Category Archives: Sexologist in Delhi

What is tantric sex

What is tantric sex

Although many people have heard of sexual pleasure, little is known about it and ignorance is essential. Tantric sex is a way to connect with your partner, be it physically, emotionally, and spiritually.

Couples who try it say that it is better to strengthen the relationship because it improves complexity and trust between the two of them. That is why it is always a good time to try new things that help couples.

Mind about tantric sex

Tantric sex seeks the perfect balance between body, mind, and spirit. During the above-mentioned sexual activity, a person must have a clear idea of ​​the problems and anxieties. Only in that way can you enjoy your mate’s full potential. One has to be able to control all one’s thoughts and emotions in order to be able to communicate with the couple in a mental and emotional state.

A place with tantric sex

When it comes to having sex with someone you love, the place or environment in which it happens is very important. The heat should be pleasant, the lighting well, and the music refreshing. Remember that the five senses must be put into action, so all these factors in the environment are important and achieve a complete relationship with the couple.

What is tantric sex

Instructions to follow to have sex with your partner

Here is a series of guidelines you should follow when starting a good sex world:

  • Breathing is the key when it comes to connecting with someone. Counseling in front of the partner and he begins to breathe calmly and comfortably. Gradually the two breaths come together and become one.
  • Keeping your eye on your partner is one of the most important aspects of your sexuality. This bonding helps to strengthen the bond between the couple through all that is involved.
  • The past with the partner is a key part of sex. Encouragement is essential when it comes to fully connected with your partner. It can include kissing, massaging, or massaging that helps the sex to be completely beautiful.
  • To have sex with a person, one wants to prolong happiness as long as possible. If this happens the mood increases and the peak is much better, until a special pleasure cannot be repeated.

In short, tantric sex is a good alternative to lifelong sex, especially when it starts to get boring. It is not easy to implement and requires the consent of both parties. With time and practice, you can enjoy this type of sex and form an emotional bond with the other person. Remember that with good sex you not only have fun with your partner but also help to strengthen the bond with your partner a lot, which can be very important for the relationship to grow and strengthen, says sexologist in Delhi.

obesity and seminal quality

Obesity And Seminal Quality

Although it is still a controversial issue, obesity is increasingly related to fertility problems in men, always in relation to seminal quality. And, in fact, it has joined the list of risk factors for male infertility, along with tobacco, alcohol, drug use, exposure to toxic agents, some diseases, or treatment with certain medications.

However, the only thing that has been shown so far is that being overweight (defined by a body mass index (BMI) greater than 25) and waist circumference are directly related to lower seminal volume and lower sperm concentration. But no conclusive evidence has been obtained of how it affects their motility and morphology.

The truth is that the semen of obese men have a lower presence of testosterone and other hormones than those who are not overweight, which can be related to a decreased testicular function (hypogonadism) that would negatively affect the parameters that determine male fertility: DNA concentration, motility, morphology, and fragmentation.

A study carried out at Stanford University in which the semen of the men of 468 couples who wanted to have a child was analyzed has determined that the BMI and the waist circumference negatively influence the volume of ejaculation and the number of sperm per milliliter of semen. Men with a waist greater than 100 centimeters had a seminal volume 22% lower than that of those with a normal perimeter, in the same way, that in those with morbid obesity this was, on average, 2.8 milliliters, compared to 3.3 of normal weight.

However, by themselves, these data do not say much, since a seminal volume of between 1.5 and 5 milliliters is considered normal. Furthermore, this study has not detected any relationship between BMI and waist circumference with a higher or lower sperm concentration, a reduced vitality of the sperm, or an increase in malformed sperm.

In fact, some of the men included in the study had previously had at least one child. By way of conclusion, therefore, sexologist in Delhi could only ensure that obesity can influence the degree of male fertility, but it does not establish a cause-effect relationship between excess weight and infertility.

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Orgasms

What is an orgasm?

An orgasm is what normally happens when you get to the most intense part of sexual arousal. It usually feels great. When you have an orgasm (you arrive or you come), the sexual tension rises until it reaches its highest point and that is when the pressure of your body and genitals is released.

