Before thinking about solutions it’s worth considering if he does have a problem. Misleading information about sex can make people think they have premature ejaculation when they don’t. ‘Good’ sex is presented by the mainstream media and porn as requiring lengthy periods of penetrative sex. Giving us limited ideas of sexual pleasure and overlooking most men last a matter of minutes between penetration and orgasm on average.
In studies by Safarinejad and Hosseini  and Salem et al,  the opioid analgesic tramadol was found to be significantly more effective than placebo in terms of increased time to ejaculation, increased sexual intercourse satisfaction, and tolerability. In a randomized double-blind, placebo-controlled clinical trial by Hamidi-Madani et al in 150 patients, 12 weeks of tramadol 50 mg on demand, paroxetine 20 mg on demand, and placebo all resulted in improvement, but the tramadol group experienced significantly greater benefit than the paroxetine and placebo groups (P < 0.0001). 
Sir I am suffering from sperhattorrhoea since 4 years m 18 yrs old I have visited doctor for some time I feel relief and it’s starts suddenly again so I am very depressed and not felling at all good I am trying everything from diet food and I have completely left junk food still discharge occurs frequently in night sir plz suggest me some medicine so I get cure from this..
please guide me,I am suffering from erectile dysfuction and premature ejaculation for so many years.Now i am 35 years.after few months i am getting married.I have drunk alcohol in a very large quantity,but for the last one year i stopped drinking but after that also there is no improvement.there is very less excitement also.Please guide best medicine.
Premature ejaculation (PE) is the most frequent sexual dysfunction in males, and its prevalence has been reported as 21-33%. Currently, there are no universal criteria for the diagnosis, or treatment strategies or approaches for PE. Lack of observational studies directed to PE makes comprehension of this sexual dysfunction difficult. The common point for definition of PE is a short duration between penetration and ejaculation, little or no control on voluntary control of ejaculation, and annoying character and negative effect of this condition on the individual. There are various treatment methods since ejaculation physiology and neuroanatomy is not yet clearly demonstrated. According to neurobiological hypothesis of Waldinger, a dysfunction in the serotonin pathway of the central system such as serotonin-2C hyposensitivity and/or serotonin-1A receptor hypersensitivity is a possible cause of lifelong PE. These experimental animal models showed that serotonergic activity at hypothalamic level inhibited ejaculation reflex. Based on this physiological effect, selective serotonin reuptake inhibitors (SSRI), and serotonin agonists increase intravaginal ejaculation latency time (IELT). A number of studies showed that exercise increased the functional effect of serotonin in the human brain.
sir meri age 20 ha ma unmarried hu mujhy musterbation ki adat ha many boht koshish ki ha musterbation chorny ki lekin ye aadat khatam nahi ho rahi ma boht kamzor ho gya hu 5 saal sy lagatar ma musterbation ka shikar hu aur ab to bilkul meri sperm na hony ky barabr ha sir ap plz mujhy koi aesi medicine bbatay jis sy ma ye musterbation ki aadat ko khatam kar sako aur apni sehat ko thek kar sako plz sir meri help kary plz
But while masturbation can cause delayed ejaculation, it can also aid in the cure. If a guy won't agree to keep his hands off, Perelman will urge him at least to alter his masturbation style -- to switch hands, for example -- in order to break old habits. The problem is that your tried-and-true, quick-and-dirty masturbation style is probably terrible practice for sex with another person.
Ayurveda enumerates eight factors responsible for ejaculation. They are harsha (excitement, sexual fantasy), tarsha (strong desire for sex), saratwat (fluidity of semen), paicchilya (sliminess of semen), gaurava (heaviness of semen) and anutva (atomicity of semen), pravanabhava (tendency to flow out), drutatvat marutasya (due to vata). Dysfunction of either one or all of these eight factors leads to ejaculatory impairment out of which ‘drutatvat marutasya’ is most important. The physiology of ejaculation is under control of vata dosha. Vitiation of vata (especially apana vata) leads to PE . Previous scholars compared PE with an Ayurvedic pathological entity called, “shukragata vata’. Shukragata vata is a distinct pathological entity characterized by a group of clinical presentations either related with the impairment of ejaculation or with the impairment of seminal properties. ‘Kshipram munchati’,  ‘shukrasya sheeghram utsargam’,  ‘pravritti/Atiseeghra pravritti’  are the classical features of ‘shukragata vata’ which denotes early / fast ejaculation / PE.
