Brief Answer:
no side effects

Detailed Answer:
Hello,

Thanks for writing to us. I can understand your concern.
Kohinoor gold plus is an ayurvedic preparation. It generally does not cause any side effects. You can take it. But there is no scientific studies supporting its effectiveness. From your history it seems that you have problem of premature ejaculation. I want to mention solutions of this problem. You can try any of them you feel suitable with this kohinoor gold plus.

According to the latest diagnostic criteria by DSM 5, premature ejaculation should be defined when there is ejaculation within one minute after entering tin to vagina or even before penetration.

Treatment for 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 0-30 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 has been used specifically for PME and should be taken before 2 hours of sex when required.
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. Kegel exercise also helps in some cases. You can learn the same from internet.

3. Sex counselling 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. It reduces sensitivity of glans penis and delays the ejaculation.

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


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

Regards,

Dr.Chintan Solanki.

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Brief Answer:
please clarify your query

Detailed Answer:
Hello,

I am not able to understand your question. Please clarify your query. I know hindi as well as Gujarati so you can write in that language also if you are not comfortable with english.(aap hindi me likh shakte ho).

I will try my best to answer.

You can enjoy foreplay. Problem is sometime before entering penis in to vagina ejaculation happens. I have already mention solutions for that.

Any semen either first time or second time after masturbation can fertilize the ovum provided ovum should be there in uterus.

I have already mentioned generic name of medicines.

No, medicines do not cause any side effects on fertilization.

Take care.

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Brief Answer:
practice makes the man perfect

Detailed Answer:
Hi,

Thanks for clarification. Actually I understood that you have long sex life.

It is normal to have problem in sex life fore 1-2 months. You did in 3rd attempt comfortably. Just keep it up. You will be able to enjoy the sex as you go ahead. Practice makes the man perfect. There is no need of any medicine at present.
Just take kohinoor gold plus.

Yes it is just due to performance anxiety. I would like to clarify it.

Sometime due to fatigue, lack of mood, situational problem or environmental changes man can fail in sex. It is normal phenomenon. This is called performance anxiety. After such failure when person actively thinks about erection or success of intercourse during sex/masturbation his mind is likely diverted to such thoughts. For constant erection continuous exciting/romantic/erotic feelings should be there in mind. If mind diverted to concern about erection/ejaculation, ejaculation occurs fast.

While doing sex keep yourself relax.

Whenever you go for sex, spare enough time in foreplay. You should not think actively about erection, your mind must be occupied with sexual/romantic feelings. During foreplay your partner should try to arouse you and note that your penis gets erection or not. When she feels that penis is sufficiently erect she herself should try to put erect penis in vagina gradually and you should continue your foreplay feelings without being conscious about ejaculation. You must try to enjoy and only enjoy.

If your partner is not aware about this situation you can do on your own. You just should try to do sex without being conscious about erection and ejaculation. Enjoy without thinking of your ability of maintaining erection and early ejaculation.

In any case in future you will fail after multiple attempts; medicines are there to get confidence.

All the best.

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