What happens when you have an orgasm?

Every person’s body is different, but there are some physical signals that happen when you reach an orgasm. The most noticeable sign is when you have a very intense sensation of pleasure in your genitals and throughout your body. The muscles in your vagina or penis, and also your anus, contract (tighten) about 1 time per second, and about 5 to 8 times. Your heart rate (heartbeat) and your breathing also speed up.

During an orgasm, your penis normally gives off a small stream of semen (1 to 2 tablespoons) of semen, this is called ejaculation. It is possible to have an orgasm without ejaculating or to ejaculate without having an orgasm, but usually, both happen at the same time.

It is normal for your vagina to get very wet before and during your orgasm. It is also possible that before or during orgasm a different fluid will come out of your vulva (sometimes called female ejaculation, or “squirting”). This fluid is not urine. Ejaculation by the vulva is less common than ejaculation by the penis, some people it happens, and others do not, and both are totally normal.

Immediately after an orgasm, your clitoris or glans (the head of your penis) may be very tender or it may be uncomfortable to touch them. You may also have sexual flushing which is when your chest, neck, and face turn red for a short time. Orgasm causes endorphins (the hormones that make you feel good) to be released, which is why after having one you may feel sleepy, relaxed, and happy. This is why some people have orgasms to relieve pain, stress, or to help them sleep.

Each person feels orgasms differently, and each time you have one, they feel different. Some are very intense, others very soft, and others neither very soft nor very intense. Orgasms vary for many reasons, including how comfortable you feel, how much excitement you feel, and how much sexual tension you accumulated before reaching orgasm.

How can I reach orgasm?

Most orgasms happen during masturbation or sex (such as oral, anal, or vaginal sex), when you or a partner stimulates (touches or rubs) your genitals. People who have a vulva usually have orgasms when they stimulate their clitoris, vagina, and/or anus. People who have a penis usually have orgasms when they stimulate their penis, testicles, and/or anus. Some people can reach orgasms by stimulating their nipples or even just having sexual thoughts.

Many things can affect your ability to have orgasms, such as your hormones, emotions, experiences, beliefs, lifestyle, relationships, your physical or mental health, taking certain medications, and consuming alcohol or drugs.

Some people can have quick and easy orgasms, but others need more time and effort. You may be able to orgasm sometimes but not sometimes, depending on who you are with and what you are doing. All bodies are different and there is no one “right” way to orgasm.

Some people need stimulation in certain parts of their body in a particular way or with certain objects (such as vibrators) to reach an orgasm. Many people who have a vulva have orgasms if they stimulate their clitoris, but not with penetration into their vagina. Others simply cannot reach orgasm by stimulating their vagina. All of these differences are normal. Learning how to orgasm can take time and practice. Experimenting with what feels good can help you get to know your body and know what you like.

Try not to pressure yourself, or your partner, to have orgasms. Not everyone can get to orgasms during sex or when they are with other people. Sometimes circumstances just do not help (for example, you feel nervous, tired, or distracted). Some people can never have orgasms. If you and/or your partner cannot get there, it does not mean that they do not like each other or are bad at sex. The sex and masturbation can be something intimate and fun and can be enjoyed with or without orgasms. If you are having trouble having orgasms and you are concerned about this, you may have orgasmic dysfunction. It is quite common and there are treatments for this. Consult your sexologist in Delhi for treatment.

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All About Headache During Sex

Some people experience sudden pain in the middle of an orgasm, or chronic migraines during each intercourse. The difference is important.

In the series “how our bodies manage to spoil moments of pleasure”, we have, at the top of the list: headaches during sexual intercourse. Because indeed, it is a real problem for about 1% of the population, especially men, around the age of 20 and 40 years. Some people suffer from it every time they make love, others have it only once in their life, still, others are subject to it from time to time, over a period of six months.

If the exact cause is not yet fully understood, sexologist in Delhi knows that people with migraines are more at risk than others. But it is useful to differentiate between these two cases.

