Brief Answer:
BELOW METHODS WILL HELP

Detailed Answer:
Hello,
Thanks for your query.
I appreciate your efforts for medical consultation in so much distress.

Important aspects of your query are:
•     28 year old recently married male
•     Complaints of: Early discharge (premature ejaculation) and worry regarding pregnancy.

Premature ejaculation is a very common and treatable problem. Premature ejaculation is diagnosed when ejaculation time is less than 3 Min, or both partners are not satisfied with sex.

Premature ejaculation (PE) is common problem and depends on multiple factors like:
*Psychological factors: most common. The psychological factors may include stress, performance anxiety and depression

*Medical causes: Reflex activity of ejaculatory system, thyroid problems, diabetes, hypertension, excessive alcohol use and neurological causes.

FOLLOWING STEPS WILL BE HELPFUL FOR TREATMENT:

-Treatment of above conditions (if present) after examination.

-Start jogging in morning for 20-30 minutes daily, as it reduces performance anxiety and improve blood circulation.

- Try distracting yourself when you feel you are about to ejaculate. Take a deep breath and stay relaxed during intercourse.

- Do not worry about performance and talk to your partner openly about any apprehensions if you have. Conversation with partner during sex also delay ejaculation.

-Stop start technique: In stop start technique, near ejaculation stop all movements, relax and think about something else. Then wait for 1 minute before starting movements. According to number of stops, ejaculation time will come under your control.

-Squeeze- pause technique: squeeze the end or the tip of the penis for 10 to 20 seconds when you are close to ejaculation and then resume stimulation after withholding for half a minute.

-In many persons woman on top position increases ejaculation time, so try this position and experiment with other positions also.

-Condoms with desensitizing creams (marketed as Kohinoor extra time) help in increasing ejaculation time. Just wear this as normal condom and start sex after 30 seconds of penile massage, as medicine take some time to act.

-As you are newly married, then you also need to know that ejaculation time also increases with experience in sex.

Follow all these above methods regularly and your problem will solve in few weeks.

REGARDING PREGNANCY:

Currently there is no need to worry, as infertility (problem in getting pregnant) is need investigation, only when couple do not get pregnant after 1 year of regular and unprotected (without contraceptive measures) intercourse.

Ovulation in female occur only once in a month. Due to that per month there is only one chance of getting pregnant. It is better to know and predict approximate ovulation time, to have sex around that period, for pregnancy.

1st day of menstrual cycle is considered the first day of next whole cycle. Ovulation occurs in the middle of the cycle and more specifically 14 days prior to the next cycle. Having sex around the day (and +/- 3 days) of ovulation, leads to the pregnancy.

For example if first day of cycle (start of bleeding) is on 1st November and average cycle length is 30 day duration then next menstrual cycle will start on 1st December. So highest chance of ovulation is on 17th (1st december-14days). So having sex (+/- 3 days) between 14th-20th November will lead to highest chance of pregnancy, in given example.

I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.

Wish you good health.
Regards

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Brief Answer:
Hi

Detailed Answer:

You are most welcome

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