Dear sir, I am 28 years men in past 10 years I am suffering from premature ejaculation now I always don't use drinks, smoking, and I don't have any sexual experience in my life but that time I will do manage. My sperm level is too low with premature evacuation problems is here my fingers lightly shake. Please help me sir what medicine to get how many days to get medicine, name with composition extra, help me sir may I don't know that time I will do marriage?

Dr. Jagadeesan M.S.Psychiatrist14yrs exp

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Premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration or foreplay. 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 online or in person Your doctor will discuss your medical and sexual history with you. He or she will do a thorough physical exam. 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. There are excellent medications for PE, but you need to answer few questions on general health as well as PE for any psychiatrist to prescribe.  

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