Sexual timing - #9629

Hello Rahul , I can understand your problem. You can get paid consultation or you can directly contact on whatsapp for this problem. Patient Name: Rahul Age: 30 Sex: Male Chronic Illnesses: None Chief Complaint: Early ejaculation during sexual activity Diagnosis: Probable Premature Ejaculation (PE) Causes of Premature Ejaculation (PE) A. Psychological Causes Performance anxiety – Worry about sexual performance can trigger early release. Stress – Emotional or work-related stress can interfere with sexual response. Depression or mood disorders – May reduce control over ejaculation. Relationship issues – Conflict, lack of communication, or emotional distance with a partner. B. Biological Causes Hormonal imbalance – Low levels of serotonin or abnormal testosterone levels. Hypersensitive penile nerves – Increased nerve sensitivity can cause quick ejaculation. Erectile dysfunction (ED) – Men with ED may rush ejaculation due to fear of losing erection. Prostatitis or Urethritis – Infections/inflammation in the prostate or urinary tract. C. Behavioral Causes Masturbation habits – Habit of quick ejaculation (e.g., due to fear of being caught) can condition the body. Lack of sexual experience – Less control over sexual arousal and response. Irregular sexual activity – Long gaps may cause overexcitement. D. Neurological or Genetic Factors (less common) Certain nerve conditions Family history of PE (genetic predisposition) Lab Investigations Ordered A. Hormonal Profile Serum Testosterone Serum Prolactin T3, T4, TSH (Thyroid Function Test) B. Metabolic Panel Fasting Blood Sugar (FBS) HbA1c Lipid Profile C. Urinalysis Urine Routine & Microscopy Urine Culture & Sensitivity D. Semen Analysis (if fertility assessment needed) Thank you Dr Shayeque Reza MD 9800280276