Of the 35 studies used in the previous meta-analysis, 8 studies (N=263) were prospective, double-blind, real-time stopwatch studies that were separately analyzed in a subsequent meta-analysis. These 8 studies evaluated clomipramine, fluoxetine, paroxetine, sertraline, citalopram (Celexa), fluvoxamine (Luvox), mirtazapine (Remeron), and nefazodone (Serzone) against placebo. Paroxetine (783% IELT increase, 95% CI, 499–1228), clomipramine (360% IELT increase, 95% CI, 200–435), sertraline (313%, 95% CI, 161–608), and fluoxetine (295%, 95% CI, 200–435) exerted a significant delay in the IELT compared with placebo.6
Watermelon: Watermelon is a perfect fruit to enhance the performance during lovemaking and to overcome erectile dysfunction as well as quick ejaculation. Scientists have found that watermelon can stimulate L-Arginine production and help to prevent early discharge of semen. More amounts of L-Arginine means greater cardiovascular health in both men and women.

There's also an obvious alternative: pull out and stop having sex for a few minutes to postpone orgasm. Sex researchers William Masters and Virginia Johnson elaborated on this when they developed the "squeeze-pause" technique, also known as the "penis grip," to quell the desire to climax. As the name implies, this involves squeezing the head of the penis as orgasm approaches.
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Before the availability of nonsurgical methods for treating erectile dysfunction, a patient with premature ejaculation who was mistakenly diagnosed with erectile dysfunction might have undergone a penile prosthesis implantation, which would have yielded unsatisfactory results because of the incorrect initial diagnosis. In this scenario, the patient would be able to engage in sexual intercourse, because the penile implant would provide an adequate erection, but he would still climax prematurely.
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Almost 70 percent of men around the world are known to be unhappy with their penis size. Penis Enlargement cream is one of the many options out there to for men that are unhappy about the size of their penis. However with so many lotions and creams on the market which one do you choose? Which of these creams are effective and will give permanent result Easy to Penis Enlargement Cream

Erectile dysfunction (ED) and ejaculatory disorders such as premature ejaculation (PE) are considered the most common types of sexual dysfunction in men. "The inability to achieve or maintain an erection sufficient for satisfactory sexual performance," is a commonly accepted definition of impotence by the National Institutes of Health; however it is now recognized by the American Urological Association (AUA) as ED.1 ED reportedly affects up to 40% of men between the ages of 40 and 70 and is more likely to develop with aging.2-4 Despite broad consensus on a single definition, PE is commonly characterized by the inability to delay ejaculation, which occurs before or soon after the initiation of intercourse and is subsequently associated with feelings of distress or frustration.5,6 Unlike ED which is more prevalent in older men, PE is considered one of the most common male sexual disorders and occurs with similar frequency in men, independent of age.5,7
Good evening dr.saheb. I m 44 years old. I m suffering from premature ejeculation n erectile dysfunction. I was in habit of excessive mastrubation from my teenage. Due to excess mastrubation I m suffering from erectile dysfunction, serious premature ejeculation. My testicles are cold, swollen, hard and painful, male organ is cold and relaxed. even whenever erected seems to be cold and very immediately ejeculates after insertion with in first stroke. Erection is for very short period even if there is sexual urge. Desire to indulge in sexual activity is very weak. At very beginning of oral activity, a liquid starts oozing out from the male organ in excess. I m suffering from all this problem from 20 to 22 years countinuiously. My routine :- I wake up at 5 o clock in the morning and drink 3 glass of warm water with 2 spoons of dry a ambla churan And wake up early in the morning at 5’o clock. And after freshing I m going for running 3 kilometres. During 6 cups of green tea daily, smokes two cigarettes daily n liquor once or twice in a month. My height is 5′ 8″ and weight is 66 kg.
Hello sir..iam 27 years old and i have a habbit of masturbating twice a week since last 10 years…Nowdays i hav started noticing that the size and thickness of my dick has decreased alott…Whenver i have sex with my gf i ejaculate within 30 seconds and during masturbation also the tym remains same…one more thing wenever i hav a desire for sex sum sticky substance cums out of my penis..i dont undrstand what is that…so plz prescribe me some very effective medicyn for my problems..
Another solution that has been around for many years and which increases ejaculation latency time is the use of numbing materials. These usually come in the form of a spray or cream which you apply to the penis. Today, there are also condoms which have the numbing material inside them. In our experience, condoms are not practical, because the desensitizing material takes about 5-20 minutes to be absorbed.
Lawax ayurvedic treatment for shighrapatan does not cause any sort of health hazards or side effects. All thanks to the presence of pure herbal composition that do not carry even the slightest chances of causing harm to our health. Even if you stop using this treatment after prolonged use, no withdrawal effects are observed. Moreover, these capsules and oil are manufactured by a reputed and GMP certified company that keeps the quality and safety of its products at the utmost level. Strict quality testing is done at every stage to ensure that no recklessness is there in the production as well as packaging process.
The optimal medical treatment regimen for premature ejaculation has not been established. The author’s experience has been that in some males, single dosing before sexual relations can work well, whereas in others, it may be necessary to achieve and maintain a target blood level through daily use of the medication, as in the treatment of clinical depression.

