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Dr. Brims
Dr. Brims, U.S. Licensed Physician
Category: Health
Satisfied Customers: 9147
Experience:  U.S. Licensed Physician, general surgery and internal medicine experience
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I am 28 years old. Me and my girlfriend have to live in distance.

Customer Question

I am 28 years old. Me and my girlfriend have to live in distance. Due to this we meet in every 5/6 months. Before we meet i do the masterbid frequently and after 5/6 months when we meet and have sex, i cum quickly and my penis got soft instead of getting hard. There is no hardness in my penis. She was not happy, very disappointed and complain for this. She complain that she need more while i cum quickly but i couldnt go longer after cuming and my penis also get soft or no more hardness. In addition to this my penis size is also small then normal size of a guy. I would like to increase 1.5 inch in length maximum and 0.5 inch wide if possible otherwise no worry. Please advice me the good advice to recover this erection problem naturally or any treatment that dont have any side effect. I am desperately waiting for your accurate answer please.
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 1 year ago.
Greetings Bijay.

The causes are mostly complex and sometimes difficult to ascertain as they can be collectively due to various factors like;

1) Hormonal
2) 5 HT dysfunction
3) Hyperexcitable ejaculation or hyperarousability
4) Penis hypersensitivity
5) Poor ejaculatory control
6) Infrequent sex
7) Anxiety
8) Performance stress

One or many factors can play role simultaneously. Urologist's assessment would be able to give the clue and then are dealt appropriately.

Following measures are helpful for premature ejaculation;

1) Application of lidocaine on glans about 20-30 minutes before the intercourse.
2) Learning of squeeze technique; your physician or urologist can give counsel about this (you learn to squeeze the erect penile shaft before the ejaculatory reflex is stimulated; see the resource also)
3) Medical therapy;
a) clomipramine, phenoxybenzamine are the medication which can be helpful to you.
b) Numerous studies have shown that selective serotonin reuptake inhibitors (SSRIs) and drugs with SSRI-like side effects are safe and effective to treat premature ejaculation. So you need to get the prescription of any of the following medications;

1) Sertraline
2) Fluoxetine
3) Clomipramine
4) Paroxetine
5) Citalopram

The other way suggested is the masturbate 3-4 hours before the sex. The ejaculation is significantly delayed than with the sexual act, if you get an erection in 3-4 hours.
4) Female up position; this delays the ejaculation
5) Avoidance of stress: performance stress, again increases the premature ejaculation and aggravate the situation.
6) Talk to your physician about the problem in the presence of your spouse and together this can be easily handled.
7) Sex therapy sessions.

Read this resource;

http://www.mayoclinic.com/health/premature-ejaculation/DS00578

For the erectile dysfunction, your doctor can prescribe you Viagra, Levitra or Cialis. An herb called Yohimbe too can help, which is available at health stores.

The length of penis has only cosmetic importance. Functionally length is not important for the satisfaction of the factor. Only surgery can increase the size of penis. Please read these resources for penis size;

http://www.mayoclinic.com/health/penis/MC00026


http://www.mayoclinic.com/health/sexual-health/MY01464/DSECTION=mens-sexual-health


Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

 

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Customer: replied 1 year ago.
I am really not happy with your answer. You advice me to contact the physician to fix the solution. If i contact the physcian ofcourse they will sort out the problem, common sense. What is the point that i am paying $60 to get answer of my question. Obviously In $60, i can buy viagra, pills or substitute medicines straight away. Am i right??. Some advice like doing masterbating before 4/5 hour of sex, i have did already.
Expert:  Dr. Arun Phophalia replied 1 year ago.
Bijay,

I am opting out of the answer. This will open up the question for the other experts, so you will have further insight and second opinion.

It was a privilege assisting you.

Wishing you all the best in life.
Customer: replied 1 year ago.
Relist: Incomplete answer.
Expert:  Dr. Brims replied 1 year ago.
Hello, welcome to Justanswer, I will try to assist you with your medical question, and any medical information you seek

The previous expert gave a very detailed answer, I would like to help, can you tell me what details you require that he has not provided?

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