The distressing disorder of PE that plagues the love life of a man can be effectively mitigated by making slight changes in one’s life and abiding certain healthy PE tips. Our diet forms an indispensible part of the PE cure and hence must not be taken lightly. They help to prevent premature ejaculation on the first place. Including proper food items in adequate amounts of important vitamins and minerals can rectify the early discharge of semen in a natural and efficient manner. We are now mentioning best food items that one must consume on a daily basis so as to prevent PE and achieve marvelous health benefits.
i am 43 year old man and married for 14 yrs. when i have sex with my wife, i normally ejaculate in 1 min after which there is no erection. this condition is prevailing for last 1 year. earlier i used to have normal time around 7 – 10 min. i am not diabetic. my pressure is normal. can u please suggest some homeo medication to help my condition. i exercise regularly and eat healthy mostly.
Hello Dr. Sharma, who can I see for the treatment of premature ejaculation? I wish to get married within 2 years but I must solve this problem of premature ejaculation if I want to be able to fulfill my future spouse’s sexual needs. As a matter of fact, if I can’t find a solution to my problem of ejaculating within a minute or two after penetration, I don’t need to get married at all I feel. I am in desperate need, therefore, to get this problem addressed… Is there real hope for me? And if so, how do I go about getting the help?
Another major impact of PE is that it poses the high risk of infertility. Release of semen and reaching climax during coitus is the only way to have babies and PE complicates the process of reproduction. This condition makes fertilization of egg impossible posing great hurdles for couples who are trying to conceive a baby. But quick discharge of semen is perfectly treatable and one must definitely search for an effective premature ejaculation cure or natural shighrapatan treatment. In addition, pay heed to some tips and perform PE exercises too to avert its negative effects.
Hello Dr sharma, I m 54 yr old person. I m facing problem of Pre Mature Ejaculation since 4 yrs. Hardly it remains for 10 to 15 seconds. Sometimes ejaculates before penetration . Erection is there. Semen is watery. Sexual desire is normal. Afraid of the situation in bed with partner. Talking medicine of thyroid 25mg and febutaz 20 mg for uric acid daily.No sugar, no BP, Please suggest me homoeopathic medicine to eradicate d problem.
Sir i am Ajit pal singh from punjab bathinda i am married one baby but i am faced early discharging problem and my piens not properly hard if i stops doing sex for 10 seconds my piens are ded i face this problems in long time some madiciens used but no results my age 40 years i think my sex power early ends plz tell me some madiciens to improve my sex power and strong piens thanks
Lawax capsules are amazing natural premature ejaculation pills that help to stop PE naturally. Pristine and time-tested natural herbs of Lawax capsules have powerful nourishing and rejuvenating properties that are helpful in increasing stamina, strength and energy levels and improve overall health and wellbeing of a person. These herbs assist in improving the ejaculation control and prevent early release of semen during coitus. A unique blend of ayurvedic ingredients all mixed in perfect amounts is a secret behind the reliability and effectiveness of this herbal PE cure. Lawax capsules possess potent anti-aging qualities that rejuvenate and energize the person.
I am a man of 42 years of age, I measure 1.65 m, weight 68 kg, I suffer from anemy ferropenica megaloblastic pernicious, besides hyper lipidemia high triglycerides and with sexual disorder of sex, I practice masturbation of 12 years, I seek to be alone for Do it even in public places or in the bathroom, I get too excited the big breasts addicted to pornography and sex especially oral and anal sex, I frequent prostitutes I have several sexual complexes for example my penis is very small barely 8cm, now the problem is That I have a stable partner but she feels unhappy with me because I ejaculate prematurely outside her vagina, I do not reach the penetration, and when the penetro says that it is very small and I do not feel my penis becomes flaccid when I reach penetration, with alone That she kisses me or touch me comes out prostatic liquid as if I had ejaculated, sometimes ejaculation is squalor but the orgasm lasts a lot almost 5 minutes sometimes it happens that ejaculation is very abundant but it does not cause me pleasure, almost always when I go to Urinate and sar under the penis of the underwear to make it feel like ejaculating, or when I walk or running the rubbing of clothes makes me excited, I also think too much about sex, positions and orgies and is something I can not control, There are days that I masturbate until 4 0 5 times or when I am with my partner we have relationships 6 0 7 times each time
Homeopathy is a very effective and highly safe mode of treatment. Homeopathy is a science which acts at the root level and restores the health of a person. Homeopathic medicines are very easy to take and are not habit forming in nature. They form the best and safest mode of treatment for premature ejaculations. Homeopathic medicines for premature ejaculation do not have any harmful effects on the male reproductive system. There are several homeopathic medicines for premature ejaculation treatment which increase the sexual intercourse time and overall improves the health of penis. Homeopathic treatment gives a good feeling of wellness and thus helps in regaining the vigor.