Orgasmic headaches

This type of vascular headache can start just before or after orgasm, and last between fifteen minutes and several hours. It is a mild problem, sometimes accompanied by nausea, palpitations, vomiting or cold sweats. This type of pain is caused by increased blood pressure in the brain. The vessels in the skull constrict and cause pain, but they are nothing to worry about. If these headaches are recurrent, you can ask your sexologist doctor in Delhi for help to prescribe a medicine to treat migraines, to be taken as prevention before taking action.

Unexpected headaches

If the pain comes on suddenly, during orgasm, when you never have it, do not take it lightly. It is more prudent to consult a doctor to try to understand the cause. It can be a serious problem, such as an aneurysm, tumour, or haemorrhage.

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Consultation Specialized in Ejaculation Disorders

According to the best sexologist in Delhi, 43% of Indian men have premature ejaculation at some point in their lives. Furthermore, it is an underdiagnosed problem and, as a consequence, not treated.

To solve these problems, at sexologist clinic in Delhi, we have prepared a Specialized Consultation on Ejaculation Disorders for the diagnosis of this pathology and its treatment. We diagnose the problem and approach it in a rigorous way. Call us at 9999925201 and make an appointment. Begin to fully enjoy your sex life.

What does specialized consultation include?

  • Interview with the sexologist doctor in Delhi.
  • Physical exploration.
  • Prescription of the most appropriate treatment in each case.

What are ejaculation disorders?

The male ejaculation is the expulsion of sperm through the urethra of the male when it is exposed to sexual stimuli. When there is an alteration of this ejaculation process it is called ejaculation disorder. This type of sexual dysfunction is the most common among men and, in fact, occurs frequently among men of different ages.

The ejaculation process is usually characterized by the expulsion of sperm in a duration of between 15 and 20 seconds and after a certain period of time, although the latter is relative. Another of the main characteristics of these disorders is the influence they exert on the quality of life of the patients since it usually causes psychological and emotional problems.

Although there are various ejaculation disorders, the most frequent and common are mainly three: premature ejaculation, retrograde ejaculation and delayed ejaculation. Sometimes anejaculation can also occur, that is, the absence of ejaculation.

What types of ejaculation disorders are there?

There are mainly three types of male ejaculation disorders:

  • Premature ejaculation. This type of ejaculation disorder is the most common. It consists of the lack of control over the ejaculation process causing it to occur earlier than desired. Normally, the time scale used to define this condition is to ejaculate between 30 seconds and three minutes from the start of the sexual encounter. In most cases, this problem usually has a psychological origin, although it can also occur due to physiological causes such as infections, hormonal imbalances or neurological problems.
  • Delayed ejaculation. Contrary to the previous one, this condition is characterized by obtaining ejaculation much later than expected or desired. Sometimes it can even lead to anejaculation or absence of ejaculation. This type of condition does not normally occur during masturbation, so it most often comes from psychological causes. However, it can also be due to medical causes such as neurological disorders or the consumption of certain substances.
  • Retrograde ejaculation. This disorder is characterized by a reverse expulsion of the sperm, that is, instead of being expelled through the urethra, the sperm is expelled towards the bladder. Retrograde ejaculation is usually due to a defect in the bladder neck that sometimes contracts and can cause semen to go to the area of ​​lower pressure. This type of condition usually has neurological disorders, previous prostate surgery, and even on very rare occasions, the consumption of drugs such as tamsulosin or risperidone.

How is this pathology diagnosed?

The diagnosis of ejaculation disorders is based primarily on the consultation with the patient by sexologist in Delhi. In this consultation, the patient must provide the sexologist in Delhi with his complete medical history. Through it and in conjunction with the interview, the specialist will be able to determine if the patient suffers from said ejaculation disorder always or only on certain occasions. This is especially important when there is a difference between the appearance of the disorder when sexual intercourse occurs or when masturbation occurs.

If the alteration in the ejaculatory process occurs only during sexual intercourse and does not occur during masturbation, then it is very likely that the cause is psychological and not physiological, in which case the sexologist in Delhi refers the patient to the consultation of the sexologist psychologist. On the other hand, in the event that the disorder occurs, both in the case of having sex and masturbating, the sexologist in Delhi will carry out a physical examination of the patient in search of a physiological and clinical cause that causes it.

