I am a 34 year old married man weighing 76 kgs with no diabetes and other health issues. However my biggest problem / concern since years is Premature ejaculation. I ejaculate within few seconds. May I know if there is any type of doctor who treats this issue mentally? I believe, this issue is with my mind, anxiety, fear to perform etc. I tried several techniques but wasn't able to cure this issue. Moreover, I took treatment from top allopathy, homeopathy and Ayurveda doctors from everyone failed. Yes, unbelievable but no medical science was able to treat it. Dapoxetine (3 hours before sex) gave a relief but not satisfactory and I know it's temporary and harmful if taken regularly and long-term. I need natural treatment which is guaranteed, fearless and permanent. Do we have any such kind of treatment/doctor in Pune who specializes in Premature ejaculation?

Dr. Jagadeesan M.S.Psychiatrist13yrs exp

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Premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration. It happens with minimal sexual stimulation and before the person wishes. It may result in unsatisfactory sex for both partners. This can increase the anxiety that may add to the problem. It is one of the most common forms of male sexual dysfunction. It has probably affected every man at some point in his life. Most cases of premature ejaculation do not have a clear cause. With sexual experience and age, men often learn to delay orgasm. Psychological factors such as anxiety, guilt, or depression can also cause it. In some cases, it may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines. Consult a psychiatrist Your doctor will discuss your medical and sexual history with you. He or she will do a thorough physical exam. Your doctor may want to talk to your partner also. Premature ejaculation can have many causes. So your doctor may order lab tests to rule out any other medical problem. In many cases premature ejaculation gets better on its own over time. Treatment may not be needed. Practicing relaxation techniques or using distraction methods may help you delay ejaculation. Your doctor may recommend that you and your partner practice certain techniques to help delay ejaculation, as well as medications are there to help. All the best.  

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