[Guideline] Stanley E. Althof, Ph.D1., Chris G. McMahon, M.D.2, Marcel D. Waldinger, M.D., et al. An Update of the International Society of Sexual Medicine’s Guidelines for the Diagnosis and Treatment of Premature Ejaculation (PE). International Society for Sexual Medicine. Available at https://www.issm.info/images/uploads/PE_Guidelines_v12_-_FEB_2014.pdf. February 2014; Accessed: September 25, 2018.
I am a 46-Year-old male, married for last 11 years. I had diabetes a few months ago I have been suffering premature ejaculation. I seek your advice and help to cure this ailment that has troubled me for last few months. 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 a very embarrassing state.
Premature ejaculation (PE) is one of the most common sexual complaints among men of all ages and can affect both partners’ sexual gratification during intercourse. Many men are incredibly concerned with finding a means to an end for their premature ejaculation problem. Of course, men may suffer from premature ejaculation for a variety of reasons, including physical ailments that lower sex drive and prevent sexual stamina, as well as psychological conditions that do the same. In order to treat premature ejaculation at its source, you will need to work with your doctor to identify what factors may be causing you to be unable to build sexual stamina. You should treat these problems directly in order to cure the problem of premature ejaculation.

Antidepressants: A side effect of some selective serotonin reuptake inhibitors (SSRIs) is delayed orgasm. But these medications also have side effects that include nausea and drowsiness. They also can throw a wet blanket on your desire to have sex. So, it’s possible you’re trading one problem for another. You and your doctor will decide what’s right for you.
Sir My age is 20 years and I’m facing premature ejaculation. I didn’t make any sexual intercourse till now in my life. 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.
I have masturbation habit since last 7 years , minimum 2 -4 times per day masturbation done by me during phone calling of girls friends ,volume discharge during masturbation is plenty but suddenly masturbation discharge of semen volume become reduced since last 2 years at present discharge volume of semen is 2-3 drops kindly suggest me the homeopathic medicine to cure my problem so that I could able to Successfull intercourse

Premature Ejaculation is the situation when semen ejaculation early before the wish of male or his partner. In India, almost 30% of people facing the premature ejaculation problem and seeking of the best treatment that gives him on time results. Before the treatment you must know the main causes of the premature ejaculation problem. The are the various causes for the premature ejaculation problem thats why it classifieds into two categories first is Psychological and second one is Biological causes.
I’m Ramesh i’m 37 years old unmarried i fall in bad habits from childhood & was doing it almost everyday 5-6times now im suffered from PE and ED morning wood also does not come & I have had many ayurvedic medicines from different doctors but no satisfactory result i’m deeply down by these things i read about homeopathy is really helpful in such cases, kindly suggest how I can treat such issues and how long I will have to take these medicines for lifetime result.

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.
5 sorry but ek aur chij puchhna chahunga mere penis ki lmbai 4.9 aur motai 2.8 cm h kya ye narmal h aur kya meri problem ka ilaj ho skta h kyuki mai kisi girl ki life khrab nhi krna chahta hu. mai 15 ki age se masterbation krta aa rha hu tbhi se ye problems bhi h pr us smy age km hone k karn mai in smsyao ko smjh nhi paya. kripya uchit margdrshn kijiye
I am 33 years old weight 100 kg, height 5’6”. I used to masturbate frequently. I gave up the habit last year. I am unmarried and never had sex with anyone. Now I am worried about my past sexual behavior. When I was used to masturbate semen came out within short period of time. Now a days thick objects came out with urine. Now I am very much worried regarding this issue. Please suggest me the exact medicine. I will remain ever grateful to you.
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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.


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.
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Results take time and effort – It usually takes between 4 and 12 weeks to see results; and during this time you will be required to commit to the process. Not all men are motivated enough to put in this effort. But the power of a satisfactory sex life should never be underestimated; and if PE is something that you seriously want to overcome, we believe you will find it worthwhile to give this a go.
For men who aren't helped by any of these techniques, there's a pharmaceutical option. Since some antidepressants -- selective serotonin reuptake inhibitors, or SSRIs -- are known to cause delayed ejaculation, researchers tried them as a way to treat premature ejaculation. Your doctor may prescribe an antidepressant for you to take four to six hours before intercourse, men prone to premature ejaculation can last longer.
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.
* The sex-therapy program is also better for the couple. SSRIs don't change the way couples make love. The sex therapy approach to PE emphasizes whole-body massage. Women often complain that men are too focused on the genitals and intercourse. Most women say they prefer sex based on leisurely, playful, whole-body massage. The sex-therapy approach to PE is a win-win. Men get what they want, lasting longer, by adopting the lovemaking style most women prefer, whole-body sensuality.
Right from the day one of my marriage (2011), I have been experiencing premature ejaculation. Mos of the times less than 1 minute. Very rarely I last up to 2.5 minutes and at times I ejaculate instantly. I feel like doing sex just once or twice in a week. No history of premarital sex but yes I used to do masturbation twice or thrice in a week before marriage. Erection is ok. My age is 35 and body mass index is also in range. Smoke just 1 cigarette a day. I have acidity and gas problem since 2002. Pls suggest a good medicine for premature ejaculation problem.