After a physical examination, the sex doctor in Delhi may consider it appropriate to carry out certain diagnostic tests to determine the existence of said pathology. These can be varied from analysis to a urine analysis or a sperm analysis, among others.

What is the treatment of ejaculation disorders?

The premature ejaculation treatment in Delhi varies greatly depending on the type of condition and, above all, what is its cause. If it is determined that the cause is emotional or psychological, the patient is referred to the sexologist in Delhi who will help him solve his problem through his consultations.

However, if the cause is physiological, its treatment will depend on the disorder and the physiological cause. Thus, for premature ejaculation, the use of anaesthetic lubricants is often indicated to delay ejaculation. In addition, the consumption of medications such as some antidepressants that have been shown to prolong the time of ejaculation such as paroxetine, fluoxetine or sertraline, is also usually indicated.

In the case of delayed ejaculation, as most of the time, these are psychological causes, psychological therapy is usually indicated to solve it. Finally, regarding retrograde ejaculation, although improvements have been seen with the consumption of medications such as pseudoephedrine or imipramine, there is currently no definitive treatment to treat this condition.

Red Spots on Penis

Red spots on the penis. What can they be a symptom of?

Red spots located on the glans are a mysterious disease that occurs in men of all ages. They occur in men almost commonly, and the ailment can be a symptom of many serious diseases, among others, which cause fungi from Candida albicans.

Red spots, penis itching, acorn dryness, burning pain intensifying when urinating and a characteristic white coating with an unpleasant odour are ailments associated with fungal infection of the penis. Candida albicans is responsible for everything.

In addition, red spots on the penis may occur due to:

  • using a new shower gel,
  • human papillomavirus (HPV),
  • syphilis,
  • gonorrhoea,
  • psoriasis,
  • genital herpes,
  • the use of condoms.

Red spots on the penis – mycosis of the penis

Painful pressure in the lower abdomen, pollakiuria with a constant impression of the need to urinate and urinating ‘after a drop’, intensifying in the evening – these are further characteristic symptoms of urinary tract infection with candidiasis. The infection usually affects the acorn and the inner part of the foreskin. It can have a variety of severities – from light, chronic redness and itching, to severe swelling, alveolar eruptions, painful erosions and phimosis, i.e. the inability to drain the foreskin.

Symptoms, course of yeast infection and the choice of treatment methods will vary from patient to patient, although there is some regularity here. If you have observed the main symptoms, check to see if there are any additional symptoms that are likely to cause fungal penile inflammation.

In this situation, you should consult the best sexologist in Delhi. The specialist conducts a detailed interview with the patient and individually adjusts the treatment to his needs. He may give you a prescription for chronic treatment, e.g. contraception. It also helps in the treatment of, among others menopause, venereal diseases, potency disorders or premature ejaculation. In a convenient and discreet way.

Red spots on the penis and accompanying symptoms

A person infected with Candida albicans feels unwell and complains of hunger. He has an increased appetite for sweets and all products for which yeast is used. There is often a digestive disorder with severe constipation.

Symptoms that can make Candida appear in your body:

  • you complain of general fatigue,
  • you are struggling with many allergies,
  • you feel a strong need to eat sweets and yeast-based products,
  • you have a strong need to drink alcohol (beer, wine),
  • you have no interest in sexual intercourse,
  • as a child you were treated with antibiotics for acne,
  • you have recurring ailments: (flatulence, diarrhea and constipation).

If you have most of these symptoms, you should check for Candida in your body.

What is acorn and foreskin mycosis?

In the statistics of the most common diseases, genital mycosis (thrush, candidiasis) ranks third, ranking behind cancers and cardiovascular diseases. The disease is also in the third place when it comes to the feeling of shame among patients (after keels and AIDS). The condition is common. Most women have been sick, become ill or become ill in the future. And for one hundred infected women, there are 25 to 35 infected men. Thrush is not a venereal disease. White coating on the penis appears much more often if there has been intercourse with an infected woman. Hence, it is extremely important that both partners diagnose acorn and foreskin mycosis. It’s about avoiding the so-called ping-pong effect.

