Brief Answer:
See below for detail answer

Detailed Answer:
Hello XXXXXXX

Thanks for writing to us.

Ans.1:
There are many claims that this and that food act as aphrodisiac. But no specific evidence regarding that. Some multivitamins, citrus fruits like strawberry, oyster, avocado, eggs etc are suggested. But in my opinion the home made dinner which you like the most is the best one. It should not be heavy in fat or in quantity. Take light to medium diet. We often get good results with warm milk with saffron,"Kesar" just before sex. It is our tradition as well as narrated in Ayurveda. Even vanilla ice cream can work. Chocolate, specifically dark chocolate is also aphrodisiac.

The important thing is what to not eat like spicy,sour or heavy meal that is difficult to digest.

After sex the most of the people go to sleep. However if you wish, after sex you can eat what you like and feel comfortable.

Ans.2: Overall sex stamina improves by healthy lifestyle. Regular sleep,exercise and meal are the foremost things.
In diet cow milk, cow butter and garlic are proven sexual tonic. Regular healthy diet containing carbohydrate, protein and minerals-vitamins is necessary. Specific diet depends on culture and geographic situation.
Exercise to control your weight and make you fit.
Sleep to relax your mind.
All above measures help you to relive mental stress also which indirectly help to perform better.
Another aspect is emotional attachment and love between partners in overall life apart from the sex. If it is good no need of any tonic, natural stamina would suffice.

Hope I have answered your query,
I will be happy to help further,
regards,
Dr.Chintan Solanki.

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Brief Answer:
Two types of approach are there

Detailed Answer:
Hi XXXXXXX

Thanks for follow up.

Early fall- premature ejaculation,PME is defined as ejaculation of man occurs before female partner reaches to orgasm during intercourse.
If you are suffering from, there are two types of treatment.

One is medicines: Clomipramine (Dose 10-25 mg), Paroxetine (10-20 mg) and depoxetine(30 mg) are useful.
Clomipramine or paroxetine can be taken initially daily and later on just before 2-3 hour of sex under doctor's guidance.While depoxetine should be taken 2 hours prior to intercourse only, however availability of depoxetine is the issue.
No significant side effects of these drugs. If I were your treating doctor, I would go with 10 mg clomipramine to start with.

Second is sexual counselling: In which couple counseling matters as sex is an act of two partners.In this "stop and squeeze technique" , "Master & XXXXXXX technique" to be learnt from qualified sexologist or psychiatrist.If during counseling issues of performance anxiety found out, they can be solved also.

You are only at age of 27.From my experience , I can say you need not required medicines for long as it will be more psychological problem.So initially you can take medicine but overall second option is best for you.

Hope I have answered your query,I will glad to answer if needed.
regards,
Dr.Chintan Solanki.

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Brief Answer:
it ranges from 1 to 4 minutes

Detailed Answer:
Good morning XXXXXXX

There is no specific normal time of ejaculation. It varies according to individual depending upon age, body built, intimacy between two partners, lifestyle, genetic make up etc.

Normally it ranges from 1 to 4 minutes. But Premature ejaculation is defined in relative term not in absolute term i.e. ejaculation of man occurs BEFORE female partner reaches to orgasm during intercourse. It means your partner is going to decide you have early fall or not.

Yes, clomipramine is good medicine and 10 mg dose is not going to cause any significant side effects. It is a prescription drug. You can take initially daily for 15-20 days at night and later on 2 hours before sex. Please get this prescribed by your doctor.

All the best,

If still any query, you are welcome.

Dr.Chintan Solanki.

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