It's important to keep joints moving, even if you're dealing with pain from arthritis or an overuse injury. Try these joint-friendly options for physical activity: an elliptical trainer; a stationary bike (recumbent or upright); tai chi; swimming, water aerobics, or water walking; a rowing machine; short walks throughout the day, instead of a long walk.

I am 31yr old married guy. Meri problem hai k mai PE se dukhi hun partner k kahne pe doctor se bhi dikhay but unho ne vigora or tencher diya hai but us se aarm nahi hai. Sex k tym pe inter course karte he discharge ho jata hun Within 1-2 Secnd m is karan apne partner k samne sarminda hona parta hai. Bachpan m bahut zda masaburtae kiya karta tha. please meri help karyie.

‘Shukragatavata’ is a pathological entity of Ayurveda similar to premature ejaculation. For Ayurvedic management of PE, various herbal or herbo-mineral formulations, external applications over lower abdomen or all over the body, wearing different amulets made by herbs, psychotropic herbal drugs for reducing performance anxiety, various techniques elaborated in ancient Indian erotic literature to fasten the orgasm in female partner and use of shukra stambhaka drugs/formulations to improve control over ejaculation are mentioned. Various yoga practices are also described to get control over ejaculation and among them ‘vajroli mudra’ is an important one. Further clinical trials are required to substantiate these claims.


Life was good outside, but in the bedroom there was always war. My weak Erection and early Ejaculation affected my job, emotion and I was depressed for years. I became suspicious and jealous because my wife was not having what she needed from me. I got to state where the only alternative was to find a cure from drugs I was used to. Luckily for, I read about Dr UDI Herbal medication. First, I was in doubt because I have tried a lot of medications. But Dr. UDI Herbal medication cleared my doubts after using it for a month as recommended; my Weak Erection and Premature Ejaculation became a history. If you are having similar issue, you may contact Dr. UDI via [email protected] OR contact him through what-app via +2348051243538
There is no exact definition of premature ejaculation. While some couples may be happy with sex lasting a certain amount of time, others might find the same duration insufficient. In general terms, ejaculation within less than two minutes is considered to be premature, especially if it happens before penetration. Many couples think that if ejaculation happens within less than ten minutes, it is premature.
I was also frequent nocturnal. Every week, and sometimes two days in a row. The dream is not yet. My semen has become very thin. Very little excitement ejaculating during a very short time, even in ten seconds. Narbhagulo has been weak all my genitalia. Sometimes I want to return to normal, but that is a drop out, but not out. However, sometimes the semen comes out of the closet while not always. Genitalia size small, curved, thin is early. Abdominal pain is often at the bottom of the left side.

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Clinical efficacy and safety. Testosterone replacement therapy for the treatment of ED is controversial due to the lack of substantial data supporting the benefit of this treatment modality and the potential risk of long term side effects. A meta analysis found a significant mean erectile response rate in men with hypogonadism on testosterone therapy compared to placebo (65.4% vs 16.7%, P<.0001).30 However, a recent review found an inconsistent and non-significant effect on erectile function in patients with low testosterone (effect size, 0.80; 95% CI, -0.10-1.60).31 Testosterone treatment is generally well tolerated, with dermatologic reactions during transdermal replacement therapy being the most common side effects. The risks of developing prostate cancer while on long-term testosterone therapy have not been fully established, so close PSA monitoring is necessary.32

Sir, my name is kamalendu roy and i am32years old. I am suffering from premature ejaculation problem for 10 years. I ejaculate within 10seconds.i have taken lots of ayurveda medicine from 5years but i have no result. Now i saw that my penic is not proper erecting aalso. AND my penic is to small. Please suggest me some good medicine that I get out from this problem please sir..

