Suggest Treatment For Premature Ejaculation

Brief Answer:
Premature ejaculation, stress related

Detailed Answer:
Dear XXXX,

Thank you for trusting us here in HCM with your question. I will answer your query to the best I can.

First congrats on being married, and I hope my answer will help you educate yourself better to reach to your goal and have kids.

It looks like multiple questions:

1. inability to fully insert: this might be due to anatomical problems but also psychogenic if the partner feels stressed the vagina might contract and makes it painful for both of you to insert. To make sure that its not anatomical your partner needs to get examined by a gynecologist, if the issue is psychogenic try to use lubricant material and make sure that both of you are relaxed and ready for intercourse.

2. Quick release: will this you need to ask yourself what is quick, if its in a range or less than a minute this means you might premature ejaculation again being not stressed helps dramatically in premature ejaculation nevertheless you can use some local anesthesia to last longer but this should not be done so often It better to focus on reducing stress and control your breathing while having the intercourse by using deep breaths to stay in control. Some antidepressant medications can help in premature ejaculation

So what you are facing is a common problem, reducing the stress around the intercourse will help in your problems. Its important that you as a couple maintain open channels of discussion regarding your thoughts and needs try not to push each other and avoid blaming each other all will result in more stress.

Please refer your wife to a gynecologist for a check up and physical examination, and for you please refer to your doctor for sperm count test and physical examination to make sure that no anatomical or histological problem might lead to conceiving problems.

hope that helped in guiding you to what you need to do and provided some insights to how to handle the issue.

Please feel free in contacting me with more questions.

Best regards,
Dr. Nazzal

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Brief Answer:
It lowers the chances of conception but can still happen

Detailed Answer:
Dear XXXX,

This can lower the chances of her getting pregnant but it can still happen. Nevertheless the maintaining erection while ejaculation you should refer to your primary care doctor and ask for hormonal check up on thyroid, LH, FSG, testosterone, free testosterone levels, etc... Plus you need to get a sperm count and motility test. Moreover your heart should be also checked your doctor might want to listen to your heart measure your heart rate and blood pressure and might order an EKG.

So If all is in normal range then that means your issue could be psychogenic and needs psychiatric counseling for both the loss of erection and the premature ejaculation.

Meanwhile you can do some life modifications like if you smoke stop smoking if you drink alcohol stop drinking, healthy diet avoid fast food, and workout and exercise take some multi vitamins and eat green leafs like Rucola.

So to sum it up first the presence of physical reasons of the problems should be addressed and make sure nothing is causing the problems you have as a couple, then if something is present proper treatment should be administered accordingly.

I did mention some of the things you can do meanwhile but its important to get a full medical check up for you and a gynecological check up for your wife.

Kind regards,
Dr. Nazzal

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Brief Answer:
1. Yes 2.PE is related to time after penetration not only erection

Detailed Answer:
Hello XXXX,

Its my pleasure to answer your questions, glad you feel that you benefit from my answers.

1. Moderation is key for masturbation. 3 to 4 times can be excessive and will affect your sexual life in many aspects. Try to limit it to 1 or XXXXXXX 2 per week. This will help in having better erection. Moreover try to reduce exposure to porn since it might lead to being hyper stimulation and lead to ejaculate quickly.

2. Definition of PE (premature ejaculation): Is when you ejaculate sooner as you would like to, usually less than a minute of penetration, inability to delay ejaculation most of the time during intercourse. Its worth mentioning that normally average time of sexual intercourse is about 5 minutes.

So PE is not related to erection but to penetration.

Hope that helped.

Best,
Dr. Nazzal

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