PATIENT PROFILE
Age: 29
Gender: Male
Topic: Sexology
Chat Rating: star star star star_border star_border
Location: Chennai

how to cure night fall

Dear User, for us to have a better understanding of your health issue, please answer this question. Which of the following are you most concerned about? I want to increase my sex time (Premature ejaculation)
I'm suffering from night fall for last few years
Dr.
Good Afternoon xxxx! I am here to help you, please tell me more about your problem.
Dr.
Do you want to discuss on call or chat?
chat
how can I prevent my nightfall?
Dr.
How many times you do sex per week?
Dr.
How many times you masturbate per week?
2 times
Dr.
Nocturnal emission is natural phenomenon. It is also called night fall. First of all clarification about night fall: In all boys when puberty starts around age of 13 to 17, production of testosterone increased. This leads to increase in body hair, beard and moustache as well as production semen and physical body changes. Semen is produced regularly after puberty by prostate and testicles and stored in seminal vesicles. This semen in general is expelled by masturbation or sex. When someone does not actively expel semen through masturbation or sex, there is excess semen in seminal vesicles. When production rate exceeds capacity of storage of seminal vesicles stored semen has to come out to give space to newly produced semen. This excess stored semen comes out during sleep, urination or defecation. In sleep during dreams or excitement with slight force excess semen comes out and it is known as night fall. If you are not doing masturbation regularly or not involved in sexual activities, night fall would be there. It is absolutely normal phenomenon and not a problem/disease. If you can actively try to expel the semen through masturbation frequently, you can avoid these nocturnal emissions
Dr.
Masturbation is natural and normal thing. It is done by 95% of the males in the world, mostly before marriage as well as when wife is away, in menses or pregnant after marriage. It is not at all harmful. Frequency of masturbation done by an individual varies from once a day to once a week. It depends upon individual libido, wish and timing. It neither causes any weakness nor any problem in sexual activity. We recommend masturbation 3-5 times a week an average.
Dr.
If you dont want to masturbate then medicines can be used to prevent night fall
Dr.
as such it is not a disease
which medicine is preferable?
my age is still 29
Dr.
considering your history I recommend xxx andxxxxxxxx
Dr.
I will prescribe after answering your queries.
Dr.
night fall means your semen production is good and normal
but I don't get more time while doing sex...how can I improve my Tom ng?
timing
Dr.
that will. also improve with medicines
Dr.
To confirm diagnosis of premature ejaculation I need more information.
Dr.
1... Are you married? If yes duration of marriage? If not married, provide details about sex life with girlfriend. 2... Is morning erection present when you wake up from sleep ? 3... Is there any difficulty in urinating? 4... Is there any history of masturbation? If yes, how was pleasure/orgasm during masturbation? 5... How many times you do sex and how many times masturbation per week or per month? 6... How much duration do you last before ejaculation? Do you ejaculate before your partner reaches orgasm?
1.3times I did with my girlfriend 2.no 3.no 4.yes I enjoyed lot ..I feel good while masterbating
5.twice a weak 6.yes
Dr.
twice a week masturbation?
yes
Dr.
and sex not regular??
yes
Dr.
How much duration do you last before ejaculation after insertion of penis in vagina?
1 to 2 minutes
Dr.
Thanks for information. Your problem is Premature ejaculation. Many males suffer initially due to over excitation and arousal during begining of sex life. In most of the males this problem is automatically solved after regular sex life like after marriage.
Dr.
Semen production occurs daily after adolescent age. Semen stored in seminal vesicles of prostate. When any kind of arousal or excitation is there it comes out. When frequency of sex or masturbation is relatively less, seminal vesicles will be full of semen so with some slight arousal it comes out fast during sex and premature ejaculation occurs. It is like when a glass of water is full completely and if you will shake it slight some water will be spilled out and if glass is half or less full some shaking will not spilled water and one has to bend the glass more to evacuate the water and same thing happen in ejaculation process. So increasing the frequency of masturbation or sex will automatically help to evacuate semen regularly and less chances of premature ejaculation.
Dr.
It is not a pathological problem but it is only physiological problem.
Dr.
It can be treated with medicines and behavioural modifications.
Dr.
I am sending details about treatment aspect, after that ask query if any.
Dr.
