instruction: hello doctor I am suffering from premature ejaculation for last five years treatment is going on but no effect my age is 47 years any injection is available for premature ejaculation suffering from the last five years I am taking tablet duralast 30 sos but the result is very poor no sugar or blood pressure problem yet any injection is available for its treatment or surgery
output: hello premature ejaculation is defined as ejaculation with minimal sexual stimulation before the patient desires and before or within one minute of penetration there are two major reasons for premature ejaculation frequently performance anxiety could be a cause of premature ejaculation in that case you can take deep breaths for two minutes before sex it will relax you enough if you still feel anxious you can take tab alprazolam 5 my half an hour before sexual activity remind yourself that you are having sex for mutual pleasure and relaxation it is not an ordeal or duty where you are supposed to be the performer if it is due to excess sensitivity of the glans penis front portion of the penis the first technique is known as squeeze technique in it when you reach close to orgasm you or your partner should squeeze on the ridge between the glans and the shaft of the penis till the erection subsides then begin with your sexual activity once again repeat this a few times before you finally ejaculate this will increase your time to ejaculation and also give you some voluntary control the second option is you can use lignocaine spray once on the glans penis 15 minutes before sexual activity it will reduce the extra sensitivity of the glans to the normal level you can also use lignox jelly instead of spray if these techniques are not working for you can consult a sexologist who will examine you physically to find the cause and advise accordingly