Sir, I’m 42yrs and married in 3yrs . But at the time of intercourse I’m facing premature ejaculation . My intercourse duration lasts only 30 to 50 seconds. And Rarely only 1minute. Kindly help me by giving advice and remadiel treatment of my problem of premature ejaculation for which I will be greatful to you. I oftenly use homeopathic medicine and believe in homeo.
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
There are several medical treatments available to help alleviate PE in the short term, such as topical numbing cream that can be applied to the penis. A condom would need to be worn during sex with a partner, to prevent the cream affecting them. As with all medication, there may be side effects and it may take a few attempts to notice the benefits. There is also an oral treatment available, which is a low-dose anti-depressant that has been developed especially for PE. For more information on numbing creams such as Priligy, visit the Online Doctor Premature Ejaculation Clinic.

A meta-analysis6 of 35 treatment studies with serotonergic antidepressants from 1943 to 2003 shows that, despite major differences in design and drug dosing, clomipramine, fluoxetine (Prozac), paroxetine, and sertraline (Zoloft) significantly delay ejaculation compared with placebo. The percentage increase in IELT was the primary outcome measured. The rank order of efficacy was:


So instead of just masturbating efficiently to achieve orgasm, Perelman encourages men to fantasize about a sexual experience with their partners while they masturbate. He tells them to try "to approximate, in terms of speed, pressure and technique, the stimulation he likely will experience through manual, oral, or vaginal stimulation with his partner." It might take a little longer, but it makes masturbation more of a "dress rehearsal" for sex. You can also talk to your partner about your fantasy afterwards, Perelman suggests.
Modern medicine attacks premature ejaculation treatment from three different directions. The first step is usually sex therapy, in which a sex therapist will make a careful physical examination and will talk to you and your partner about your sexual life to understand the root of your sexual problems. This therapy may involve simple remedies like masturbating an hour before intercourse or any other technique which would help you delay orgasms.

According to Ayurveda, premature ejaculation is caused by aggravation of Vata (air) and Pitta Dosha at the commencement of physical mating. These doshas can be aggravated by anxiety or nervousness before the sexual act. Vata is characterized by its qualities of quickness and heightened sensitivity to the sense of touch. This gives a predisposition towards quicker ejaculation. Pitta plays a role in thinning of the semen, thereby supporting its early ejaculation. Secondly, these aggravated doshas cause hyperactivity of muscles in the male organ, thus increasing sensitivity to vibration and hence leading to early ejaculation.
Intracavernous papaverine and phentolamine, like alprostadil, are smooth muscle relaxants that facilitate the erectile process through the dilation of cavernosal arteries. Phentolamine lacks substantial effectiveness when used alone and papaverine monotherapy is associated with a higher incidence of prolonged erection and fibrosis so both drugs are typically combined and compounded at specialized pharmacies.12 The resulting product is referred to as "bimix." Another formulation called "trimix" is prepared with the addition of alprostadil. In clinical studies evaluating the combined use of all 3 vasoactive agents, the success rate has been comparable to alprostadil monotherapy. Therefore, the guidelines from AUA recommend that an initial trial of alprostadil monotherapy be considered in patients who are candidates for vasoactive therapy.12 For patients who fail alprostadil monotherapy, bimix and trimix formulations can be considered.
In a study of over 1500 men, The Journal of Sexual Medicine reported that the average time between penetration and ejaculation for a premature ejaculator was 1.8 minutes, compared to 7.3 minutes for non-premature ejaculators. Another study of 500 couples across five countries measured time from penetration to ejaculation, with time to ejaculation ranging from 33 seconds to 44 minutes with the median being 5.4 minutes.
Michael A. Perelman, PhD, a sex and marital therapist in New York City says he sometimes tries to get men with delayed orgasm to agree to a masturbation moratorium. This does more than stop the practices that may be contributing to the problem. It also allows a build-up of sexual desire, which provides "a mechanism for reducing the threshold of arousal necessary for orgasm," he says.

I am a 40 Year old male, married for last 15 years. I have been suffering from premature ejaculation since I got married however it has become severe over the last few years. I seek your advise and help to cure this ailment that has troubled me for last so many years. As such I do feel sexual desire and erection like a normal person or erection maybe slightly less stiff however the intercourse doesn’t last for more than 30-45 sec and that leaves me in very embarrassing state.


