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Top 1 Best Sexologist in Patna, Bihar India
How to deal with Delayed Ejaculation Problem: Best Sexologist in Patna, Bihar India Dr. Sunil Dubey
Have you ever experienced delayed ejaculation in your sexual activity despite sexual stimulation? If you experience this occasionally in your sexual life, then there is nothing to worry about. But, if you experience the problem of delayed or inhibited ejaculation in your regular sexual activity, then it is really a matter of concern.
Hello friends, glad to see you all. We are Dubey Clinic and greet you all with all our heart. As we know that there are many types of sexual problems which affect the personal or marital life of a person. Among these, the problem of delayed ejaculation is also one such problem which is a difficult situation for the person who is facing it in his married life. Dr. Sunil Dubey, the best sexologist in Patna, Bihar says that delayed ejaculation, also known as orgasmic dysfunction in men, is characterized by persistent and pronounced difficulty or inability to ejaculate despite sexual arousal and the desire to ejaculate. We can simply say that the man takes an abnormally long time to ejaculate or he is unable to ejaculate at all during his sexual activity. In this condition, his penile is normally erect or he is sexually aroused, but it happens.
This top sexologist of India is an expert in male and female sexual problems and has done successful research on various sexual disorders in men and women. Based on his experience, daily practice and treatment, he says that usually, it is a common sexual disorder in men after a certain period, when their hormone level decreases and they are filled with stress and depression. In today's time, this sexual problem is seen in people of different age groups.

Types of Delayed Ejaculation in a man:
Like other sexual disorders, delayed ejaculation (DE) can also be classified into the following categories:
· Lifelong (primary) delayed ejaculation: It is present from the time a man becomes sexually mature and has been a problem throughout his sexual life. It is often associated with biological or developmental factors. Well, this is a treatable condition and a person can deal with this sexual problem after a certain course of Ayurveda.
· Acquired (secondary) delayed ejaculation: It develops after a period of normal ejaculatory function. It is often associated with psychological factors, medical conditions or medication side effects. In today's time, the common age-group of this type of sexual patients in India is 35-45.
· Generalized delayed ejaculation: It occurs regardless of the partner or type of stimulation. This is a normal condition where a person can affect with this problem time to time due to irregular lifestyle or stress.
· Situational delayed ejaculation: It occurs only in specific circumstances, such as with a particular partner or during certain types of sexual activity (for example, being able to ejaculate with masturbation but not during intercourse). This conditional DE needs both psychological and physical support to manage this problem.

How to know if someone is suffering from delayed ejaculation:
Our Ayurvedacharya Dr. Sunil Dubey, who is the best sexologist in Bihar, says that the symptoms of delayed ejaculation help in controlling it. There are many signs of this sexual problem by which a person can understand that he is suffering from delayed ejaculation. The primary symptoms include:
· Difficulty or inability to ejaculate during sexual activity: This is a typical symptom, despite adequate stimulation and a firm erection.
· Prolonged sexual stimulation required: The need for stimulation for an unusually long time (e.g., 30–45 minutes or more) to ejaculate during sexual activity.
· Fatigue or pain: Both partners may experience fatigue or pain due to prolonged sexual activity. Sometimes, they feel boring in this sexual activity.
· Loss of erection: Prolonged time or frustration may cause the erection to eventually diminish, even if it initially remained firm.
· Distress: Serious personal distress, frustration, anxiety, or relationship problems due to difficulty or inability to ejaculate.
· Rarely or never achieving orgasm: In some severe cases, men are unable to achieve orgasm at all in his maximum sexual activities.