It is a fact that premature ejaculation afflicts men who have infrequent sex. Lower the frequency of your sexual activity, the more prone you would be to get excited or even extra excited, when you actually do get the opportunity for sexual release. This excitement may lead to premature ejaculation. Owing to this, there is no way premature ejaculation can be separated from your sense of sexual prowess in the bed. The worst part is, this is almost cyclical. If you experience premature ejaculation, there are good chances that you may be so anxious about it during intercourse, that you may either not have an erection or you may ejaculate prematurely anyway.
Ron, the television writer, says that when he told his wife he was talking to me for this article, she was surprised: “I always thought it was obvious that I had a problem. It definitely happens more quickly than I’d like.” But in their eleven years of marriage, that hasn’t seemed to bother her—because he gives her an orgasm through oral sex before intercourse begins. “Once she comes,” he says, “she’s not even interested in getting me to come. Once she’s had one, the pressure is off.”
Behavioral therapy is one possible approach for treating premature ejaculation. Most commonly, the "squeeze technique" is used. If a man senses that he is about to experience premature orgasm, he interrupts sexual relations. Then the man or his partner squeezes the shaft of his penis between a thumb and two fingers. The man or his partner applies light pressure just below the head of the penis for about 20 seconds, lets go, and then sexual relations can be resumed. The technique can be repeated as often as necessary. When this technique is successful, it enables the man to learn to delay ejaculation with the squeeze, and eventually, to gain control over ejaculation without the squeeze. Behavioral therapy helps 60% to 90% of men with premature ejaculation. However, it requires the cooperation of both partners. Also, premature ejaculation often returns, and additional behavioral therapy may be needed.
I started masturbate when i was in the phase of growing up..i am 52 now..all the time from my childhood upto this age i am not grown up via manhood..i am married having children..using different medicines i passed the time..my urine does not dry it takes half an hour to dry..semen is thin , colour less..and flow automatically when i think about sex ..no control over flow and no odour/smell..pre ejaculation. . Very high sensitivity of organ..
Over-the-counter topical anesthetic creams contain a numbing agent that can treat premature ejaculation by reducing sensation and delaying climax. Apply the cream to your penis 10 to 15 minutes before sex in order for it to be most effective. The 2017 Sexual Medicine study found that topical creams can help increase the time it took to ejaculate by a few minutes. Although generally well-tolerated, anesthetic creams can cause:

The technique involves stimulating the penis and stopping just before you feel you are about to ejaculate. Stop the stimulation for 30-60 seconds and start again once you feel that you have regained control. Repeat this process 4-5 times, stopping and “resting” every time you feel that you are about to have an orgasm. Finally, let the ejaculation occur, so that you can identify the “point of no-return”.
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.
Pastore et al reported long-term benefit from pelvic muscle floor rehabilitation (PFM) in patients with lifelong premature ejaculation. The 154 participants in this retrospective study entered a 12-week program of PFM rehabilitation, including physio-kinesiotherapy treatment, electrostimulation, and biofeedback, with three sessions per week, with 20 min for each component completed at each session. Of the 122 participants who completed PFM rehabilitation, 111 gained control of their ejaculation reflex. Of the 95 participants who completed follow-up, 64% maintained satisfactory ejaculation control at 24 months and 56% did so at 36 months. [55]
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Lawax oil is wonderful part of ayurvedic premature ejaculation treatment that proves highly beneficial in treating the quick discharge of semen and mitigating all its distressing symptoms. Exotic herbal composition of Lawax oil helps to repair, heal and strengthen the weak penile nerves by providing the much needed nourishment and support to them. This herbal oil when applied over the affected area seeps through the dermal layers and the essential ingredients start providing their effective action. On consistent massage with Lawax oil, blood circulation through the male genital area is improved for good. The quality as well as functioning of male reproductive system is tremendously improved after massaging using this ayurvedic oil.
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.
Herbal prescriptions are usually provided after the Panchakarma therapies, which is an ayurvedic remedy for premature ejaculation. It is advised to use them under the supervision of an ayurvedic practitioner before resorting to the time consuming therapies. An herbal drug which is usually prescribed for delaying ejaculation is called Stambhaka Ayurveda.
Obviously, if single dosing is successful, therapy is simpler and has fewer adverse effects. Accordingly, this may be the preferred initial approach. If necessary, the dose may be increased in a stepwise fashion until a therapeutic effect is achieved or the maximum daily recommended dose is reached. No exact schedule for increasing the dose has been established; the experience of the physician, the response of the patient, the adverse effects experienced by the patient, and other general medical considerations should be the guiding factors.
The optimal medical treatment regimen for premature ejaculation has not been established. The author’s experience has been that in some males, single dosing before sexual relations can work well, whereas in others, it may be necessary to achieve and maintain a target blood level through daily use of the medication, as in the treatment of clinical depression.
Respected Dr Sharma. please suggest me appropriate, effective and non harmful medicine for improving my sexual life. In my case my problem is that sometime during intercourse my organ gets flacid and does not erect again. It takes many hours for the organ to get back into the game. This has been very embarrassing to me. Even though I have desires for sex but due to the placid organ I could not enjoy it. Due to this my married life is in trouble.
Find the right muscles. To identify your pelvic floor muscles, stop urination in midstream or tighten the muscles that keep you from passing gas. These maneuvers use your pelvic floor muscles. Once you've identified your pelvic floor muscles, you can do the exercises in any position, although you might find it easier to do them lying down at first.
Sir hope you’ll be fine iam from Pakistan my name is saad.iam suffering from pre mature ejaculations since 5 years iam v upset.as I started sex or think for sex I feel iam goings to release and also penis become thin and small I know due to badhabbits of mine iam responsible for all that .now my age is 35 is there any medicine which can cure this disease.
I am married for last 4 years. We are trying for baby for last 3 years. But without any success. I use to masturbate very much before marrige. Now my semen is very watery and thin. It even looks like water with very slight milky white colour. And the quantity of semen is also low and the errection is weak. Is there any homeopathic madecine for my problem.

