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?
Hi doctors,
I have been diagnosed with genital warts last year may 2025 , took treatments for it and cleared it around September 2025 , till now (july 2026) i have been warts free , I'm planning to get married in the month of September, what are the precautions I need to take from my side ??
Note : me and my future wife completed two doses of vaccination and 3rd one is scheduled on September month. How can I resume unprotected sex with my future wife ?? Please your comments on this ,
I have attached images of my penile where the warts were present earlier and treated now . (The whitish area is present after the treatment, are those treatment scars ) How to cure that as well ?
I was suffering from low libido, very fewer morning erections and weaker erections. So I got few blood tests done! total testosterone test= 284 ng/dl
I also got my prolactin hormone test done! And it was 10.48 ng/ml
What should be my next approach as I'm just 26 yrs old! How can I improve my situation! I don't want to engage in TRT! Also is it possible to increase my Testosterone levels to 500 ng/dl?
Possible exposure 13 june 9pm
Ok here were events
I Started with Condom
It was semi erected when comdom was put and it was put by her only so I'm assuming there'll be no mistake as it's her daily work
I did not do in out, i was in entire time just small thrust forward and backward it was my first time so I think se held my penis with some muscel of her
My penis got little erected when it was inside her
I ejaculated inside her
When i was pulling out i felt something slipping from my penis
I was out in 3 seconds after i felt slip
What i observed was that my penis was dry, foreskin not pulled back, lips open or loose and drop of simen on it and condom wasn't on it it was inside her vargina
During entire thing i didn't feel any changes in sensations
Everything ended max 60 to 70 secs
Now tell me based on all this
I got 2 not detected HIV RNA Real time pcr qualitative tests at 11.5 and 16.5 days
Both not detected
PME in less than 10 sec during sex but not in masturbation .I'm trying to control it but i cant so what should I do
