Myself Imran imi from punjab Pakistan 46 years old. and married. i have 4 kids. My problem is that in my young age i severely suffered from the problem of night emission. due to this or may be some other reasons too i have problem of premature ejaculation. i have not any problem regarding sexual desire. i am in mood. but when i start sexual intercourse with my wife i am fully excited but i have problem of P.E. even i cant hold for 1 minute some time i cant penetrate. Pre cums start even thinking of sex and the drops continue to come out during sex. after ejaculation i have never erection or desire for second time with in hour or whole day. my semen is also not strong and my penis health is also not satisfactorry. not proper width,girth and length. kindly help me to come out of this problem. can you please prescribe me best medicines without side effects to cure me permanently. thanks. awaiting your reply.
Accordingly, some therapists advise young men to masturbate (or have their partner stimulate them rapidly to climax) 1-2 hours before sexual relations are planned. In an older man, such a strategy may be less effective, because the older man may have difficulty achieving a second erection after his first rapid sexual release. If this occurs, it can damage his confidence and may result in secondary impotence.

A middle-aged man had main complaints of premature ejaculation since last 3-4 years. He would also feel tired and weak after sexual activity. He had taken several different herbal preparations, Ayurvedic and homeopathic combinations, and conventional medicines but none of them worked. His other complaints were constipation with bleeding piles since last 5-6 years and chronic acidity. Mentally, he was worried about his condition. He was overly concerned about his performance and he felt guilty about being unable to satisfy his wife. He felt that he was doing injustice to his wife. He was prescribed Causticum. Within 1 week, his problem of bleeding piles had completely stopped and there was marginal improvement in his ejaculation. After a month of homeopathic treatment, he could sustain for a longer time. Within 6 months there was no anxiety regarding ejaculation.
Clinical efficacy and safety of TCAs.Clinical trials evaluating the TCAs for the treatment of PE have focused primarily on clomipramine which has been shown to have favorable effects on IELT in several studies.5 In a randomized crossover design involving 36 men with PE who were treated with fluoxetine, sertraline, clomipramine, and placebo, clomipramine had the greatest effect on IELT (from 46 sec at baseline to 5.75 min, P<.01) and patient sexual satisfaction.43 Anticholinergic side effects such as drowsiness, dizziness, dry mouth, and fatigue have been reported in clomipramine-treated patients and may necessitate discontinuation of therapy; on-demand dosing may minimize these effects and improve patient tolerability.

In the event that you have issues with early ejaculation then you are not alone – upto 30-40% of males are in similar situation, and reports have demonstrated that as much as 75% of men ejaculate within ten minutes of sex. There are various reasons this could happen – for instance, mental variables like sadness, push or insufficient fearlessness may all add to the issue.
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.
I am 36 years old married man. I have premature ejaculation and ejaculation period lasts only 5 seconds. I want your help in the matter. I used to masturbate in my teen age. May be that could be the reason. Plus when i pass urine, i feel burning at times in my urinary tract. I have a great desire about sex. Please diagnose and help me. I want to increase ejaculation period.

The most common complications associated with the penile prosthesis are device malfunction and infection. Technological advances have decreased the rate of malfunction and a recent review found a 10-year device survival rate of 79.4% in 2,384 patients with inflatable products.33 Similar advances have led to the development of antibiotic-coated devices, which have resulted in decreased infection rates.
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Neurogenic disorders involving the central nervous system (CNS) or peripheral nervous system such as stroke, spinal cord injury, Parkinson's disease, and multiple sclerosis have also been associated with ED. Furthermore, patients with a history of benign prostatic hyperplasia (BPH), Peyronie's disease, hypogonadism, or those who have had a radical prostatectomy secondary to prostate cancer are at greater risk of developing ED.12
The introduction of selective serotonin reuptake inhibitors (SSRIs) revolutionized the treatment of premature ejaculation.4 In 1994, the first study of SSRIs in men with premature ejaculation demonstrated a delaying effect with paroxetine (Paxil).5 Since that time, SSRIs have been repeatedly investigated for their propensity to delay ejaculation. Certain SSRIs and the tricyclic antidepressant clomipramine (Anafranil) have become the agents of choice for the treatment of premature ejaculation.6

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Dr Sharma can you please assist me in the following matter mitral valve stenoses,with angina heart.I found the following remedy on the Web from Dr Bashir mahmud ellias.It is as follows Adonis vernalis, convallaria 12x, cretagouse oxycantha, palsatilla, aurum metallicum 6x, acidum picricum 6x, vanadium 6x. Please advise if this treatment will help for my condition.Thank you very much.

