Dear Doctor, I am married & suffering from premature ejaculation sometimes (within 1 min/2min)..Mainly during the intercourse time early ejaculation happens, not during foreplay/oral sex..Performance anxiety causing the problem may be..I ejaculate much before my partner reaches orgasm stage..Tried masturbating 1 hr before sex, but this causes low arousal during sex..This is impacting my life and mental health.. Should i consult psychiatrist/urologist in Kolkata? Plz suggest..
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Early ejaculation could be due to many reasons. Anxiety being the most. So first try relaxation techniques and distraction method. Then try to cut down on any habits like alcohol, smoking or drugs. This will help delay ejaculation. If there's no improvement then you must be investigated for any comorbidities like diabetes hypertension hypercholestrolemia. Treating these comorbidities also can delay ejaculation. Also any associated erectile dysfunction will also have to be treated. Medically there are many options like oral medications and topical creams. If the above conservative measure do not help kindly consult a psychiatrist for medical therapy.
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