Hello Doctor,
I am a 31-year-old male, and my marriage is in about 3–4 months.
I have been experiencing what I think may be lifelong premature ejaculation for more than 10 years.
During masturbation with direct penile stimulation, I develop a very strong urge to ejaculate after about 30–40 strokes. I usually stop before ejaculation. If I wait for 30–60 seconds and start again, the strong urge returns almost immediately.
If I stimulate through clothing (without direct skin contact), I can continue much longer without reaching that point.
I also attempted vaginal intercourse once, and ejaculation occurred almost immediately when my penis touched the vagina.
My testosterone level is normal (488.51 ng/dL), and I have no erectile dysfunction.
My questions are:
Does this history suggest lifelong premature ejaculation?
What is the most effective first-line treatment?
Should I start with behavioral therapy, topical anesthetic (cream/spray), or medication?
I have 2 exposure with girl Last 6 month back
1st sex with worker Girl that time I used condom & it didnt break at all
2nd sex with my friend that time i also used condom & its a vagina sex & no condom break till 10 min & then its break inside vagina for 5 min
Then immediately I wear new condom
It's Hiv Risk??
My Friend she test after our exposure at 50th day
Hiv rapid card serum from lab & Blood taken from arm
It's negative
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ITS ALL Hiv Symptom for me??
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