when in actuality, they don t.
4 people found this helpful

Popular Questions & Answers

I am a graduate now studying. My age is 26. I hv problem of premature ejaculation and size of penis.

Dr. Arun Desai 92% (162 ratings)
BAMS, M.D.Alternative Medicines
Ayurveda, Belgaum
Hello, your PROBLEMs- 1. Premature ejaculation. 2. Performance Anxiety. Generally Average sex time varies from 5 to 15 min. Sex time is not same for every person. Different for every person. CAUSES - 1.HORMONAL-sex hormone and thyroid hormones disturbances 2. Neuromuscular weakness. 3.Infections. 4.Performance anxiety stress 5.Hurried sexual Act. 6.Lack of proper sex education 7.Ejaculatory system weakness and pelvic floor muscles weakness. SOLUTION - 1.Exercises -Kegel's and pelvic floor exercises. 2.Yogasan-Halasan vajrasan pavanmuktasa Bhujnagasan 3.Start stop method. 4.Squeeze Method. 5. Counselling -Managing stress anxiety. 6.Wearing Thick condoms. 7.Masturbation 1 hr before sex. 8. Extending Fore play. 9.Using desensitizers. 10. Changing sex positions e.g.Left lateral position increases sex time. HOME REMEDIES- 1.Jamun seeds powder 1 tsf twice a day after food. 2.Nutmeg fruit powder 1 tsf twice a day after food. HERB REMEDIES - 1.Akarakarabha churna 1 gm twice a day or Before sex 2 hrs. 2.Utangan beej churna 1 gm twice a day or 2 hrs before sex. LENGTH OF PENIS DOESN'T MATTER BUT STRENGTH OF PENIS MATTERS. DON'T WORRY ABOUT SIZE. TREATMENT DEPENDS UPON THE UNDERLINE CAUSE. You need proper education treatement and counselling for your problem. I have very good ayurvedic treatment for your problem. No side effects. I can increase your sex time safe and naturally. you can consult me for your problem. I wish you happy healthy and properous life ahead. GOD BLESS YOU. REGARDS

What process we have to use to delay ejaculation and also which tablet I have to use for delay of ejaculation? Please advice

Dr. Dinesh Kumar Jagpal 94% (64966 ratings)
MBBS
Sexologist, Panchkula
You want to delay your ejaculation. I advise you to do start and stop technique and squeezing method to delay ejaculation during sex. Do kegel exercises daily. For better guidance and natural, safe and permanent treatment, consult me.
2 people found this helpful

Hi, I am having a quick erection issue. I would like to know the if I can enjoy sex for long time and it would be great if you guys can provide me any idea to enhance the size of penis.

Dr. V. Kumar 89% (592 ratings)
PGDS, MD, DCP, MBBS
Sexologist, Noida
Be happy with the penis size what nature has given to you definitly what is most important is stamina, good erection and long action do 10 -30 mts foreplay go slow in sexual action stop when you are about to ejaculate and then re start.

Just a question, Need advice answers from sexologists. I have gone trough various blogs which show myths about masturbation and myths that one can consider it is due to masturbation. I have not done sexual intercourse yet. So my question is ejaculation time differ while one do masturbation and during intercourse? Also excitement level differs? How one can identify about premature ejaculation that he have or not if he have not done sexual intercourse yet?

Dr. B.D. Verma 96% (810 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Lucknow
In case of masturbation you have hypothetical dream but during intercourse you have physical touch and actual emotional enjoyment. Both conditions are different. You get more excitement during sexual intercourse than masturbation so you take more time to ejaculate during masturbation than intercourse. But by using some tricks you can increase your intercourse timings. For detail consult me privately through Lybrate.

From last 3 years I did masturbation now my pennis is getting erect and sperm is getting discharged very early. Is there any remedy.

Dr. Sarthak Dave 91% (302 ratings)
Psychiatrist, Ahmedabad
You seem to be pretty distressed about your early ejaculation problem. First things first. Masturbation DOES NOT Cause any harm to the body or your penis or sexual organs or your mind. Nor does it have any effect on the ejaculation capacity of an individual. U need to understand this. The production of sperms in our body is for 24 hrs 365 days. If you won't be ejaculating it by either regular sexual inter course or regular masturbation, it will come out sooner than before because of the pressure on the Sperm pouch inside the body. Most of the cases of premature ejaculation in our country are due to faulty practice or over expectations or ignorance and can be relieved just by understanding the physiology and anatomy of human sexual organs. The solution to your problem is increasing the frequency of sexual inter course or increasing the frequency of masturbation to 6-7 times a week. U can also use the start stop technique or the squeeze technique to prolong the duration of the sexual activity. If you practice this sincerely, you won't require any medications. U can contact me again after 15 days.
2 people found this helpful

Health Quizzes

Premature Ejaculation - Ways That Can Help You Get Over It!

Dr. Deepak Agrawal 90% (264 ratings)
MBBS, MD - General Medicine, FCCS,USA, DIPLOMA IN HOSPITAL MANAGEMENT, POST GRADUATE DIPLOMA IN JOURNALISM AND MASS COMMUNICATION
Sexologist, Jaipur
Premature ejaculation is an incurable condition, especially among older men. True or False? Take this quiz to know now.
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Premature Ejaculation - Is It Common?

Dr. Yogesh Tandon 92% (876 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Delhi
It is normal for middle aged men to experience premature ejaculation. True or False? Take this quiz to know now.
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Premature Ejaculation - How To Cope With It?

Sexual Health Clinic
Sexologist, Delhi
The start stop technique is one of the most common ways to cope with bad performance in bed. True or false? Take this quiz to know more.
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Myths and Truths About Premature Ejaculation

Dr. Imtiyaz Jaliwala 88% (178 ratings)
DHMS
Homeopath, Vadodara
Stress is an essential cause for PE and occasional impotence. True or false? Take this quiz to find out.
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Premature Ejaculation - Can It Be Treated?

Dr. Shah Dupesh Khan 90% (226 ratings)
MBBS, FASM (Andrology & Sexual Medicine), DCE (Embryology), PHD (Reprodcutive Medicine)
Sexologist, Chennai
Premature ejaculation can be caused by excessive self-indulgence and is usually incurable. True or False? Take this quiz to know now.
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