Yeast epidemic

Why has yeast become an epidemic? First of all, because antibiotics are still too often used in treatment, which weakens the body. And this makes the yeast more often attack the weakened body and multiply easily. Men who have undergone or are undergoing long-term antibiotic therapy are, therefore particularly at risk, explains the sexologist in Delhi.

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These unrecognized diseases that constrain our sexuality

Endometriosis, diabetes, cardiovascular problems, depression … These conditions seem to have an impact on our sexuality. So, what is it? What can we do to find the desire to make love? Testimonials from concerned people and opinion of an expert sexologist in Delhi.

What diseases have a negative influence on sex life? 

All chronic pathologies can have a negative effect on sexuality, either directly through the lesions they induce in the body (diabetes, cardiovascular disease, neurological conditions …) or indirectly through fatigue and chronic pain, change in body image …

What are their consequences for sex and/or love?  

Among their main effects:

  • a lack of desire, which complicates sexuality.
  • sexual arousal and orgasm become more difficult and longer to achieve.
  • it takes more time between two orgasms to recover.

Can these repercussions be avoided? If not, how to live with it?  

All of our life parameters evolve with us (we get used to glasses for example). Living with a chronic illness requires accepting the new rhythms of your body. People who are in this case reposition their sexuality, which becomes less physical, more emotional, they thus keep sexuality for life.

When this is not possible (depression, too much anxiety, regret from the past, inability to adapt to new physical parameters …), sexual difficulties are at the forefront, we withdraw into ourselves, we distance ourselves from the relationship with the other, in search of a performance that has become impossible, we are moving further and further away from the logic of the body and healing, and from the relationship with two people, which alone nourishes sexuality.

How to diagnose these chronic disorders?  

The diagnosis is self-evident: it involves the occurrence of sexual difficulty in a man or woman suffering from a chronic disease.

How can endometriosis interfere with female sexuality?

Take the testimony of C., who suffers from endometriosis, a chronic disease which is characterized by the presence of fragments of the uterine lining (the endometrium), outside the uterus. Clearly, some cells are no longer in their place and this causes many pains: pain during menstruation (dysmenorrhea) – this is also the most suggestive symptom -, pain during sexual intercourse, especially during penetration (dyspareunia). In addition, hormone therapy is often recommended, in which case the person will experience a decrease in desire and difficult lubrication. To physical pain is therefore often added psychological discomfort:

“The disease had a direct impact on my sexual intercourse, and I was told it was likely that I could not have children, which greatly increased my suffering. You have to review all your sexuality, accept to go through other routes of pleasure (sometimes without penetration), in short, it is far from obvious. However, the sooner we get used to this new state, the better we are. So, I gradually learn to do with, or rather without … At least now I understand what is going on, the hardest part has been to feel that something was wrong, without knowing what. I had never heard of endometriosis. Not a gynaecologist to tell me about this disease which is not so rare. So, I tell myself that if my testimony can help someone, that’s good!

What to do? In all cases, a sex therapy follow-up seems more than welcome. Beyond the psychological support that you will need and that it will bring you, advice will be given to you to adapt your sexual relations to your situation. Like cultivating slow sex, opting for positions with not deep penetration, etc.

Diabetes also affects sexuality. What do the people concerned say?

M. has always learned to live with diabetes: like most cardiovascular diseases, it affects the passage of blood through the vessels and, by correlation, affects erection. Remember that diabetes is the first diagnosed cause of erectile dysfunction. Like C., M. notes that beyond the “technical” sexual problems linked to his illness, his libido and his desire were also damaged:

“I frequently had breakdowns or a shaky sexual desire … From this was born a kind of anxiety related to erection, what are called inhibitions or” psychological blockages “. With time, support and appropriate treatments, I managed to regain the upper hand, both mentally and physically. You have to make efforts all the time, it is certainly not easy, but it is always better than being resigned from your sex life! ”

What to do? A healthy lifestyle will obviously improve your sexual health; however, tobacco and alcohol are particularly devastating for erection. And, here again, it is good to be followed in order to take treatments adapted to one’s ailments.