Behavioral approaches are as follows to prevent early ejaculation 1. Stop and start and Squeeze technique can be applied which you can learn from internet and ask me if any query in that.(In brief, method suggests that you should try to divert your mind for a moment when you feel ejaculation arousal and penis should be tightly squeezed with hand inwards by your partner preferably).I will explain in next msg. 2. Kegel exercise also helps in some cases. You can learn the same from internet. 3. Sex counselling of your sexual behavior and methods. Like if you are down and female partner on top, gravity is going to help you for lengthening the time. 4. You should do masturbation before sex (at least 3 hours before or same day in morning). It will make seminal vesicles somewhat empty and at time of sex semen will take more time to come out. Another approach: -Use of condoms. Sometime use of condom, while sex, helps in delaying ejaculation by reducing sensitivity of glans penis . even condom with anesthetic gel is also available - long lasting condom. -
Dr.
you can learn stop and start technique gradually
Dr.
After insertion of penis when you start stroking there will be feeling when you feel that ejaculation will be initiated soon. At that moment you have to stop stroking for 30 seconds, keep penis inside and divert your mind to something else other than sex. When you feel that ejaculation ejauclation impulse gone you can restart stroking and same thing can be repeated again and again to extend the time. However for this you need to last at least 1 minute after insertion. It requires practice.
Dr.
Medicines for premature ejaculation : Clomipramine and paroxetine are choice of medicines which are used as antidepressants (For depression dose is higher). I prefer clomipramine for PME. No significant side effects with these medicines. Initially say for 0-30 days daily after dinner and later on just on the day when you do the sex. One molecule called dapoxetine has been used specifically for PME and should be taken before sex when required. One ayurvedic supplement confido is also helpful in some patients.
Dr.
Considering your history I recommend
Dr.
xxxe and xxxxxxxin your case
Dr.
Please read all msgs carefully and ask your queries if any. I will prescribe medicine after your all queries answered.
how can I increase my penis length?
Dr.
What is size of your penis in flaccid(normal) state and in erect state?
normal state it is 4 cm ..and in erect state it is 10 cm
these madicins are available in all shop?
Dr.
it is normal size
Dr.
Let me clarify about size of penis. Normal size of penis in flaccid(normal) state is 2 to 4 inches (5 to 10 cm)... sometime it can be 1.5 inches also.... while in erect position 3.5 to 6 inches (9 to 15 cm). It varies according to body structure, genetics and race. It is not related to height or masturbation habit.. Size of penis does not matter much for satisfying partner. Maximum anterior 3 inches of female vaginal wall is sensitive to sexual stimuli. Only 3.5 inches of erect penis is more than sufficient to satisfy female. As such there are lots of creams and pills are marketed for penis enlargement. But nothing is scientifically approved and useful in reality. In this field I am working since many years but till date only surgery and testosterone therapy are useful for this. As such there is no medicine which can increase basic natural size of penis. Note: There are pills which can increase size of penis if there is erectile dysfunction(means erection is not proper) 5- PDE inhibitor group of medicines are used for this purpose which includes sildenafil or tadalafil. It is proven drug for male erectile dysfunction.
Dr.
Minimum 3.5 inches required for sex life. Average indian size is 4 to 5 inches. Your size is normal. With this size you can have normal sex life. Not to worry.
Dr.
DocsApp prescription
Dr.
Not to worry xxxx, take the medicines that I have prescribed. You will feel better. If you need any help, I am right here.
Dr.
if you don't get clomipramine then use paroxetine
Dr.
DocsApp prescription
Dr.
Not to worry xxxx, take the medicines that I have prescribed. You will feel better. If you need any help, I am right here.
Dr.
It will be likely avaible at big medical store or chemists near to any big general hospital or psychiatrist's clinic.
Dr.
Thank you for consulting me through docsapp
Dr.
Take care.. Wish you good health
Dr.
Please do not hesitate to ask your doubt or query.
is there any problem in watching porn videos daily?
Dr.
not as such
Dr.
but not at cost of your daily routine
Dr.
better to not more than 15 minutes
while watching porn ejaculation will happen without masterbation...
I watch porn more than two hours? is it harmful?
Dr.
yes that happens due to high excitement and less frequency
Dr.
better to reduce
daily masterbation cause any health problem?
Dr.
not as such
ok...thank you sir..
Dr.
Welcome
Dr.
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