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Suggest Treatment For Premature Ejaculation

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Posted on Wed, 11 Feb 2015
Question: Hi Doctor,
I have couple of questions about sex and sex organs as follows:

1. Normally, when I have sex with my wife it takes up to 10 minutes to release the sperm. Sometimes it takes up to 15 minutes. Is this normal? Sometimes I prefer to delay the sperm until my wife gets satisfied but don't know how to delay it. The maximum time I can delay I can keep sperm is 15 minutes. Please advise.

2. The length of my penis is 13 - 14 insinches. My wife says that she is happy with its length and thickness and she enjoys the sex. However, I guess it is short and I might need to enlarge it. Some sex videos show long penis. Is there any way you recommend to enlarge it during sex. Is 14 inches penis comfortable enough for sex?

3. Sometimes when I repeat sex twice or three times I feel pain in my penis that lasts few hours? What is this pain?

4. Is there any health problem to have oral sex - specially when normal sex is not possible during the monthly period?

5. During sex my wife screams. I ask her if she is feeling a pain but she says no she is enjoying. I am not sure if she is telling me the truth or she is shying to tell me she is feeling pain.

I thank you for the answers in advance.

XXXXXXX
doctor
Answered by Dr. Dr. Chintan Solanki (2 hours later)
Brief Answer:
Please see your anweres below

Detailed Answer:
Hello XXXXXXX

Thanks for writing to us.

Answer of your queries related to sex and sex organs are as follow.

1.10 minutes releasing time is more than enough and normal.But if you get ejaculation before your wife satisfied, it may be premature ejaculation(PME). You can improve it by stop and squeeze technique as well with medicines like clomipramine and paroxetine. For medicines you need to consult psychiatrist /qualified sexologist and squeeze technique you can search on internet easily.But if your wife does not satisfied even after 15 minutes of sexual activity(your penis in her vagina and to and fro frictional movement), she needs to be evaluated.


2.First of all no scientific method or medicines to increase the natural size of penis. Size varies according to individual race, height,weight,genetics and physical structure.Normal size in relax position is around 2-5 inches while in erect stage it is around 4 to 7 inches maximum.I think you have wrote by mistake inches in stead of centimeters. 13 inches size of penis is not at all seen normally.If your wife is satisfied with size ,no need to increase it. Only 3-4 inches of anterior vagina contains receptors for sexual stimuli. So 4 inches size in erect position is sufficient to satisfy female partner.
If there is problem in erection , 5-PDE inhibitor group of medicines can be used for erection.
Please clarify again your size in inches or centimeters?


3.Your pain may be due to fatigue of penis musculature and overstretching of it.There is called refractory period in male. After one ejaculation there is duration of 30 to 45 minutes during which it is not possible to get erection again. During this period penis muscles loose ATP(energy providing substance ). If someone try to do sex during this period, there is over stretching of muscles in fatigue stage which can cause pain. So After one attempt of sex wait for at least 30 to 45 minutes for second attempt.

4.Your wife should not have any oral infection and you should clean your penis before doing oral sex. If hygiene is maintained and no infection is there, oral sex is safe.It does not cause any problem.

5. Many women scream during sex. This is due to some pain. But for woman, this is a sweet pain which leads to orgasm.So woman enjoys this pain during sex. Woman generally does not describe it as pain, but she reports that she just likes it.It is completely normal. Your wife is right and she is normal.No need to worry.

Hope I have answered your query, I will be happy to help further.

Regards,
Dr.Chintan Solanki.
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Dr. Chintan Solanki (16 minutes later)
Thanks a lot.
Apologies, I meant 14 centimeters instead of inches.
Could you please give some description about the stop and squeeze techniques?

XXXXXXX
doctor
Answered by Dr. Dr. Chintan Solanki (13 minutes later)
Brief Answer:
Thanks for clarification

Detailed Answer:
hi XXXXXXX

Thanks for clarification regarding size.

It is difficult to write whole techniques on this forum.It is better to read and see demonstration. You can search about techniques and can find videos and learn it.
I am here writing some brief summary from one website which is useful.

