Dear Practo User, Thank you for sharing your concern. Based on the symptoms described, your issue may be related to Premature Ejaculation (PE), which means ejaculation may be happening sooner than desired during sexual activity. In some cases, PE can be associated with factors such as: • Performance anxiety or stress • Increased sensitivity • Lifestyle or psychological factors • Relationship concerns • Sometimes, certain physical or medical causes The tingling / vibration sensation in your hands and legs that you mentioned is not typically considered a direct symptom of premature ejaculation, and it may require separate medical evaluation to understand the exact cause. The good news is that this condition is treatable, and with the right guidance, many patients experience significant improvement through: • Proper medical evaluation • Lifestyle guidance • Counseling / behavioral techniques • Medications, if required • Personalized treatment plans There is no need to panic, but it is important to get the issue assessed properly so the root cause can be identified and treated effectively. If you are genuinely interested in resolving this issue, you may contact me directly for a confidential online or in-person consultation. Website:

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A fast discharge problem (early ejaculation) is a very common concern among men and can occur due to a variety of physical, psychological, or lifestyle-related factors. Please do not feel embarrassed about discussing this during a video consultation. Healthcare professionals deal with such concerns regularly and approach them with complete professionalism and confidentiality. It is also normal for an erection to occur during discussions about sexual health or while explaining symptoms, and this is not something that doctors will laugh at or judge. The purpose of the consultation is to understand your concerns thoroughly and provide appropriate guidance.

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