PE may occur due to medical conditions affecting the nervous system and urinary and reproductive areas of the body. A man’s ability to control his ejaculatory reflex can also be affected by alcohol, drugs and medication, as well as low testosterone or an over-sensitive penis. Visit your GP or LloydsPharmacy Online Doctor for further advice on Premature Ejaculation.
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
Premature ejaculation (PE) is the most frequent sexual dysfunction in males, and its prevalence has been reported as 21-33%. Currently, there are no universal criteria for the diagnosis, or treatment strategies or approaches for PE. Lack of observational studies directed to PE makes comprehension of this sexual dysfunction difficult. The common point for definition of PE is a short duration between penetration and ejaculation, little or no control on voluntary control of ejaculation, and annoying character and negative effect of this condition on the individual. There are various treatment methods since ejaculation physiology and neuroanatomy is not yet clearly demonstrated. According to neurobiological hypothesis of Waldinger, a dysfunction in the serotonin pathway of the central system such as serotonin-2C hyposensitivity and/or serotonin-1A receptor hypersensitivity is a possible cause of lifelong PE. These experimental animal models showed that serotonergic activity at hypothalamic level inhibited ejaculation reflex. Based on this physiological effect, selective serotonin reuptake inhibitors (SSRI), and serotonin agonists increase intravaginal ejaculation latency time (IELT). A number of studies showed that exercise increased the functional effect of serotonin in the human brain.
Premature ejaculation (PE) treatments work by inhibiting your body’s impulse to orgasm. They vary in method - you might be prescribed an anaesthetic cream to numb the penis, a prescription tablet to delay ejaculation impulses in the brain, or find that counselling helps to root out psychological causes. The ultimate goal is the same: to help you to last longer during sex, and to soothe feelings of embarrassment or dissatisfaction associated with the condition.
My problem lasted for 4 years. While it lasted, it was Weak Erection coupled with premature Ejaculation. Having an Erection was a very serious issue, and keeping the Erection was tough. After struggling for erection, lasting long was tough. In less than 2 minutes I have spill the milk. I will say sex was totally bad. My marriage was at the verge of breaking up because of this problem. In finding a cure, I took all known available English medication and recommended Herbal teas yet there was no improvement. Those drugs complicated my diabetics instead of providing a cure, it created other health issues.
Some men with premature ejaculation also benefit from reducing the stimulation they experience during sex. A number of creams are available that can partially anesthetize (numb) the penis and reduce the stimulation that leads to orgasm. Another option is to use one or more condoms. However, these techniques may interfere with the pleasure experienced during sex.
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…
I am 40 years male got married 13 years ago, have five children also. I am suffering from premature ejaculation very severely. I have very strong sexual desire but erection is not 100%. Erection is there but not fully. I enjoy also pre penetration but ejaculate in just within 4-5 strokes. I feel embarrassing in this situation. Locally get homeopathic treatment but not cured. Local homeopath gives some sweet small pills pouring some homeopathic dilution. I am not cured. My wife need more time.
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.

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 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.
The exact cause of premature ejaculation is not known. According to many doctors and researchers, it can occur if it has been a long time since a person last ejaculated. Factors like guilt, depression and anxiety can also cause premature ejaculation. In many cases it can be caused due to side effects of certain medications or hormonal problems. Erectile dysfunction can also cause premature ejaculation at times.

As such there is no need to take any special care to your diet as all the essential micronutrients that are required for maintain optimum health of a male reproductive system are included in Lawax capsules as well as oil. However, following a healthy lifestyle is beneficial for anyone and speedy recovery from any ailment. Follow these tips such as eat fresh fruits, cereals, whole grains as well as green vegetables. Consume around 3 to 4 liters of water every day and ditch the habit of smoking, drug intake or alcoholism if you have one.
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.
A highly recommend book is - The Multi-orgasmic Man: The Sexual Secrets That Every Man – by Mantak Chia, this offers a thorough explanation of Taoist techniques and moving sexual energy with some practical tips for you to try. Another way that may help you master these techniques is by receiving a tantric massage, where you can learn and practise the methods under instruction of a master practitioner who can help you to move sexual energy and show you how and when to use these techniques.

As such there is no need to take any special care to your diet as all the essential micronutrients that are required for maintain optimum health of a male reproductive system are included in Lawax capsules as well as oil. However, following a healthy lifestyle is beneficial for anyone and speedy recovery from any ailment. Follow these tips such as eat fresh fruits, cereals, whole grains as well as green vegetables. Consume around 3 to 4 liters of water every day and ditch the habit of smoking, drug intake or alcoholism if you have one.
Just wanted to tell you that the duraman capsules is working wonder for us. I ordered for duraman for my husband and within 1week we noticed his erection and stamina on bed have improved very much. Again, we helped our friend in spain to order for it, after 5 days, he noticed he’s getting stronger erection and can last for more than 10minutes without releasing.

Many medications might delay orgasm. Although none of these drugs are specifically approved by the Food and Drug Administration to treat premature ejaculation, some are used for this purpose, including antidepressants, analgesics and phosphodiesterase-5 inhibitors. These medications might be prescribed for either on-demand or daily use, and might be prescribed alone or in combination with other treatments.


1. Trying to build control over your ejaculatory reflex. Begin by self-stimulating (masturbating) regularly (three to five times per week) to become accustomed to the level of sensitivity and stimulation. Try masturbating with both a wet hand and a dry hand to get use to varying sensations.  Try building control by masturbating right up until you feel yourself about to release, then stop masturbating, let your erection die down a little bit, maybe five minutes or so, and then start masturbating again. Do this exercise three or four times before you finally allow yourself to “finish” and masturbate to orgasm. 
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, I’m 32 years of 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 1 minutes. Having short of memory since few days. Plz suggests proper treatment.n plzz tell me how can i leave this bad habit.. I m very scared sir… Plzz help me.
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.
Men should not be embarrassed if they have this type of problem since it's the most typical sexual dysfunction in men. Nobody actually knows how many men are affected by this disagreeable condition because most men do not want to talk about it especially not to their doctors. According to some unofficial resources, 2-3 in five men encounters difficulty with early discharge or early ejaculation eventually in life and more than 50-70 percent of men have sexual issues with premature ejaculation always. 

