In studies by Safarinejad and Hosseini [50] and Salem et al, [51] 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). [52]

In young individuals, problems such as nightly emission after dream, nocturnal emission, dribbling of prostatic fluid during urination or stool come under premature ejaculation as well. PE may occur along with erectile dysfunction (ED) because nearly 50% of men having premature ejaculation problem suffer from ED too. Take a look at various aspects of PE below, find out the benefits of homeopathy treatment for this sexual disorder and how we can successfully cure it.


The time period of usage of Lawax shighrapatan ayurvedic treatment is not fixed as it varies from person to person. This happens because different men have different recovery abilities, varied severity of the condition as well as they follow somewhat different lifestyles. The discipline of usage may also vary from individual to individual. But an estimated time frame is 3 to 4 months (or 12 to 15 weeks) and this time period can successfully stop PE long lastingly and achieve all-round recovery.
A man’s semen can be controlled by the mind and control of semen is life giving. Therefore, the semen and mind should be controlled and conserved. Yogis (people who practices yoga) have always claimed that autonomic body functions can be consciously controlled with time and effort. Functions of the reproductive organs can also be influenced and controlled by yoga practices over a sustained period of time. By practicing vajroli, one can learn to control the physical mechanism, but along with the mental control also can be developed [22].

Italian scientists conducted a study that included 40 men ages 19-46 who experienced lifelong problems with premature ejaculation, and who had no luck using different forms of treatment (including creams, antidepressants and behavioral therapy) to correct the issue. Over the course of 12 weeks, doctors had these men work out their pelvic muscles with a series of targeted strength training exercises. Prior to the study's conclusion, the men’s average time to ejaculation was 32 seconds. At the end of the program, that time increased fourfold to 2.5 minutes, with only five men in the study experiencing no significant improvement. The findings were presented at the European Congress of Urology annual meeting.
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 Ruben. I am 55 yrs old without any bad habits like smoking, drinking, drugs, slim, abt 72 kgs 6 ft tall and active. I do mustabation once in a while. My ejaculation time is immediate 1 or 2 seconds from my young age. I need medicines for delay ejaculation more than 5 mins. Please suggest ayurvedic or homeo without any side effects and where I could those medicines in Mangalore. I would appreciate ayurvedic medicine. Please do not publish this on internet.
I am suffering from Premature ejaculation from last 15 years . It takes 30 second to ejaculate. In my child age i was used to have hand ejaculation regularly but from last 15 years i don’t use my hand. I had visited to doctor once and he checked my penis from air pressure and found it ok . Moreover he prescribed medicine costing 8 k per month for three month and i had used that medicine but only for 1 month as i was suffered from financial crises.

Another possible treatment is prescription medication that helps to delay ejaculation. Delayed orgasm is a common side effect of certain drugs, particularly those used to treat depression. This is true even for men who are not depressed. When this type of medication is given to men who experience premature ejaculation, it can help to postpone orgasm for up to several minutes. Drugs used for this type of treatment include selective serotonin reuptake inhibitors (SSRIs), such as fluoxetine (Prozac), paroxetine (Paxil) or sertraline (Zoloft); and tricyclic antidepressants, such as clomipramine (Anafranil).


Myself rakesh kumar from punjab 36 years old. and married. i have one daughter. 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. after ejaculation some time later i again feel excitement but not like earlier. second time erection is not hard. 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.


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.
While there's no cure to premature ejaculation, there are treatments and exercises you can use to stop premature ejaculation. Keep in mind that for most men what really works is, in fact, a combination of all these techniques along with psychological counselling, if it is necessary. Quite often, it is about solving a mix of anxiety, stress, but also bad habits of ejaculating too early.
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.
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.
I’m 30 years of old,72 kg weight,5’4″ high and unmarried. I had a bad habits of masturbation since the age of 15. Now I’m planning for marriage but feeling nervousness coz I realized that now a day’s my special organ is not so hard. And also discharge within 1 minutes and semen is very thin and like water colour.when I think any adult scene in can’t stop discharge. Having short of memory since few days.I already stop masterbate last 2 month ago.Plz suggests proper treatment.

There is no such strict ejaculation time period.   But still if the ejaculation is occuring in 5 to 8 minutes can be considered as normal ejaculation. But if the ejaculation is occuring in 1 minute can not be called as healthy and normal ejaculation. Another thing if both the partner are happy in that short period also can not be called as pre mature.
There are several theories as to the cause of PE: One study blamed hyperactive pubococcygeal muscles, while some sex therapists attribute it to early conditioning—furtive, fast masturbation. “There’s this extremely vivid image I have,” Allen recalls, “of sitting on my parents’ bed looking through my father’s stack of porn magazines and half looking over my shoulder to make sure my brother wasn’t coming down the hall or, God forbid, my parents weren’t coming home. It was, you’d better finish quickly before you get caught.”

