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premature ejaculation

Hallow Dr.,
i am 34 year married male. my penis erection is hard & fine but when dream or thought or think about female sex organ or any sexual activity my penis immediate give response with hard erection when i do intercourse with wife my penis between when i insert my penis in vagina my sperm ejaculate i feel so shay so do second time then i do not more then 2 minute so i finished my wife from my finger now i face this problem last 9 year's i feel in my penis very high sensation i try many time high & long breath but not improvement my libido level is high so my penis will keep many time high erection position because i am sex addict from my child hood age 14-15 year i doing masturbation 3-4 time in week,read porn books,porn movies,porn magazine then i realize after some year this is wrong then after i leave only masturbation but books,movie is running till now my desire want daily sex my penis is always ready for intercourse but my sperm ejaculation lost me my all sex life also my feeling due all issue now from last one month i see on my penis head white died skin remove it from my hand i think my skin neutral change skin but i see every month two time i feel in between itching on penis head what it mean i don't understand it is problem or not please guide please help more for my premature ejaculation please...... i request help me
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Avatar universal
Sorry Dr. for my last word mistake gel not use for last longer
gel cure only my penis irritation i feel relax from irritation problem
please again sorry for my miss type
Helpful - 0
523042 tn?1212177895
MEDICAL PROFESSIONAL
Hi

Thanks for checking in and updating me on your progress. I'm glad to hear things are working out for you. I have never heard of the gel you're using, but I do know that it's important that you discover how to last longer on your own, without relying on some product which may or not be beneficial over time. Once you know you can do this for yourself, imagine how much confidence you're going to have! Dr. J
Helpful - 0
Avatar universal
Thank's Dr. J i do your all suggestion & also goes to urologist for penis irritation. 1st is in between day's i try Alvera Pure gel on my penis head the after some day's my all irritation have solved i feel good also i clean daily with Johnsons baby Liquid Soap then after dry i put gel for last longer i try your all suggestion for my penis

Again Thanks Dr. J
Helpful - 0
523042 tn?1212177895
MEDICAL PROFESSIONAL
Hello.

Let me clear up some confusion. Masturbation (self-pleasuring) does not "cause" you to come before you'd like to. However, during their early self-pleasuring experiments, many men learn a very quick orgasm pattern in order to avoid detection—like in the bathroom (“You’ve been in there for hours! What are you doing?”) So if you learned to come quickly when being sexual with yourself, that can also set up a lifelong pattern. Learning to come quickly with a partner can also set up this pattern. Guilt and anxiety about sex may also create a situation where some men just want to get it over with quickly so they won’t have to deal with any of those feelings. And, of course, if you’re focused on “performing,” rather than just enjoying yourself, your penis can become incredibly stubborn and uncooperative.

Once you learn to control your orgasm, realize that each man has an individual orgasmic pattern unique to him. A lot of this anxiety about “premature” ejaculation is based on paranoia, and the idea that it's somehow ideal to have erections last way longer than they tend to realistically for most men, most of the time. Sure, sometimes, a man might last 15 minutes, 30 minutes, even an hour, but 75% of all males have an orgasm within 2 minutes of beginning penis-vagina (p-v) sex. I wonder if you’ve asked your partner how long she would like you to last? Are you thinking that if you last longer, somehow she’ll have an orgasm during p-v sex? The fact is that most women DON’T orgasm during p-v sex. It’s a much more effective way for men to orgasm than women, so please don’t attempt to reach some kind of “orgasmic goal” because you think it will ultimately please her.

That said, here are some techniques for lasting longer:

First, slow down during self-pleasuring and unlearn that old pattern of quick orgasm. Try teasing yourself by stimulating yourself just to the point where you feel you’re about to orgasm, then backing off and relaxing, and then beginning again. This will give you a sense of control as well as teach you to recognize your own point of no return (when you know you're about to have an orgasm, no matter what). Another thing to try is when you feel yourself getting close to orgasm, relax, breathe deeply, and cease movement. Some men also find they last longer if they have an orgasm on their own awhile before beginning partner sex. This tends to take the edge off, if you will.

Once you feel in control of your orgasm, you can also examine whether you have any feelings of discomfort with being sexual—either with yourself or with a partner. These feelings of discomfort can create extreme conflict and cause you to feel the need to get it over with quickly. If you look at sex as something to finish quickly—get it up, get it in, get it off—you’ll need to let go of that old mentality. And naturally, if there are any relationship conflicts or you’re angry or feeling resentful about your partner, these can also contribute to wanting to get it over with.

It sounds as though you have lots of sexual desire--this is not a bad thing, so stop worrying about it. I think you've been told that being interestedin sex, reading about sex, and thinking about sex is somehow bad or wrong. There is no evidence to support this belief. In fact, you are who you are, so you need to make your peace with that and figure out how to make your sexuality work best for you. It might help you to feel less tense if you self-pleasure more often. This may also slow down your orgasm pattern.

There are many reasons why the skin on your penis can become dry--some are just the result of not washing, sweat, irritation, etc., but some conditions may require you to see a urologist, so please consider seeing a urologist to discuss this. And ALWAYS keep your penis clean; otherwise you leave yourself vulnerable to irritations as well as disease. Best of luck to you. Dr. J
Helpful - 0

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