instruction: hello doctor I am 24 years old I am having a problem with premature ejaculation and I am afraid as I have all symptoms of premature ejaculation due to excessive masturbation I need your help
output: hello I am sorry to hear that you are facing premature ejaculation problem before we proceed we need to identify the cause of the problem in some case it occurs from initial time and known as primary in few others it occurs after a normal sexual period and known as secondary premature ejaculation I hope you read my article at icliniq regarding premature ejaculation if not first of all I request you to read it completely to know the basic information once you read it revert back to me with the following details your duration of problem how the problem started whether it was on off or continuous from the beginning frequency of the problem in a week or in a month out of what number of sexual interactions were a failure in a month what are the factors that increase the problem factors that relieve the problem thoughts situations partner place etc your marital status and partner details is she very critical demands sex more than what can you think does she feel superior to you effect on your relationship so far details of medical illness if any medications you are receiving currently if any your description of the problem once you post these details I will try to analyze the cause of it and will suggest you accordingly