According to Ayurveda, ayurvedic medicine for premature ejaculation is caused by aggravation of Vata (air) and Pitta Dosha at the commencement of physical mating. These doshas can be aggravated by anxiety or nervousness before the sexual act. Vata is characterized by its qualities of quickness and heightened sensitivity to the sense of touch. This gives a predisposition towards quicker ejaculation. Pitta plays a role in thinning of the semen, thereby supporting its early ejaculation. Secondly, these aggravated doshas cause hyperactivity of muscles in the male organ, thus increasing sensitivity to vibration and hence leading to early ejaculation.

Masturbating before sex or having more than one orgasm during sex is a common tip for men to last longer. And while it is true that some men are able to last longer the second time round, this does not solve the underlying problem; especially as the older you get, the longer it will take you to get an erection after ejaculation. Some of our clients are older men who used to rely on the second time and decided to treat their problem when they could no longer get a second erection quickly enough.

I am facing too much problem of premature ejaculation as I was in habit of “Mushtzani” due to watching film and now I am using Avenasat Q, Acid Phos Q, Yohimbino Q, Dimiana Q, Nuphureno Q, Murapho, Q, agnus castus,Q yohimbino, acidum phosphoricum, selenium and dimiana (R-41 and Maktum Tablets) suggested by my Boss who was an Addl. Registrar in High Court but nothing was effective for me and now I am much weak in premature ejaculation and diminished desire Dr. Sahib I have a female daughter but now I am much ashamed before my partner. My age is 40 years. Kindly suggest the best treatment for premature ejaculation and stiffness and hardness and desire as I am too much weak in premature ejaculation and diminish desire. Dr. Sahib It is also pointed out that my body has some heat. kindly must reply as I am much anxious and awaited for your sympathetic consideration


Sir I am now 25 year old and my weight 60 kg .and I masturbat regularly around the age of 12 ~~13 year age now I face chronic premature ejeculation and then I feel very week and I feel pain calf when ejeculation the sperm and I face gastric problem in upper part of stomach and I feel head pain at evening time .My height 5’7′.And I will married after 3 months. Plz help me dr. Shaib.My sperm discharge with in 5 to 10 second only. can in use sbl damiyagra drop.i have more hair on the face.


Sir I am 28 years old and my name is Avinash Som.Sir I am suffering with premature ejaculation.I realizes following symptoms as slight stimulatiin put me into intense sexual desire,whenever I observe any smutty things promptly I seek to indulge in sexual activities it causes to masturbation.My penis erects frequently and concurrently it start to discharge water colour gel through.Whenever I penetrate within 4 or 5 strokes I am ejaculated.Kindly suggest me what medicines should I use.I am unable to suppress my sexual desire.