We could also talk about prostate cancer, genital herpes or even depression, all of the evils that harm our sexuality and on which we must put words to move forward. Also, whatever the scenario, the main thing is to be able to talk about it and to have regular monitoring. The goal being, as the best sexologist in Delhi, explains it nicely, to stay in the logic of the body and healing, because everyone has the right to sexuality.

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Erectile Dysfunction

What is?

Erectile dysfunction is the recurrent inability to achieve and maintain an erection that allows a satisfactory sexual experience. Previously called impotence, a term that has been replaced due to its non-specific and stigmatizing nature.

How common is it?

It is a common situation and it tends to increase with age. Worldwide, it is thought that 1 in 10 men may suffer from erectile dysfunction.

What causes erectile dysfunction?

Erectile dysfunction can be caused by physical and/or psychological changes.

Any man can experience some degree of erectile dysfunction throughout life. Some cases can result from stress, tiredness, anxiety and/or excessive consumption of alcoholic beverages. However, the concern about this initial “failure” often leads to fear of future “failures” leading to excessive concern about the loss of erection that has occurred, and the man is not able to enjoy sexual intercourse.

What are the physical causes of erectile dysfunction?

Physical erectile dysfunction usually has a gradual onset and tends to occur in all types of sexual activity.

Some physical causes include:

  • Risk factors for cardiovascular diseases (Diabetes, Tobacco, Metabolic Syndrome, Obesity, Physical inactivity).
  • Conditions that alter nerve conduction (cerebrovascular accidents, pelvic surgery, diabetes and/or serious nerve damage).
  • Chronic diseases such as kidney or liver failure.
  • Adverse effects of some prescription drugs.
  • Alcoholic beverages (and other addictive substances).

What are the psychological causes of erectile dysfunction?

Erectile dysfunction that appears suddenly and in men who manage to maintain an erection in some situations suggests a psychological cause, and it is sometimes easy to identify the responsible factor.

Some psychological causes include:

  • Stress or anxiety about personal and/or professional life.
  • Marital conflicts.
  • Sadness.
  • Decreased desire.
  • Issues related to sexual orientation.
  • Excessive body concerns.
  • Myths about sexual functioning.

What should you do if you suspect erectile dysfunction?

Lifestyle changes (exercise, diet, decreasing alcohol consumption, quitting smoking) can be initiated while seeking help from the best sexologist in Delhi. It is important to remember that in recent years innovative and effective treatments for erectile dysfunction have appeared.

Do not purchase medication/treatments (particularly over the internet) without a doctor’s prescription and without checking the contributing factors.

Should I discuss the case with my better half?

Yes. A man can feel a lot of pressure to have a good “performance” which can lead/aggravate erectile dysfunction. Discussing this situation with the other person can improve the situation.

Is age an impediment to seeking help?

No. Aging increases the risk of erectile dysfunction, but it is shame, not age, that is the biggest barrier to seeking help.

Sexual health is just as important as other aspects of health, and you should seek help from a sex specialist in Delhi if you have a problem without fear or shame.

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EARLY EJACULATION

Premature Ejaculation, also called Premature or Rapid, is a sexual dysfunction that affects an average of 1 in 5 male individuals. It is also the least diagnosed and treated sexual dysfunction (only about 9% of people with premature ejaculation seek help).

What is?

Contrary to what many people think, this is not just a problem for inexperienced young people. Premature ejaculation can affect older men who have never suffered from it. It often becomes the subject of jokes and ridicule, making it difficult to seek help.

It can be explained as the inability of a man to delay orgasm and ejaculation (in slang, “turn around”) so that both involved can enjoy a satisfying sexual experience (without other sexual problems that can cause sexual intercourse).

How is it defined?