Sir m 24 year old male….when i do sex with my partner i did not get erection completely and as she touches my private parts i get too kuch excited and ready to ejaculate but i control and as i wear condom and ready to penetrate as soon as my penis touch her vagina i ejaculate…..m very much frustrated on this situation and i really feel ashamed in front of her….please suggest me proper medicine and cure…..i beg u sir please help me….
I have premature ejaculation as most of the time my wife expressed dissatisfaction after sex.Though in last 20 years one or two occasions only i hold for more times but most often within minutes of penetration i ejaculated. Though i have tremendous desire to have sex with wife and think of it when comes home after a gap of two to three months but once close, i failed to stay long.As I heard R41 and other medicine, please prescribe me one. I am 52 and my wife 46, both working but recently wife loses all desire and she hardly wants to have sex not only my problem but also she losses desire

The best homeopathic medicine for any disorder depends on the characteristic symptoms presented by a person. This means that homeopathic treatment for erectile dysfunction as well as premature ejaculation is highly individualized. No two people are the same, and homeopathy is most effective when the right 'constitutional remedy' is chosen as per the physical and mental symptoms.
6.  If you haven't orgasmed within 24 hours of being sexual with your partner, you will ejactulate quicker. Men who masterbate in the mornings and then have relations with their partners in the evening tend to be able to last longer because they have had an orgasm within the same day. You can also masterbate at night and have sex in the morning with the same effect.
After practicing this technique for a while, the couple can move to another phase of the process. In this phase, the partners sit facing each other, with the woman’s legs crossing on top of the male’s legs. She stimulates him by manipulating his penis first close to and then with friction against her vulval area. Each time he senses excessive excitement, she applies the squeeze and stops all stimulation until he calms down enough for the process to be repeated.
Premature ejaculation leaves you feeling frustrated and affects you emotionally because of your disrupted sexual life. This condition is also capable of affecting your relationship with your partner because of unsatisfactory sexual activity. Premature ejaculation lowers a man’s self-esteem and drains him of confidence. Do consult an Ayurvedic physician before starting an Ayurvedic treatment for the condition.
Hello Dr. I am now 65 years . In my young life when I intercourse some one I feel that my penis comes to soft and discharged. I get fear. Thoug I marry but I suffer this things. For this reason I separate. That time I was so busy don’t think about the matter. Now I like to enjoy sex. But the problem is I used some Aurvadic medicine also message my penis, there is no result. I have suger pp-200 and pressure is more or less normal.So my request you suggest a suitable strong medicine by which I may satisfy myself.

A weekly or daily dose of Chinese herbal medicine — in particular, Yimusake tablets or Qilin pills — may treat premature ejaculation by boosting sexual stamina and improving energy. That same Sexual Medicine study found that different types of Chinese herbal medicine can increase ejaculation time by about two minutes. Known potential side effects include:
The most indicated homeopathic medicines for premature ejaculation due to sexual excesses are kali bromatum, nux vomica, ustilago and staphysagria. Kali bromatum is a wonderful homeopathic medicine for premature ejaculations associated with great debility. Effects of sexual excesses, especially loss of memory, impaired co-ordination, numbness and tingling in limbs are treated well with homeopathic medicine kali bromatum. Nux vomica is the most effective homeopathic medicine for premature ejaculation, especially from bad effects of high living lifestyle. Person gets easily excited, bad effects of sexual excesses is treated well with homeopathic medicine nux vomica. Premature ejaculations in person having irresistible desire for masturbation is treated well with homeopathic medicine ustilago. Staphysagria is best indicated in person who constantly dwells on sexual subjects and is highly excited even before the sexual stimulation starts. This highly excited state leads to premature ejaculation.
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