Possible causes of delayed ejaculation in men:
The causes of Delayed Ejaculation can be varied and complex, involving a combination of psychological, physical, and lifestyle factors. There are some possible causes are following:
Psychological/emotional causes:
· Anxiety and stress: These are performance anxiety, general life stress, or anxiety about sexual performance that make difficulty in ejaculatory function.
· Depression: Mental health conditions such as depression can significantly affect sexual functioning, a person may struggle with DE.
· Relationship problems: unresolved conflict, lack of intimacy, or communication problems with a partner affect both partners.
· Religious or moral beliefs: strict upbringing or beliefs that make a person feel guilty or ambivalent about sexual activity.
· Negative past experiences: any trauma or negative sexual experiences affects a person's sexual activity in form of DE or PE.
· Unrealistic expectations: idealized perceptions of sexual activity or orgasm that create pressure.
· Boredom or loss of attraction: decreased interest in a partner or sexual activity always takes a person to his sexual dysfunction.
· Habitual masturbation patterns: some men develop a very specific masturbation routine that is difficult to repeat with a partner, leading to situational masturbation disorder (DE).

Physical/organic causes:
· Medications: This is a very common cause of sexual problems. Many medications can delay ejaculation, including: antidepressants (especially SSRIs), some blood pressure medications (e.g., beta-blockers, some diuretics), antipsychotics, some anxiolytics (anxiety-relieving medications), some medications for benign prostatic hyperplasia (BPH).
· Nerve damage (neuropathy): Conditions that affect the nerves, such as: diabetes, multiple sclerosis, spinal cord injury, stroke, and pelvic surgery (e.g., prostatectomy, bladder surgery) that can damage nerves involved in ejaculation.
· Hormonal imbalances: Low testosterone (hypogonadism) or high prolactin levels can affect sexual function, including ejaculation.
· Thyroid problems: Both hyperthyroidism and hypothyroidism are responsible for sexual problems.
· Long-term illness: Conditions such as kidney failure or severe heart disease.
· Infection: Prostatitis (inflammation of the prostate) or urinary tract infections.
· Structural abnormalities: Although less common, congenital abnormalities of the urethra or ejaculatory ducts.
· Alcohol or drug abuse: Chronic excessive alcohol consumption can cause nerve damage and affect sexual function.
· Age: Although not a direct cause, ejaculation time may naturally increase with age.

Effects on male fertility and mental health due to delayed ejaculation in men
D.E. can have important consequences in a person's sexual and mental health.
· Inability to conceive naturally: If ejaculation does not occur inside the vaginal area, it is impossible to conceive naturally.
· Frustration and distress: Both the man and his partner can experience severe frustration and emotional distress.
· Anxiety and depression: This constant struggle can lead to or worsen feelings of anxiety, inadequacy, and depression.
· Performance anxiety: The fear of not being able to ejaculate can become a self-fulfilling prophecy, making the problem even worse.
· Relationship distress: Sexual anxiety can lead to breakdowns in intimacy, communication problems, and resentment in the relationship.
· Avoidance of intimacy: Men may begin to avoid sexual situations to avoid a perceived "failure," which can further deteriorate the relationship.

Possible Treatment Plan for Delayed Ejaculation:
· Addressing underlying causes: Diabetes, blood pressure, kidney failure, testosterone, and possible causes
· Psychological Sexual Counseling: Individual therapy, couple therapy, and sexual therapy to improve physical and psychological issues
· Behavioral Therapy: How to reduce pressure, how to increase stimulation, change those habits which affect sexual life
· Holistic Approach of Ayurveda: To balance all those doshas in body which are responsible for the sexual problems
· Specific Ayurvedic Formulation and Bhasma: To improve sexual problems and help to overall health
· Lifestyle Modifications: Diet, Sleep pattern, mood swings, depression, exercise, and yoga
It is extremely important for men experiencing delayed ejaculation to seek medical help from a sexologist or sexual health specialist. A thorough evaluation can help determine the underlying cause and guide the most effective treatment strategy. Dubey Clinic is one of the best and right place for each and every sexual patient who want to deal with their entire sexual problems.
For more Info, contact us
Dr. Sunil Dubey (Dubey Clinic)
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