At times, people consider it as a significant disease, but it is not. Those men who go through these conditions start avoiding the intercourse and make excuses to their partners. It affects their confidence to some extent and makes them irritated, stressed and depressed in some cases. People find it to be shameful to discuss with their friends and doctors. They have the opinion that this problem is permanent and does not have any solution. Most of the times men get humiliated or stressed in these types of situations. Here, homeopathic medicine for premature ejaculation prove to be the safest and suitable.

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.
Unfortunately, most doctors are unaware that sex therapy works so well. When men mention PE, doctors usually prescribe low-dose antidepressants. Why? Because the popular SSRI drugs (Prozac, Paxil, Zoloft, etc.) cause several sexual side effects-including delayed orgasm/ejaculation. In men, this means lasting longer. Drug makers have persuaded doctors to harness this side effect to treat PE.
Hello sir I’m Rocky with the age of 25 and unmarried.I was in bed with my girlfriend several time.I am enable to do sex 4 or 5 times within 3or 4 hours but my problem is I can’t do it last longer.First time it ejaculate with in a minute,after first time I can longer 4 to 6 minutes.what’s your instruction for me how can I make long lasting sex in bed?
Premature ejaculation is definitely not something to laugh about. Millions of men around the world suffer from what many consider an extremely frustrating and potentially soul crushing problem. This in part stems from the fact that ejaculation problems directly affect what many men and society consider to be their source of power, their penis. Despite how crushing a problem it can be, the good news is that there are a wide variety of treatments available. Many of these treatments are also completely natural and will allow you to permanently suffer any problem you may currently be having without the use of drugs or other potentially harmful pills.
Dapoxetine, which is generally categorized as a fast-acting SSRI, was developed specifically to treat this condition. It may be effective at the first dose (ie, on demand) when given 1-3 hours before sexual intercourse, and its adverse-effect profile is comparable to those of other SSRIs. [37, 38, 39] Dapoxetine has been approved in a number of countries but not yet in the United States. In a study of men with both premature ejaculation and erectile dysfunction who were on phosphodiesterase type 5 (PDE5) therapy, dapoxetine provided treatment benefit and was generally well tolerated. [40]  However, up to 90% of patients discontinue dapoxetine, mostly because of adverse effects, cost, and disappointing efficacy. [30]
I have been suffering from Uti for about 30 yrs.About every year It happens once or twice and have to take antibiotics .now I feel burning during ejaculation.After it burning goes.Also suffer from high acidity with burning throat always have to take antacid or Zantac .I am 65 .I have strong desire but some times erection not hard enough or stay very short time Now Dr said prostate enlarged and prescribed Flomax.Now I am 65,ht 5 ft 6″ at 150 pound.Pls help like to take homeopathy.Sarker.

The penis is comprised of several key structures: the corpus cavernosum encased within the tunica albuginea, the corpus spongiosum containing the urethra, and the extensive vascular system of arteries and veins.8 In the flaccid state, penile smooth muscle tissue is contracted and arterial blood flow which supplies the sinusoidal cavities within the pair of corpora cavernosa is equal to venous drainage from them. With the exception of nocturnal penile tumescence, a sensory stimulus initiates the erectile process via two coordinated pathways involving vasoactive substances, prostaglandins, and circulating catecholamines.9,10 Nitric oxide, which is synthesized and released from endothelial cells, crosses into smooth muscle cells and enhances the activity of guanylate cyclase, which catalyzes the formation of cyclic guanosine monophosphate (cGMP) from guanosine triphosphate (GTP). The second pathway involves prostaglandin E1-mediated activation of G proteins within smooth muscle cells, followed by stimulation of adenylate cyclase and increased production of cyclic adenosine monophosphate (cAMP) from adenosine triphosphate (ATP).9 By decreasing intracellular calcium concentrations, both cGMP and cAMP cause smooth muscle relaxation, which leads to increased cavernosal arterial blood flow and decreased venous drainage resulting in an erection.