Lawax oil contains all the goodness infused in it which helps to control PE in a best possible way. This herbal premature ejaculation cure improves ejaculatory control and allows a man to hold his semen up to a great extent. Hence, the male organ performs more efficiently by preventing early discharge of semen. This oil helps to stop PE naturally in a side-effects free manner. Now take a close look to the pure natural composition of this oil of Lawax ayurvedic cure for premature ejaculation which is made by adding correct proportion of various efficient ayurvedic ingredients.
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 im suffering from premature ejaculation and night fall also. Im 28 yrs . My penis became small and thin due to the masturbation . Sex time is less than 1 mnt . I would like to take some homeopathic medicine . Suggest me about it. Will small penis effects on my marriage life . Im single right now. Can i spend happly married life after homeopathic care. My semen is also thin sir .help me and give me some good medicine name.
Sexual stamina and performance anxiety are common place; premature ejaculation is not an easy or often discussed topic, however if you are reading this, perhaps you or your partner would like to learn more about Taoist control, prolonging methods and Tantra / Tantric massage, that can offer practical steps that you can take to help you control and prolong ejaculation.
Alprostadil urethral suppositories are absorbed through the urethral lining within 10 minutes and have a duration of action of about 30 to 60 minutes.25 Self administration of suppositories within the urethra can be challenging; patients should be closely supervised in the office setting during the initial treatment period. A low starting dose of 125 to 250 µg is recommended and may be titrated to 500 µg or 1,000 µg as tolerated.26,27
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.
I am male 39 year old having problem of PE.i do no smoke neither drinks.presently working in judiciary.i used masturbate till marriage.Before marriage i eas having sex affair with a women.i am married for five years.since 2to3 years iam having PE sex problem i am not satisfying my partner besides this as soon as my penis erects it starts emission and within two to three stokes i ejaculates and now i have lost sex desire i am in dilemma kindly redress my problem by ur valuable suggestion .Thanking u sir inanticipation.looking forward to ur advice
This method includes finding a sensitive spot on your penis. This will differ for every man so you may need to experiment to find it. Once you find that spot, rub it gently in a circular motion. Unlike edging, though, you should not stroke your penis. Rub this spot until you get a full erection, then continue until you feel the urge to orgasm. You should stop all contact before your climax, allow your erection to decrease a little, and then start again. Unlike edging, though, you are not supposed to climax at the end of the ballooning exercise. Many men use this method for up to 20 minutes a day to increase sexual stamina.

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
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.
Sexually, in initial few years, I could not even do it without condom because going with bare-skin, I hardly could resist the ejaculation at it used to happen within 10-15 strokes. After 1-2 years, on my wife’s insistence, I tried without condom with some success. But now it again has come upfront. This type of problems are stereotyped with manhood so remain unarticulated.
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.
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When you get hard, your pelvic muscles keep blood in your shaft. This helps to enhance and maintain your rigidity, says urological surgeon Dr Andrew Siegel, the study's author and creator of pelvic floor exercise DVD Private Gym. And for premature ejaculators, squeezing those muscles can delay your orgasm. The stronger these muscles, the better the effect, Dr. Siegel says.
Several tools have been developed to assess treatment outcomes such as the International Index of Erectile Function (IIEF), the Erectile Dysfunction of Inventory of Treatment Satisfaction (EDITS), and the Premature Ejaculation Tool. The IIEF is a self-administered questionnaire that contains 15 questions which assess several domains, such as: erectile function, orgasm, sexual desire, and satisfaction.1 The IIEF-5 is an abbreviated version of the IIEF which serves as a useful measure of treatment response and is generally more applicable to a clinical practice setting. Patient diaries, such as the Sexual Encounter Profile (SEP), are also commonly utilized to document improvement in clinical outcomes. Questions 2 and 3 from the SEP address a patient's ability to attain an erection sufficient for intercourse (SEP2) and the maintenance of the erection through completion of intercourse (SEP3).
Antidepressants—specifically clomipramine, fluoxetine, paroxetine, and sertraline—are best and have been shown to improve symptoms of premature ejaculation (strength of recommendation [SOR]: A, meta-analysis of randomized controlled trials [RCTs]). The topical application of prilocaine-lidocaine cream (trade name EMLA) improves intravaginal ejaculatory latency time (IELT), but penile numbness and loss of erection may occur (SOR: B, based on several small RCTs).
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.)
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Even though the amount of victims of Premature Ejaculation has risen in modern times, even in the time of the Ancient Maharajas, this was a problem that men had to face. That is why, and the reason explained above, being that the husband was instructed to be in maximum condition to meet many wives, the ancient doctors of the time, who studied a form of medicine known as Ayurveda Healing, took it after themselves to learn and discover as much as they could about Early Ejaculation and it is effective remedies. Another reason for the development of effective remedies on this problem, was the extremely lucrative reward that was purchased successful techniques and herbal treatments.

Now a days various medicates treatment available in market but all are short time effective not a permanent solution to deal with sexual disorders such as premature ejaculation, we provide natural home based remedies to beat the devil of premature ejaculation at home, our products contain a miracle herb called butea superba help to enhance the sexual performance of man and women's. Read our articles to know more about sexual health tips, article and stories. http://everlastnaturals.com/blog/

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…


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.
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