dear Sir I am 27 year old guy and I do excess of masturbation from last 10 years my penis did not get the proper erection and when I chat with my gf something leaked from my penis I do not know what is it but I m shocked and when I am going to toilet when I put some force for toilet same white sticky liquid rise from my penis .if possible plz advice what can I do and what medication u give me for that disease.


The diagnosis of PE is based on sexual history alone. A detailed sexual history should be obtained from all patients with ejaculatory complaints. When obtaining the patient’s history, several important sexual and psychological characteristics should be assessed: frequency and duration of PE, relationship to specific partners, occurrence with all or some attempts, degree of stimulus resulting in PE, nature and frequency of sexual activity (foreplay, masturbation, intercourse, use of visual clues, etc.), impact of PE on sexual activity, types and quality of personal relationships and quality of life, aggravating or alleviating factors, and relationship to drug use or abuse.
Treatment options currently under investigation. Compared to the array of prospective treatment modalities being studied for patients with erectile dysfunction, future investigational agents for patients with PE to date have not been as promising. The lack of currently approved treatment options by the FDA has further called into question the chronic continuous use of current agents which are viewed as having a questionable risk-to-benefit ratio for the management of PE. Despite these challenges, several agents are being investigated for PE including: SSRIs, serotonin receptor (5-HT1A) antagonists, opioid receptor agonists, PDE 5 inhibitors, and topical preparations.
4. Try making use of the “refractory period” after ejaculation. How soon can you achieve an erection after ejaculation? How long can you stimulate the second erection before ejaculation? Many men experience less sensitivity during the second erection and often a good treatment for premature ejaculation is to have the man ejaculate once (maybe during intercourse) then move on to please his partner until his erection returns, then use that second erection to have a longer intercourse session.  Although some couples initially complain about this idea, it has worked very well for lots of couples.
You don’t need us to tell you that this is not a long-term strategy. Excessive consumption of alcohol or illegal drugs poses a serious health risk, and engaging in these behaviors every time you want to have sex is a bad idea. But other than the health risks, it is also counterproductive. As we mentioned earlier, PE is caused by an inability to identify the feelings and sensations that you experience before orgasm. Instead of being more in touch with your body, alcohol only reduces your focus and perpetuates your problem.
With respect to the indications described on the portal, my symptoms and indications are identical to what have been described to cure with China and Staphysagria however I don’t know in what proportion should I take these medicines and should we take Mother Tinctures Or Potency (e.g. 30, 200 etc.) drugs of these compounds or would you suggest anything better to cure my problem
Leonard Gabriel Gomella, MD, FACS is a member of the following medical societies: American Association for Cancer Research, American College of Surgeons, American Medical Association, American Society for Laser Medicine and Surgery, American Urological Association, Sigma Xi, Society for Basic Urologic Research, Society of University Urologists, and Society of Urologic Oncology
Sir hope you’ll be fine iam from Pakistan my name is saad.iam suffering from pre mature ejaculations since 5 years iam v upset.as I started sex or think for sex I feel iam goings to release and also penis become thin and small I know due to badhabbits of mine iam responsible for all that .now my age is 35 is there any medicine which can cure this disease.
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