I am of 56 yrs. Now a days I feel that during intercourse escalate very quickly and hardness of penis is lesser.

Question

Dear Lybrate user. I can understand. Please don?t panic. You must understand premature ejaculation. Premature ejaculation is diagnosed when you have premature ejaculation within one minute or sex, continuously several times with the same partner for over six months. There is nothing called premature ejaculation while doing masturbation. Are you married? 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.

K V Anand · Accepted Answer

Dear Lybrate user. I can understand. Please don?t panic. You must understand premature ejaculation. Premature ejaculation is diagnosed when you have premature ejaculation within one minute or sex, continuously several times with the same partner for over six months. There is nothing called premature ejaculation while doing masturbation. Are you married? 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.

Rajesh Jain · Answer

Please Go for morning and evening walk daily Do perineal exercises daily Take Cap gokhshur by Himalaya 2... 2 Cap ashwagandha by Himalaya 2... 2 Apply Himcolin gel before intercourse All for 3 to 6 mths.