Premature ejaculation - #9214

Premature ejaculation (PE) is a common concern for many men and can be caused by a variety of factors, including psychological and physical factors. Since you've already tried techniques like "stop and start" and some Ayurvedic products without success, here are a few steps and suggestions you can take to address the issue: ### 1. **Psychological Factors** - **Stress and Anxiety**: Psychological issues such as stress, anxiety, performance pressure, or relationship issues can contribute to PE. Even though many people may say it’s psychological, these factors can have a significant impact. - **Therapy**: It might be helpful to see a therapist or a sexologist who can help you address any underlying psychological causes. Cognitive Behavioral Therapy (CBT) and other forms of sex therapy have been shown to be effective in treating PE. ### 2. **Physical Health Factors** - **Pelvic Floor Muscles**: Weak pelvic floor muscles may contribute to PE. Regular pelvic floor exercises (such as Kegel exercises) can help improve control over ejaculation. - **Medication**: There are medications like selective serotonin reuptake inhibitors (SSRIs) or topical anesthetics (like lidocaine) that can be prescribed to help delay ejaculation. These medications need to be prescribed by a doctor or a sexologist, so consult a specialist for proper evaluation and advice. ### 3. **Communication with Your Partner** - **Relax and Communicate**: Sometimes, the pressure to perform can make things worse. Open communication with your partner about the issue can help reduce stress and build a stronger emotional connection. It's important to approach this issue together. ### 4. **Lifestyle Factors** - **Healthy Diet and Exercise**: Regular physical exercise, maintaining a healthy weight, and avoiding excessive alcohol or smoking can improve your overall health, which may help in managing PE. - **Avoiding Pornography**: If you engage in excessive viewing of pornography, it can sometimes exacerbate premature ejaculation. Reducing or eliminating pornography consumption may help. ### 5. **Consulting a Sexologist or Urologist** - Since PE has persisted for some time, it would be beneficial to seek professional help from a sexologist or urologist. They will perform a thorough assessment to determine the cause and suggest the best treatment options for you. They may perform tests to rule out underlying medical conditions like hormonal imbalances, infections, or other physiological issues. ### 6. **Explore Behavioral Techniques** - **Squeeze Technique**: This involves applying pressure to the penis when you feel you are about to ejaculate, which can help delay it. - **Mindfulness and Relaxation**: Focusing on the sensations and not rushing can sometimes help reduce anxiety and premature ejaculation. ### Conclusion: PE is a treatable condition, and seeking professional help is important. Consider seeing a specialist like a sexologist or urologist who can help you with tailored advice and medical treatment. With the right combination of psychological therapy, physical exercises, and potentially medication, you can improve your condition. It’s important to be patient with yourself as progress may take time.