Need suggestions, please. Standing up?

Consult sexologist for the same..both partners

You can consult me directly on Practo, or reach out via WhatsApp: Eight Seven Six Two Seven Four Nine Nine Seven Four I’ll guide you step-by-step with easy-to-follow treatment plans. Early consultation helps avoid complications — feel free to connect. Only whatsapp message no calls

Consult superspecialist like sexologist,  urologist. You can try Tab Fortage 1-1-1 Tab bangshil 1-1-1 For one month.  It's a safe herbal product. Allopathic Tadalafin one hr before sex.

Understanding your symptoms Pelvic floor tension: The tight buttocks during climax suggest overactive pelvic floor muscles, which can cause discomfort and affect sexual function 1.Premature ejaculation: Climaxing quickly is common and often linked to anxiety, stress, or heightened sensitivity 2.Erectile concerns: Occasional weaker erections are normal and can be influenced by stress, fatigue, or anxiety . Safety of sexual activity and masturbation It is safe to continue sexual activity and masturbation, including standing, as long as you avoid pain or significant discomfort. Listen to your body and stop if you feel pain or distress. Practical suggestions for improvement Pelvic floor relaxation Reverse Kegels: Practice relaxing the pelvic floor muscles rather than tightening them. Imagine gently lengthening or opening the pelvic floor as you exhale. Breathing exercises: Deep, slow breathing during sexual activity can reduce muscle tension and anxiety. Progressive muscle relaxation: Gradually relax muscle groups from head to toe to reduce overall tension. Managing premature ejaculation Start stop technique: Pause stimulation when you feel close to climax, then resume once the urge subsides. Squeeze technique: Gently squeeze the base of the penis for a few seconds when nearing climax to delay ejaculation. Mindfulness and distraction: Focus on non sexual thoughts or sensations to delay climax. Communication and anxiety management Talk openly with your wife about your concerns and work together to reduce pressure and anxiety. Consider counseling or sex therapy if anxiety or relationship stress is significant.

If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed discussion*

Need a few more details please consult for further evaluation and treatment

Psychiatrist

Can help you, kindly consult and provide detailed history for proper diagnosis and further management