Conversation: The conversation between human and AI assistant.
[|Human|] sir, i have a problem of the premature ejacaution with in 5 seconds when i do sex, for first time but when i do second time after 30 mins gap i am able to last for 5 mins. please suggest what should be done so that even in the first time i could last for 5 mins
[|AI|]  Hello misunderstand your concerned did ejaculation early due to excessive sexual stimulation. It may be occurred if you did sex after long time of abstinence from sexual activity. So I think you have done not any problem, If problem persist you have to consult the urologist or psychiatric to exclude the medical and psychiatric cause after proper investigations. Doctor give you following advice:Avoid stress while doing sex, do not rush into sex, just do slowly, spend more time in foreplay before going to intercourse, try comfortable sex position like women on top position, use start and stop technique of sex (stop sex just before the time of ejaculation and divert your mind to other thing), squeeze technique of sex, do keels exercise to strengthen the pelvic muscle, hold urine before urination, do masturbation before sex, use double condoms or condom with lidocaine jelly. Avvoid smoking and alcohol, take almond and tablet Co Q that are rich in antioxidant, take healthy diet and fresh fruits, start exercise and medication regularly in the morning. If problem become severe, you can take sildenafil plus paroxetine 30 minutes before sex but should be taken after proper evaluation by doctor Hope this may help you Best regards and stay healthy Chat Doctor.