Brief Answer:
Early ejaculation can be treated

Detailed Answer:
Hello Mr. XXXX,

Thanks for writing to us.

I can understand your concern.

Night fall is not a disease. It is a physiological phenomenon.When seminal vesicles are full of semen and frequency of masturbation or sex is low, excess semen comes out on its own during sleep.Semen production occurs daily in prostate. Newly produced semen needs space in storage vesicles. If production rate exceeds expulsion rate, stored semen has to come out on its own to give space to newly formed semen. So during night semen comes out which we call night fall. It neither affects health nor the sexual life.
Same process can cause early ejaculation when excessive storage of semen is there in seminal vesicles.
For night fall treatment is increase the frequency of sex/masturbation.

Premature Ejaculation (PME) or early ejaculation defined when male partner ejaculates early before the female partner reaches to orgasm. There is no absolute time by which we can diagnose PME. It is relative term and female partner is the best judge.

In young age normal cause of PME is performance anxiety or low frequency of sex or masturbation.

There are few behavioral approaches as well as medicines which can help to treat PME.

1.     Stop and Squeeze technique can be applied which you can learn from internet and ask me if any query in that.(In brief method suggests that you should try to divert your mind for a moment when you feel ejaculation arousal and penis should be tightly squeezed with hand inwards by your partner preferably).
2.     Master and XXXXXXX technique can also be learnt from qualified sexologist/Psychiatrist which includes sessions in couple as it is couple sex therapy. It can help in prolongation of time.

3.     Sex counselling of your sexual behaviour and methods. Like if you are down and female partner on top, gravity is going to help you for lengthening the time.
4. You should do masturbation before sex(at least 2 hours before ). It will make seminal vesicles somewhat empty and at time of sex semen will take more time to come out.

5.     If you would not go for such practices and counselling as I mentioned above, you can start medicine. Clomipramine and paroxetine are choice of medicines which are used as antidepressants(For depression dose is higher). I prefer clomipramine for PME. No significant side effects with these medicines. Initially say for 10-20 days daily after dinner and later on just on the day when you do the sex.
One molecule called depoxetine has been used specifically for PME and should be taken before 2 hours of sex when required.
These medicines are prescription medicines and you need to consult doctor/psychiatrist/sexologist for prescription.

To help you more I would like to know few things.

What is your frequency of sex or masturbation?

Are you married? If not do you have girl friend? Describe the circumstances when you go for sex with girlfriend.

Do you have any habit of alcohol or smoking?


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

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Brief Answer:
your problem is physiological not pathological

Detailed Answer:
Hello,

Thanks for follow up and information.Congratulations for becoming father.

As I explained in last answer that low frequency of masturbation or sex can cause this problem same has happened in your case.

You mentioned that you have never did masturbation or physical relation with anyone before marriage. And thinking or watching exciting/erotic videos or stories causes erection and you were not doing masturbation so it leads to night fall. As I mentioned above you are completely normal regarding night fall problem.

As your wife was pregnant and delivered baby just before 3 months naturally you could not have chance of sex frequently(may be not at all since long). This is responsible for night fall and early ejaculation as I mentioned.

If you had problem of PME before your wife became pregnant, we can think of medicines. Otherwise just wait until your frequency of sex increases and try to follow behavioral approach.

It is good that you do not smoke and no regular use of alcohol.

For your information: masturbation is completely normal thing Almost 95% of males do it sometime in life. Normally adolescent boys,unmarried men and married men while away from wife(or wife is pregnant or in menses) do the masturbation to satisfy their sexual desire.It neither affects health nor the sexual life.

Hope this answer is satisfactory. Feel free to ask if you have any query.

All the best.

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