My age is 28.l am suffering from PE.when a girl touches my penis it occurs without erected properly.Even when I feel some sexual touching by a girl for a little duration after sometime I feel pain in lower abdomen as well as in my penis and I feel that something is trapped in my penis which remains me unslept full night.please suggest me proper medicine and its dosage with course.
Stop and start exercise: This exercise was perfected by the Masters and Johnson team of sexual research. This technique is also to be practiced individually for the first few times. You can masturbate alone and stop just before reaching the climax. You can practice this again and again by bringing yourself closer to ejaculation every time until the point you cannot control or regulate the process any more. This will help you to know the limit till which you can stop and regulate the ejaculation process. You can then use this technique during sexual activity with your partner. 
I am male 38 years from delhi. I am married and have two sons. I am suffering form the problem of premature ejaculation and erctile dysfunction for so many years. and have not taken any treatment for it. but for the last two years the problem has attained severity. i can not even be able to get erection for 5 minutes and in in two three strokes after penetration i am ejaculated. kindly advice proper medication.
I am male 38 years from delhi. I am married and have two sons. I am suffering form the problem of premature ejaculation and erctile dysfunction for so many years. and have not taken any treatment for it. but for the last two years the problem has attained severity. i can not even be able to get erection for 5 minutes and in in two three strokes after penetration i am ejaculated. kindly advice proper medication.
Erectile and ejaculatory disorders comprise the most prevalent sexual disorders in men, with erectile dysfunction (ED) primarily affecting aging men who have coexisting morbidities such as cardiovascular disease and diabetes mellitus. Premature ejaculation (PE) can affect men of all ages and is not typically associated with underlying organic disorders but is believed to be associated with imbalances in serotonin neurotransmission. The availability of oral phosphodiesterase inhibitors has revolutionized the management of ED, replacing less-desirable older products associated with more side effects. Although many efficacious treatment options are currently available and recommended for the management of PE, several challenges remain in bringing the first desirable, safe, and effective FDA-approved drug to the US market. This review examines the underlying causes associated with ED and PE and evaluates currently available treatment options and those under investigation. (Formulary. 2010;45:17-27.)
Sir My age is 40 years and I’m facing premature ejaculation. I have done sexual intercors but just just after digging my sperm gets out. It only lasts for 4-5 secs. I used to mastrubate from age of 16 years. Now when I do it using jel or cream I only can control 3-4 second and then sperm out happen. My penis is very sensitive. I am mentally fit. Sir please suggest me about treatment of High sensitivity of penis and very early ejaculation. Please suggest me sir I shall be highly obliged to you.
Sir I’m masturbating about last 12 years . Now Im 30 years old unmarried .i am suffering from premature ejaculations.sexual time not more than 30 second.My sexual desire is to high. But not last more than 30 second. After ejaculation of 15 to 20 minutes again sexual desire comes on. Testicle size is not normal but Earlier its was OK. No weakness or any type depression.
Various asana’s like, pawanamuktasana, surya namaskara, sarvangasana, halasana, shashankasana, marjari asana, ushtrasana, vyaghrasana, kati-chakrasana, tadasana, meruprishtasana, utthanasana, trikonasana, yogamudrasana, matsyasana and all backward bending asana’s; pranayama’s like nadi shodhana pranayama, bhastrika and ujjayi; mudra’s like, ashwini mudra, vajroli mudra, vipareetakarani mudra, maha mudra and maha bheda mudra; bandha’s like moola bandha and maha bandha; shatkarma procedures like, nauli, agnisara kriya; other practices like, yoga nidra and meditation are useful for general toning of male and female reproductive organs and also to calm the mind [23]. In a pilot study, yoga protocol which consists of various yoga practices has provided encouraging results in improving IELT in PE patients [24].
i have tried every delaying medicine but you wont believe, no one could give me any benefit, even for 30 seconds, when use time delaying medicine, i ejaculate in same time of 10 seconds but erection stays for 10, 20 minuts. i feel that may be i have problem with PC muscles or some other organ disorder. i have tried homeopathy, alopathy, herbal every type of medical treatment, but absolute no result. kindly help me if you can.
A single-blind randomized placebo-controlled clinical study in 100 patients concluded that tadalafil, 5 mg once daily for 6 weeks, was significantly more effective than placebo (P=0.001) and was well tolerated in the treatment of premature ejaculation. [46] Similarly, a meta-analysis of 15 randomized clinical trials suggests that PDE5-Is are significantly more effective than placebo (231 participants; P <  0.00001), that there is no difference between PDE5-Is and selective serotonin reuptake inhibitors (SSRIs; 405 participants, P = 0.50), and that PDE5-Is combined with an SSRI are significantly more effective than SSRIs alone (521 participants, P = 0.001). [47] The use of PDE5 inhibitors for the treatment of premature ejaculation is not approved by the FDA and is considered an off-label use.
Hi-My name is Jose and I am 59 years young, and I have IBS and prostate cancer and I found this out because I have had a very overactive bladder for the past few years. After going to the free clinic last June I will FINALLY be starting my prostate cancer treatments the last week of October and my doctor prescribed me Viagra that I am supposed to take beginning the week before my treatment begins. I don't have a lot of money (the treatment is taking every bit of my HSA) and he told me there were places online I could buy it and save some money, as Im going to be working a lot less during the treatments. Also, I am wondering if anyone has taken Viagra and if it affected your over active bladder issues at all?
Since I was 8years old I have to much urge, and my penis erect always, the first encounter with sex, I ejaculated with seconds, and at time a friend taught me how to masturbate, I masturbated without knowing it has side effects, just last year I stopped matubation, I have problem with premature ejaculations, I want to marry next year. Please what treatment should I take that will not have side effects so that I will be able to satisfy my wife, the anxiety in me is that I will not be able to satisfy my wife, although I have stopped masturbation for almost a year now. Again my penis always get erected in the early morning when I sleep or each time talked with a lady.

