Brief Answer:
medicines and behavioral approaches are there

Detailed Answer:
Hi XXXXXXX

Thanks for writing to us.

I understood from your query that you are talking about delaying your ejaculation and maintain erection for long.

In routine there is treatment for premature ejaculation. This treatment can help you to prolong your ejaculation and maintain erection for long.

Premature Ejaculation (PME) or early discharge 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.

There are medicinal and non medicinal approaches to treat PME.

Medicines:
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 20-30 days daily after dinner and later on just on the day when you do the sex.
Paroxetine is more potent but it may cause side effects like headache, gastric discomfort, giddiness and sedation. In patients with blood pressure it should be used in consultation with physician/cardiologist.

One molecule called depoxetine is used specifically for PME and should be taken before 2 hours of sex when required.No significant side effect of this molecule.
These medicines are prescription medicines and you need to consult doctor/psychiatrist/sexologist for prescription.


Behavioral approaches are as follows for your information:

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 counseling of your sexual behavior 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.

Another approach:
-Use of condoms. Sometime using condom while sex helps in delaying ejaculation by reducing sensitivity of glans penis.

--Topical application of anesthetic gel/spray. For this you have to consult doctor.

Hope I have answered your query.Feel free to discuss further about doubts and elaborate your question if I could not understand your question properly.

Regards,
Dr.Chintan Solanki.

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Brief Answer:
there is risk in anal sex

Detailed Answer:
Hello,

Thanks for follow up.

For any sexual experience involvement and understanding of both partner is necessary.If your partner is not willing for anal sex I recommend not to go for the same.
By chance if she agrees you can go for the same but keep risks in your mind.

- Anal mucosa is very soft and chances are more that anal mucosa can damage and bleeding or inflammation may happen.

- Anus contains lots of microorganisms. Even with proper cleaning you cannot remove them completely. When condom is not used there are chances of penis infection as well.

So you or your partner both can suffer from harm during anal sex.

Take following precautions:

- Clean private parts

- Use condom

- Use water based lubricant, Apply on condom as well as in anus.

- If she feels severe pain or bleeding stop the process and avoid the same again.



Discuss above aspect with your partner and then decide what to do.

Take care.

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Brief Answer:
masturbation is not harmful

Detailed Answer:
Hi,

Thanks for question. Sorry for delayed response.

Masturbation is natural and normal thing.It is done by 95% of the males in the world,mostly before marriage as well as when wife is away, in menses or pregnant after marriage. It is not at all harmful. Frequency of masturbation done by an individual varies from once a day to once a week. It depends upon individual libido, wish and timing. It neither causes any weakness nor any problem in sexual activity.

Masturbation is only problematic when person does the same at cost of routine work and daily life activities and it is compulsion.

You can do masturbation when you feel to do so.

Hope your doubts about masturbation are cleared now.

All the best.

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