Premature Ejaculation Treatment in Delhi, India

Premature Ejaculation Treatment in Delhi, India

What is Premature Ejaculation?

Premature ejaculation is the problem of early discharging of semen within a minute of penetration in the vagina. The patient is unable to delay ejaculation time and thereby is unable to satisfy his partner. This results in stress, low self-esteem and avoidance of sexual activity by the patient. One or two occasional episodes of premature ejaculation don’t require treatment but regular premature ejaculation needs immediate treatment for lasting effects. If you were searching for a premature ejaculation doctor near me or premature ejaculation surgery treatment, Dr Ashish Saini is an expert in premature ejaculation treatment in India and premature ejaculation treatment in Delhi. The normal time of ejaculation varies between 5 to 9 minutes in normal Indian males. The person suffering from premature ejaculation also suffers from depression, anxiety and low self-esteem. This is why it is very important to seek the best sexologist in Delhi to get the best premature ejaculation treatment in Delhi.

Types of Premature Ejaculation

• Lifelong (Primary) PE
  • Present from the first sexual experiences (early masturbation / partnered intercourse).
  • Ejaculation usually within ~30–60 seconds of penetration, or even before penetration.
  • Consistent pattern across partners and situations.
  • Often involves heightened penile/ejaculatory reflex sensitivity and early conditioning to climax rapidly.
• Acquired (Secondary) PE
  • Develops after a period of previously normal ejaculatory control.
  • Marked reduction in Intravaginal Ejaculatory Latency Time (IELT)—e.g. from several minutes to ≤2–3 minutes.
  • Frequently associated with new psychological stressors, relationship issues, emerging erectile dysfunction, prostatitis, or thyroid imbalance.
• Other Patterns / Differentials
  • Subjective PE: Perceived as “too fast” despite IELT in normal range (often anxiety / unrealistic expectations).
  • Variable PE: Inconsistent, situational early ejaculation tied to stress or context.
  • Clinical focus is on loss of control + distress, not raw minutes alone.

Premature Ejaculation Causes

Causes are multi-factorial. Pinpointing the dominant driver (psychological vs biomedical vs learned behaviour) refines early ejaculation treatment in Delhi.

• Psychological Causes (Very Common)
  • Performance anxiety, generalized anxiety, or chronic stress.
  • Depression or low mood states.
  • Guilt / negative sexual conditioning (rushed, secret masturbation in adolescence).
  • Relationship conflict or lack of intimacy.
  • Past sexual trauma or critical partner feedback.
• Biological / Medical Causes
  • Serotonergic receptor sensitivity / neurotransmitter variation.
  • Hormonal issues (thyroid dysfunction, abnormal testosterone or prolactin).
  • Prostatitis or genitourinary inflammation.
  • Erectile dysfunction prompting a rush to climax.
  • Metabolic conditions (e.g. poorly controlled diabetes altering sensitivity).
  • Neurological conditions affecting reflex arcs.
• Behavioural / Lifestyle Causes
  • Learned rapid ejaculation (habitually fast masturbation).
  • Substance use (excess alcohol, stimulants, recreational drugs).
  • Smoking (vascular & neuro effects), poor sleep, sedentary lifestyle.
• Contributing / Exacerbating Factors
  • Irregular sexual frequency (long gaps reduce control threshold).
  • Porn-driven unrealistic duration expectations.
  • Inadequate foreplay / arousal pacing.

Combining psychological support, behavioural techniques, and medical options yields higher success than any single approach.

Premature Ejaculation Symptoms

• The climax happens sooner than normal for the individual / couple.
• Ejaculation with minimal stimulation (often within 1–3 minutes of penetration or even pre‑penetration).
• No voluntary control over delaying ejaculation.
• Male orgasm consistently precedes female partner’s climax leading to dissatisfaction.
• Reduced sexual pleasure due to anticipatory anxiety / rushing.
• Very little stimulation—or even sexual thoughts—can trigger discharge in pronounced cases.
• Distress, frustration, embarrassment regarding performance.
• Relationship strain, avoidance of intimacy, reduced confidence.

Severity tracking: IELT (stopwatch or estimated) + perceived control + distress (e.g. PEDT questionnaire).

Diagnostic Tests for Premature Ejaculation

Diagnosis is chiefly clinical. Tests are selectively ordered; they are not mandatory for every patient. A focused workup optimises outcomes for early ejaculation treatment in Delhi.

• Detailed History
  • Onset (lifelong vs acquired), duration, consistency across partners.
  • Estimated baseline IELT and temporal changes.
  • Associated erectile issues, urinary/prostatitis symptoms.
  • Psychological context: anxiety, depression, relationship stressors.
  • Sexual habits: masturbation pattern, frequency, pornography use.
  • Medications & substances (SSRIs, alcohol, recreational drugs).
• Physical Examination
  • Genital exam (phimosis, frenulum breve, inflammation).
  • Prostate evaluation if prostatitis suspected.
  • General health indicators (thyroid enlargement, metabolic signs).
• Targeted Diagnostic Tests (If Indicated)
  • Blood Tests: Hormonal examination (thyroid profile, testosterone, prolactin), fasting glucose / HbA1c.
  • Urinalysis: To rule out infection / inflammation.
  • Hormonal Panel (Extended): When systemic symptoms suggest endocrine contributions.
  • Average Ejaculation Time Recording: Baseline IELT log to monitor treatment progress.
  • Psychological Screening: Anxiety & depression scales where relevant.
• Differential Considerations
  • Distinguish ED-driven rapid climax (treat ED first).
  • Exclude disorders of low desire or anorgasmia variants.

Outcome tracking couples IELT improvement with increased perceived control and reduced distress.

Premature Ejaculation Treatment in Delhi, India

The most commonly followed treatments for premature ejaculation treatment in Delhi, India are.
1. Medicines – Medicines are given in the form of tablets and creams. Analgesics, antidepressants and phosphodiesterase-5 inhibitors show great results when the dosage is monitored carefully.
2. Behavioural Therapy – This therapy includes teaching the squeeze technique to the patient and practising self-control (start-stop) exercises at home. These techniques are explained in detail by Dr Ashish Saini (the top & best sexologist in Delhi) to his patients.
3. Pelvic Floor and Kegel’s Exercises are taught to the patient to increase the strength of muscles around the penile area. Those patients who don’t get benefitted from the above said measures might need some surgical options such as

• Circumcision Surgery
• Frenuloplasty
• Dorsal or Ventral Neurectomy – this reduces the sensitivity of penis and prevents premature ejaculation
• Plasma Rich Protein Injection (PRP)

For the best premature ejaculation treatment in Delhi, book an appointment with Dr. Ashish Saini today!