Brief Answer: Hi Detailed Answer: Hello, Thanks for your query. I appreciate your efforts for medical consultation in so much distress. Early ejaculation or 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) 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 or squeeze-pause 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. As your current ejaculation time is 2 min, if you give 4-5 times break according to this technique then ejaculation time will increase to 10 Minutes. -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. Follow all these above methods regularly and your problem will solve in few weeks. After that your confidence will increase to have sexual act for longer duration, which will help you in future. 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: Hello again, Thanks for follow up. 1.I have tried the stop and start technique earlier while having intercourse but It did not helped me because again after less than a min time again it ejaculate and I am not able to control it for more time. As well as if I stop than my wife also does not like that and she starts getting irritated. Ans: You need to try all method explained above. If something is not working for you then you can focus on other method. 2. How to use the cream which u have suggested? Will it be really helpful? Is there would be any harm on my XXXXXXX by using this cream or will it effect my wife pussy? Ans: It is not cream only. It is condoms with desensitizing creams (marketed as Kohinoor extra time). It used as a normal condom and do not have side effects usually. 3. Should I use some medicine, if yes than which and how to use it? What would be the frequency and what are the precautions? Ans: In medicine dapoxetine or paroxetine are helpful. But these are prescription medicine and require in very few patients. For that you can get prescription from nearby psychiatrist or general physician. Till that time use above mentioned methods to increase ejaculation time. Please accept my answer and give feedback in case there is no further query and you found reply helpful. In case of doubt, I am here to help you. Wish you good health. Regards

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