Brief Answer:
Hi

Detailed Answer:
Hello,
Thanks for your query.
I appreciate your efforts for medical consultation in so much distress.

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 like in your case. If your PME got treated, your erection will also improve.

Premature ejaculation (PME) is common problem and 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 (due to this improve erection).

-Stop start 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.

-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. Just wear this as normal condom and start sex after 30 seconds of penile massage, as medicine take some time to act.

-Daily use of medicines like Paroxetine/Fluoxetine increase ejaculation time and confidence in 10-14 days. These are prescription medicines and can be taken after prescription from psychiatrist.

-On demand medicines like Dapoxetine 30 mg can be used 1.5 hour before sexual act to increase ejaculation time.

Follow these above methods in different combinations regularly and your problem will solve in few weeks.

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. Any medicine to Erectile problem - size of penis is small and do not become hard during intercourse.
Answer: For erection, medicines like sildenafil is helpful. Again it is a prescription medicine and given after examination & prescription. If penis size is more than 4 inch in erected stage then there is no need for treatment. If it is less you need to meet nearby urosurgeon. Medicines do not increase penis size, so do not buy any product which claim to increase penis size.

2. Prescription for medicines like Paroxetine/Fluoxetine and how to take these?
Ans: Fluoxetine 20mg is given daily in morning with water. But it require prescription from doctor. Online prescriptions are not valid to buy medicines.

3. Any prescription required for medicines like Dapoxetine 30 mg. Is these medicines availlable in the market or any specific medical store?
Answer: Yes, prescription is require. Available in good medical stores. You should inquire about it in your current city of residence.

As I am out of XXXXXXX how to get these medicines? Any source who can send thru courier and I pay for that including medicines online.
Ans: You need to meet local physician for that.

TC
Wish you good health.
Regards,

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Brief Answer:
Hi

Detailed Answer:
Hello Mr Khanna,

You can meet me during visit to XXXXXXX
For contact you can visit: 99doctor.com

Tc

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