I was facing some problems with my sex life because after my first ejaculation my penis not used to get erect again. Also first ejaculation occurs in a very short time. So now I use viagra. So my question is that is there any ill effects of using viagra? Like loss of sperm fertility or some other side effects? Is there any home remedy for longer ejaculation?

Dr. K V AnandPsychologist14yrs exp

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Dear user. You are just 22 and you don't need to use viagra because it is habit forming and you could loose your natural sexual powers. You must understand premature ejaculation. Premature ejaculation is diagnosed when you have premature ejaculation within one or two minute of sex, continuously several times with the same partner for over six months. There is nothing called premature ejaculation while doing masturbation. Premature ejaculation occurs when a man ejaculates sooner during sexual intercourse than he or his partner would like. Premature ejaculation is a common problem which happens due to psychological stress and anxiety in majority of people. After confirming that these are not due to diabetics, hypertension or any other organic problems, for this reason, selective serotonin reuptake inhibitors (SSRIs), such as sertraline (Zoloft), paroxetine (Paxil) or fluoxetine (Prozac, Sarafem), are used to help delay ejaculation. If SSRIs don't improve the timing of your ejaculation, your doctor may prescribe the tricyclic antidepressant clomipramine (Anafranil). I don't see any requirement of medicines for you. Two natural treatments for PE that have shown promise are red ginseng and pomegranate juice. Ginseng is thought to increase nitric oxide production, leading to improved blood flow. Pomegranate juice is a potent antioxidant and can help too. Japan oil can help if massaged externally. Psychological reasons usually get cleared with sex therapy. I suggest online sex therapy. Take care. 

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