It is a sensation experienced by men that the period of time from penetration to ejaculation is too short, that they are unable to have control over their ejaculation. It is associated with concern and / or suffering on the part of those who suffer from it.

Conventionally, the sexologist in Delhi defines the problem for ejaculations that occur within 1 to 2 minutes after penetration, or before. However, there is no duration of the sexual act until ejaculating is said to be normal, it is important to note that the time to ejaculate may vary from person to person and according to situations or stages of life.

More time is not always better!

Television and films do not help when portraying sexual scenes in which very good looking (typically heterosexual) couples maintain sexual intercourse uninterruptedly for a considerable period of time, while the man maintains a very confident air and the woman achieves multiple orgasms.

In real life, things are not like that! The average duration of the sexual act (from penetration to orgasm) averages around 5 minutes, although it can vary considerably.

As long as the act is satisfactory to both partners, time should not be seen as a problem. Thirty seconds of intense excitement and intimacy is better than 10 minutes of routine and boredom!

Although pharmacological treatment exists, the first approach should include non-pharmacological measures:

Learn how to control your anxiety:

This is often related to reduced frequency or sexual experience, to fears associated with sex and to false expectations of failure that are created.

Do not focus on the duration of the sexual act:

Men with premature ejaculation focus their attention on the time of the sexual act and assume that the partner has the same focus, forgetting that he may not have the same concern and be more interested in other aspects of the relationship (kissing, touching, grab, hug, foreplay).

Some techniques you can apply:

1. Practice relaxation techniques (like yoga);

2. During the act, abstract yourself with non-sexual and non-stimulating thoughts;

3. Choose positions that put less pressure on the genitals (avoid the missionary position, for example);

4. Apply the “stop and start” technique: asking to stop sexual contact at a stage immediately prior to the climax stage (when there is no possibility of going back, and to which ejaculation follows), allowing your level of arousal decreases slightly (say, for half a minute), then resumes and repeats the process of stopping when you feel you are approaching the ejaculation point again;

5. “Compression” technique: consists of compressing firmly and for about 10 seconds the base of the glans penis using the middle, index and thumb fingers. It must be applied immediately before ejaculation and after any stimulation of the penis has ceased, thus reducing the reflex response of ejaculation, and can after restarting stimulation and repeat the process if necessary;

6. Masturbate before intercourse: about one to two hours beforehand, which will allow you to reduce levels of excitability and lengthen the time of ejaculatory inevitability;

7. Use a condom: giving preference to those that have retardant properties by reducing the penile sensitivity they cause.

Through these techniques you will acquire the ability to identify your average arousal interval, going through a series of gradual exercises that begin with self-stimulation, proceeding to manual stimulation by the partner, genital contact without movement and, finally, contact with the movement. This process gradually increases the ejaculation latency time, sexual confidence and self-esteem.

Involve the sexual partner in the treatment:

Individuals with premature ejaculation have shown greater difficulties in relating to others, than healthy individuals.

If you are in a relationship, including the partner in the treatment process may be important, but not mandatory, for the success of the treatment. However, it is known that it increases the effectiveness of the treatment and improves not only the couple’s sexual intercourse but also other aspects of the relationship.

You should talk about what you like and dislike about the relationship and not try to make him guess. You should also ask him about his tastes.

Psychotherapy and other psychological interventions:

They can be addressed only to the individual or the couple and have two main objectives. The first is to help develop the ability to delay ejaculation, increase self-confidence in sexual performance, decrease performance anxiety and broaden roles in sexual intercourse. The second focuses on solving psychological and interpersonal problems, of the individual, partner or couple, which may be precipitating factors, maintenance or caused by premature ejaculation.

Among the identified factors, we can have factors associated with the patient (performance anxiety and self-confidence); associated with partner (sexual dysfunction of partner; associated with the couple (conflict or lack of communication); associated with sexual intercourse (roles in the relationship, sexual satisfaction); environmental factors (stress events related to daily life).

In general, these are effective and sufficient interventions, in a good part of the cases, which seek to achieve an improvement in individual self-confidence and self-esteem, as well as an improvement in the couple’s communication.