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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Erectile Dysfunction And Premature Ejaculation Be Treated?

Hello Dr.
I am unmarried boy 26 yrs of age.
The size of my penis is too short is just about 3 to 4 inchs after erection
even that erection is not for long time
I have never done sex before.
and also blow out the sperm in a very short span of time even watching a porn movie of 2 minutes
is it a disease?
there is no sexologist in my town.
even i can't discusss with anyone
previously i was thinking that this is just because of masburation but
guys of my age are also doing masburation then why me
please help me
what should i do?
On October month there is my marriage

Help
Fri, 17 Jun 2016
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Psychiatrist 's  Response
Dear service user,
Thank you for seeking help with HCM. I will try my best to address your concerns.
The concern regarding penile size is very common. The width and length of erect penis vary greatly from one individual to another. The size of penis has no relationship with sexual satisfaction of the partner. The lack of knowledge makes you fearful and apprehensive.
Another fact is that only outer one third and the front wall of vagina have nerve fibers and hence sensitive to stimulation. Rest of inner two third is largely insensitive. So if you want to arouse and turn your partner ON during sex, you should focus on the areas of maximum nerve endings hence clitoris and inner lips or labia minora, the outer wall and lower two inches of vagina. So for female sexual gratification, the size of erect penis could be anything from two inches or more! You remember that what important is strength and not the length! Entry and to and fro continuous movements are adequate. It is men's technique, not his penis size that characterizes the lover in him. ‘Bigger is better’ is myth.
One can gain ejaculatory control over a period of time by practicing behavior methods as below,
1. Stop-start technique of behavior therapy.
2. Female on top with active role.
3. Double condom
4. Medicines like Fluoxetine 20 mg day or Paroxetine CR 25 mg per day.
(To be taken under medical supervision only)
5. Pelvic muscle strengthening exercise. (As if try to hold urine intermittently during voiding)
6. Penile squeeze technique applied at the point of ejaculatory inevitability.
7. Applying a local anesthetic ointment to glans penis prior to penetration.

I hope, I addressed all the concerns properly.
Wish you good sexual life ahead.
I find this answer helpful
Psychiatrist Dr. Bajrang Lal Dhaka's  Response
Hello dear,don't be worried too much about it ,your penis size is enough to satisfy you and your partner.get married and you will have improvement in your time.initially there may be premature but it will improve.be relaxed do regular exercise and have proper diet and at proper time.
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How Can Erectile Dysfunction And Premature Ejaculation Be Treated?

Dear service user, Thank you for seeking help with HCM. I will try my best to address your concerns. The concern regarding penile size is very common. The width and length of erect penis vary greatly from one individual to another. The size of penis has no relationship with sexual satisfaction of the partner. The lack of knowledge makes you fearful and apprehensive. Another fact is that only outer one third and the front wall of vagina have nerve fibers and hence sensitive to stimulation. Rest of inner two third is largely insensitive. So if you want to arouse and turn your partner ON during sex, you should focus on the areas of maximum nerve endings hence clitoris and inner lips or labia minora, the outer wall and lower two inches of vagina. So for female sexual gratification, the size of erect penis could be anything from two inches or more! You remember that what important is strength and not the length! Entry and to and fro continuous movements are adequate. It is men s technique, not his penis size that characterizes the lover in him. ‘Bigger is better’ is myth. One can gain ejaculatory control over a period of time by practicing behavior methods as below, 1. Stop-start technique of behavior therapy. 2. Female on top with active role. 3. Double condom 4. Medicines like Fluoxetine 20 mg day or Paroxetine CR 25 mg per day. (To be taken under medical supervision only) 5. Pelvic muscle strengthening exercise. (As if try to hold urine intermittently during voiding) 6. Penile squeeze technique applied at the point of ejaculatory inevitability. 7. Applying a local anesthetic ointment to glans penis prior to penetration. I hope, I addressed all the concerns properly. Wish you good sexual life ahead.