What Is The "Start-Stop" Technique?

This is by far the most simple technique and can be done alone or with a partner.

The technique involves stimulating the penis and stopping just before you feel you are about to ejaculate. Stop the stimulation for 30-60 seconds and start again once you feel that you have regained control. Repeat this process 4-5 times, stopping and “resting” every time you feel that you are about to have an orgasm. Finally, let the ejaculation occur, so that you can identify the “point of no-return”.

Many couples and partners complain, however, about the inconvenience of this “game” and find it frustrating. Try to incorporate it smoothly into sex and take advantage of the pauses to focus on sources of pleasure other than the penis.


What Is The "Squeeze" Technique?

The "squeeze" technique works by squeezing the penis in the area between the shaft and the glans (for about 30 seconds), just before you are about to ejaculate. This stops the ejaculation, but may affect your erection, at least until you are stimulated again. You should then repeat this process 4-5 times until you decide not to delay orgasm anymore.

To be effective, this method has to be used for several months and it requires great perseverance from the man and his partner.

The idea behind the "squeeze" technique is that, after a while, you are able to recognize the “point of no return” and may be able to delay future ejaculations. This technique may be frustrating though as it can disrupt sexual activity.

What Are The Other Options?

The "start-stop" and "squeeze" technique prove more effective when combined with these techniques:

Think about something else: something distracting, boring or annoying
Take a deep breath before ejaculation: this can delay orgasm by slowing ejaculation and stimulation

Hope you will find this helpful.

If still any query there, I will be glad to answer.
If not, you can close the discussion and give your feedback which can help me to improve service.

In future you can contact me directly if you wish with this link:
http://bit.ly/drchintansolanki
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
Answered by
Dr.
Dr. Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2407 Questions

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Suggest Treatment For Premature Ejaculation

Brief Answer: Please see your anweres below Detailed Answer: Hello XXXXXXX Thanks for writing to us. Answer of your queries related to sex and sex organs are as follow. 1.10 minutes releasing time is more than enough and normal.But if you get ejaculation before your wife satisfied, it may be premature ejaculation(PME). You can improve it by stop and squeeze technique as well with medicines like clomipramine and paroxetine. For medicines you need to consult psychiatrist /qualified sexologist and squeeze technique you can search on internet easily.But if your wife does not satisfied even after 15 minutes of sexual activity(your penis in her vagina and to and fro frictional movement), she needs to be evaluated. 2.First of all no scientific method or medicines to increase the natural size of penis. Size varies according to individual race, height,weight,genetics and physical structure.Normal size in relax position is around 2-5 inches while in erect stage it is around 4 to 7 inches maximum.I think you have wrote by mistake inches in stead of centimeters. 13 inches size of penis is not at all seen normally.If your wife is satisfied with size ,no need to increase it. Only 3-4 inches of anterior vagina contains receptors for sexual stimuli. So 4 inches size in erect position is sufficient to satisfy female partner. If there is problem in erection , 5-PDE inhibitor group of medicines can be used for erection. Please clarify again your size in inches or centimeters? 3.Your pain may be due to fatigue of penis musculature and overstretching of it.There is called refractory period in male. After one ejaculation there is duration of 30 to 45 minutes during which it is not possible to get erection again. During this period penis muscles loose ATP(energy providing substance ). If someone try to do sex during this period, there is over stretching of muscles in fatigue stage which can cause pain. So After one attempt of sex wait for at least 30 to 45 minutes for second attempt. 4.Your wife should not have any oral infection and you should clean your penis before doing oral sex. If hygiene is maintained and no infection is there, oral sex is safe.It does not cause any problem. 5. Many women scream during sex. This is due to some pain. But for woman, this is a sweet pain which leads to orgasm.So woman enjoys this pain during sex. Woman generally does not describe it as pain, but she reports that she just likes it.It is completely normal. Your wife is right and she is normal.No need to worry. Hope I have answered your query, I will be happy to help further. Regards, Dr.Chintan Solanki.