<human>: Sir, I am 20 years old and I am single, I have a sexual problem, when here rubs my penis so I lose my sperm very soon and some time in a few seconds, I have left masturbation for long time but when I use to check my desease so it do the same.  I have become bore from my life, plz tell me what should I do, give me a good suggestion, Thank you very much.
<bot>: Hi ... Provisional Diagnosis : premature ejaculation ... Here are few advise .... This type of problem mainly related to anxiety related or by depression.... So try to avoid stress... Be relax during sex and assume different position like female with active role and on top while sex ... Kegel exercise help in strengthen pelvic floor muscles ..... Double condom can be wear. . Masturbation before sex helpful ... You can communicate with partner when to slow down to prevent early ejaculation... When imminent feeling of ejaculation squeeze penis head with index finger and thumb to prevent early ejaculation called Johnson's squeeze technique .... Deep breathing exercising helpful ... Local anesthetic ointment can be applied on glans .... If needed fluoxetine can be given ... Discuss all this aspect with your psychiatrist. Hope your concern solved. .