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.
Dear Dr. ,I, Benukar Das ,age 42 years , a married person is hereby imformed that I am facing a problem of premmature ejaculation for a few years. I am taking Thunder M CAPSULE for one month, but result is same.No improvement has been done till date. My intercourse timing is maximum 2 minutes. My errection is good& fast but lose errection quickly. please suggest me permanent treatment in homeopathy . And also suggest medicine for penis enlargement. Kindly also advise me how to take proper medicine & accurate quantity which can be cured my problem soon.Thanks a lot.
Right from the day one of my marriage (2011), I have been experiencing premature ejaculation. Mos of the times less than 1 minute. Very rarely I last up to 2.5 minutes and at times I ejaculate instantly. I feel like doing sex just once or twice in a week. No history of premarital sex but yes I used to do masturbation twice or thrice in a week before marriage. Erection is ok. My age is 35 and body mass index is also in range. Smoke just 1 cigarette a day. I have acidity and gas problem since 2002. Pls suggest a good medicine for premature ejaculation problem.
The most effective pharmacologic therapy for premature ejaculation is to administer a drug from the SSRI class. Normally, these drugs are used as antidepressants in the clinical setting. Many of these agents were found to have the side effect of significantly delaying the achievement of orgasm in both male and female patients, and it was for this reason that such agents were applied to the treatment of premature ejaculation.

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Diagnosis and treatment outcome measures. A complete assessment of sexual function should be evaluated in order to differentiate ED from PE, which has been reported to co-occur in approximately 30% of patients.40 Complaints involving difficulties maintaining an erection as a result of early ejaculation in the absence of comorbid ED factors could be misdiagnosed as ED if a patient is not properly screened for PE. A short intravaginal ejaculatory latency time (IELT), which is the time from vaginal penetration to ejaculation, can be helpful in establishing the underlying etiology of sexual dysfunction. Recently, the Premature Ejaculation Tool, a valid and reliable measure of premature ejaculation, was developed to capture patient concerns beyond a short latency time.42

i am married man and i have premature ejaculation problem due to my own faults because from my child hood i have a habit of master batting and i love to see sex movies tell now. now i have lot of problem and cant control my self just for a minute during sex i discharge. please suggest me best homeopathic medicine i shall be very thankful to you. remember that my age is 40
Reduce stress: The stress hormones in your body prevent the secretion of testosterone which is responsible for your sex drive. Alcohol, tobacco or nicotine and other illegal drugs used to combat stress can also have an adverse effect on your sexual arousal and cause premature ejaculation. If you wish to discuss about any specific problem, you can consult a Sexologist.
The consequences of prolonged PE can be terrible since it can give rise to dissatisfied sexual life and make couple distressed and frustrated. In severe instances, it can even spoil a married life. Keep in mind that it is quite natural for a man to ejaculate early in his first sexual encounter. Losing control on your ejaculation once in a while doesn’t amount to PE problem. However, ejaculating within 1 minute on every single occasion can’t be regarded as normal. In that case, it is strongly advisable to seek proper homeopathy treatment for premature ejaculation.
Sir My age is 20 years and I’m facing premature ejaculation. I didn’t make any sexual intercourse till now in my life. 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 am 27 years old.. ( male).. I am doing masterbation since at the age of 14-15ys… now my penis in not strong.. and erectile is not stronger and is towards downward direction….. means not straight… sir I am now going to engaged in married life after 3-4 months…I am very tense about my penis weakness due to excess masterbation.. ejaculation is not good.. just 2 mint approx…. plz suggest me good homeopathy medicine for stronger and healthy sex life.. and married life… thank u…
My age is 21. I am suffering from nightfall and premature ejaculation. It makes me feel so weak. I am taking kohinoor gold plus since 15 day But i had nightfall after 12 days for two consecutive days.will it take time to cure? Usually nightfall occur 3 to 4 times in a month. Few weeks back when my gf touches my penis for the first time i got ejaculated within 15 to 20 seconds. I had sex at the age of 19 for few but i was able to last only for few seconds . Now i don’t masturbate regularly usually once in 2 months or sometimes twice. So plz suggest me what to do
This kind of oil is employed by being massaged in the penis until erection is reached and the oil has recently been well massaged in. The benefits gained from Taila Oil are considered helpful in strengthening the penile and muscles as well as helping to maintain erection longer and extend the effects of early ejaculation. This oil is a little less commonly found as the 2 previous elements, however, usually can be found at most good health food shops.
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.

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.


You can also try Atirasadi Churna for gaining stamina and getting rid of premature ejaculation. This is a mixture of rejuvenating herbs such as Indian Ginseng, Tribulus Terrestris, Behmen, Saffron, Asparagus and few other herbs. This herbal Stambhaka drug should not be measured as a treatment for premature ejaculation only as it can also be consumed for erectile dysfunction and low sperm count. Atirasadi Churna has got a lot of positive effects on your health too.
I am 33 years old weight 100 kg, height 5’6”. I used to masturbate frequently. I gave up the habit last year. I am unmarried and never had sex with anyone. Now I am worried about my past sexual behavior. When I was used to masturbate semen came out within short period of time. Now a days thick objects came out with urine. Now I am very much worried regarding this issue. Please suggest me the exact medicine. I will remain ever grateful to you.
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