Dietary changes: Several dietary changes are required for treating premature ejaculation, following Ayurvedic principles. Consume food items such as cereals, fish, bananas, nuts, lettuce, shellfish, and vegetables like fennel, onions and celery. Honey is essential and should be taken regularly. There are several food items you should avoid taking which include coffee, tea, alcohol, processed food, food containing excessive white sugar and white flour, and denatured foods.
Kegels: Kegels are not only meant for women but are also good for men too. These special exercises are used to strengthen the pelvic floor muscles and aid in controlling PE. First of all identify your Kegels or pubococcygeus muscles and practice the contraction and relaxation of these muscles on a routinely basis to perform natural shighrapatan treatment.
I am of 45 I am masterbating from the age of 12 when I fuck my wife twice a week or ulternet day though my seeman is at the time thin I fall after half an hour. If I fuck her after 15 days though seeman is fat I fall 10 to 20 second. In between 15 days my wife with her hand does masterbate my penis somany times.if I masterbated a night ago of 15 days gap fucking then I ejuculate (discharge or fall) in five minutes.what will be the medicine dnctor I desire after a month gap sex when I fuck my wife like regular fucking I stay more than half hour is it possible. In regular fucking my wife falls so early that her vegina becomes dry and then she is in little pain then I use some oil to moisture vegina becouse I use condom in 15 days gap fucking if I fall in secods she even before me falls and in gap fucking she doesnot give me to suck her breast atall I couldnot understand this action of her in regular fucking she never apposess I suck her breast according to my wish. In my thinking due to gap she fills uncontroll hurnyness so she apposess of breast sucking and this hornyness is the rison of fall of both of us. It is verry sorroful,sad,unhappy and harashing that after a long gap when we are in sex both of them falls, discharge, edjucalate in secods . Doctor this is the problem hope you will cure me advice me best medicine I wrote this much by a keypad phone in more than two hour THANKYOU
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:
‘Hatha yoga’ gives utmost importance related to conservation of semen and controlling ejaculation. Identification with the body ceases and consciousness becomes free from physical identification, if a yogi (the one who practices yoga) controls the bindu (semen) and prevents its release from the body even during maithuna (sexual intercourse), according to ‘Hatha yoga pradipika’. The knower of yoga conquers death by preserving the bindu (semen). Release of the bindu is equal to death and conservation of semen is life. There are some practices explained in hatha yoga texts to preserve the semen (to stop / to control/to withhold ejaculation). The bindu which is about to fall in to the woman’s vagina should be made to move upwards with continuous practice. The ejaculated semen along with the secretions of women’s vagina should be drawn up through urethra by muscular contractions. The flow of bindu can be reversed by continuous practices of various mudra’s like, vipareeta karani mudra, khechari mudra, vajroli mudra etc [22];
The first step is to attempt to relieve any underlying performance pressure on the male. If premature ejaculation occurs when intercourse is attempted, the couple should be instructed not to attempt intercourse until the ejaculatory problem is treated. In the meantime, the male may use manual stimulation, oral sex, or other means to satisfy the female partner.
Studies in male rats have demonstrated that serotonin with various 5-HT receptor subtypes are involved in the ejaculatory process.2 Based on these studies, it’s been suggested that lifelong premature ejaculation is a neurobiological phenomenon related to decreased central serotonergic neurotransmission, 5-HT2c receptor hyposensitivity, or 5-HT1a receptor hypersensitivity.3
Conventional treatment of erectile dysfunction includes drugs like Sildenafil Citrate (famous by the brand name Viagra), Vacuum Constriction Device, Penile Injection Therapy and surgery. Too much attention has been drawn to Viagra by the media notwithstanding the potentially dangerous side-effects of this drug. Viagra enables erection (in the presence of sexual stimulation) within an hour of administration but can lead to some serious side-effects such as impaired vision, hypotension, stroke, increased intraocular pressure, mental confusion, dizziness, headaches and sudden hearing loss. It can be very dangerous especially for men who are suffering from cardiovascular diseases. The conventional medication for premature ejaculation such as selective serotonin reuptake inhibitors (SSRIs), desensitizing creams, etc. also tend to provide only temporary relief but not lasting solution.
Hi..I am 30 year old unmarried.I had a bad habits of masturbation since the age of 15. Now I’m planning for marriage but feeling nervousness coz I realized that now a day’s my special organ is not so hard. Its rising but downwards. And also discharge within 20 t0 30 second after 5 to 6 strokes.. Plz suggests proper treatment.n plzz tell me how can i leave this bad habit.. I m very scared sir… Plzz help me.
Hi sir, i am satyajit. I am a 26 years old boy. My height and weight is 5’6” and 55 kg respectively. I am unmarried. I am starting mastarbrates at the age of 17. I do mastarbrates still now. In the time of mastarbrating my sperm within 10-15 seconds. I want to get rid of this problem. Please suugest me the medecine and it uses so that i can get rid of this problem
In this technique, the female partner slowly begins stimulation of the male but stops as soon as he senses a feeling of excessive excitement that may lead to ejaculatory inevitability. She then administers firm compression to the penis just behind the glans, pressing mainly on the underside. This compression should be uncomfortable but not painful. Once the male has the feeling that ejaculation is no longer imminent, the female resumes stimulation.
I have been reading online about premature ejaculation (PE) for the past few years, to try help my husband out. I can’t find any solid solution for this problem nor any genuine pills for PE. Recently he came to know about the pill called Dapoxetine. In some countries it’s already been recommended and available. Can you confirm this pill is ok for him to use and from which site to purchase online?
it might be that for an untrained person ejaculation is uncontrollable or premature, if you will. of course to define uncontrollable or premature depends on the person who defines what that means. but i think the point of PE problem is the problem that men ejaculate too quickly thus not being able to enjoy sex with his partner. women ejaculate after 10-15 minutes and men usually in 6 minutes so this is a problem for an enjoyable sex life for some. also some people ejaculate after only 1 minute in sex and this is what is clinically considered PE. the thing is that there are methods to retrain your brain and body which can extend the time before ejaculation by many many minutes.
I’m Andrew Barji I’m facing problem during sex.during foreplay my penis becomes wet even a thought of sexual activity or when I see sex pictures or videos my penis will go wet and after inserting penis it often ejaculate within a minute. Sometimes when I’m in the mood to have sex and I hold my penis I will discharge though I used to masturbate earlier not now.pls sir I need your help and better prescription. Thanks and God bless you for your good work. Regards to your family.
Changing the approach/thinking when making love can help to prevent you from climaxing early. How can you do this? well, the best way to relax and remain calm is by putting your attention in your breathing, also noticing your partners breathing, is faster, slower than yours…no need to change it, just become aware of it, are you breathing in your chest or lower in your belly? Simply by shifting your attention to your breath may help change your mindset. Take time to check how you feel, the different areas of your body, slow down, there is no rush, no pressure, there is no objective so not focusing on orgasm, but the sensations and pleasure you and your partner experience along the way can also help with his.
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.