increase your libido and sex drive in female and male really matters in a relationship, i was facing difficulties in all my sex life i was humiliated because of my small penis and premature ejaculation problem i couldn't satisfy my partner during sex, i was so ashamed of my self until i was doing some research on bigger penis i saw some articles about this dr called santy jatto that he has remedy that can increase penis from 3 to 9 inches my own was 5 inches when erect i quickly contacted him through his whatsapp number on the articles he respond to me and send me the remedy through DHL, my first experience during the first week of usage was awesome right now i have a bigger penis 9.5 inches my sex partner do enjoyed me more during sex all thanks to dr santy jatto contact him now via whatsapp +2348145243120


Ayurveda is an ancient Indian system of medicine that makes use of herbs existing in the nature and formulates herbal remedies using the inherent power present in these herbs. We in Ayurveda believe that herbal remedies bring to you the richness of the herbs in a natural, unadulterated form. These combinations help improve immunity and provide strength, endurance and will.
Erectile and ejaculatory disorders comprise the most prevalent sexual disorders in men, with erectile dysfunction (ED) primarily affecting aging men who have coexisting morbidities such as cardiovascular disease and diabetes mellitus. Premature ejaculation (PE) can affect men of all ages and is not typically associated with underlying organic disorders but is believed to be associated with imbalances in serotonin neurotransmission.
There is no exact definition of premature ejaculation. While some couples may be happy with sex lasting a certain amount of time, others might find the same duration insufficient. In general terms, ejaculation within less than two minutes is considered to be premature, especially if it happens before penetration. Many couples think that if ejaculation happens within less than ten minutes, it is premature.

I have seminal leakage and premature ejaculation problem alongwith a weak erection or no erection at all from exessive hand practice what can i do to correct this problem? I very been into porn and masturbation since i was 14 now i am 47 i dischage within only one second. My wife unhappy with me. I want to correct this issue and move on with nomal life. Help me

I am Suffering from Premature Ejaculation & night fall since last 09 years, discharge within 2 seconds. Presently I am 28years of Age. I had habit masturbation in the early age from 20years to 24years .Since then I stopped masturbating. But after marriage experiencing premature ejaculation. When I see sex pictures or videos my penis will go wet .My sex desire is too much but during foreplay my panis becomes wet & less hard. My panis size is quite small .I can’t increase my weight, I think this is the reason of weightlessness.

Premature ejaculation may indeed be a function of brain chemistry. According to Andrew McCullough, director of male sexual health, fertility, and microsurgery at the NYU Medical Center and the author of the PE study, “Ejaculation occurs because of a certain balance between serotonin and dopamine. Dapoxetine increases the serotonin in the brain so you can engage in sex, then it gets out of the body.” Its biggest selling point is that, like Viagra, it can be taken as needed.


The most indicated homeopathic treatment for premature ejaculation with impotency are Phosphorus, Avena Sativa, and Nuphar Luteum. Phosphorus is a very effective homeopathic medicine for treatment of premature ejaculation with impotency. Person having irresistible desire but lacking power is treated well with Phosphorus. Premature ejaculation and too much sexual indulgence resulting in impotency is treated well with Avena Sativa. Another wonderful homeopathic medicine Nuphar Luteum is best indicated in case of early emissions, impotency and with complete absence of sexual desire.
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