There are also topical anaesthetics available such as EMLA numbing cream, which contain prilocaine and/or lidocaine to help delay ejaculation in men whose ejaculation is caused by over-sensitivity. Topical anaesthetics are applied 15 to 20 minutes before sex - but they must be washed off completely before having sex, as they can also be absorbed into the vagina.
Clinical efficacy. The efficacy of the PDE 5 inhibitors has been demonstrated in several patient populations with ED due to organic and psychogenic causes. In a pooled analysis of several sildenafil studies, 63%, 74%, and 82% of sildenafil-treated patients who received 25 mg, 50 mg, and 100 mg, respectively, reported improvement in their erections, compared to only 24% of placebo-treated patients.15 Similar results were observed in vardenafil-treated patients in whom escalating doses were also associated with better outcomes, between 58% and 66% of patients on vardenafil reported success with intercourse regardless of the drug dose.18 Two studies in tadalafil-treated patients showed that 62% and 77% of patients were successful with SEP2, compared to 39% and 43% of placebo-treated patients, respectively (P<.001). For SEP3, 50% and 64% of patients indicated successful completion of intercourse, compared to 25% and 23% of patients, respectively (P<.001).17
Drug induced causes of erectile dysfunction are common and can complicate the medical management of underlying conditions associated with ED such as hypertension, depression, and BPH (Table 1). Beta blockers, selective serotonin reuptake inhibitors (SSRIs), and the uroselective alpha adrenergic receptor antagonists have been associated with the loss of libido or ejaculatory disorders, which can result in drug discontinuation by patients and suboptimal treatment of these conditions. Researchers examining the role of drug exposures in the prevalence of erectile dysfunction found that hypertensive patients taking selected antihypertensive therapy increased the odds of ED prevalence, compared with patients not taking selected antihypertensive therapy (odds ratio [OR] 3.0, 95% confidence interval [CI] 1.6-5.9).13
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.[toc]
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