Premature Ejaculation (PE) Ka Ilaj: Causes, Techniques, Medicines Aur Kaun Sa Doctor Dikhayein
Published 27 Nov 2023 · Updated 2 Oct 2026 · 12 min
Seedha jawab
Premature ejaculation (PE) matlab baar-baar aisa hona ki ejaculation aapki ya partner ki chahat se pehle ho jaye aur isse pareshani ho. Doctors lifelong PE tab maante hain jab pehle experience se hi lagbhag ek minute ya usse kam mein ho jaye, aur acquired PE tab jab time ghat kar lagbhag teen minute ya usse kam reh jaye. PE common hai aur iska ilaj hota hai: behavioural training, doctor ki likhi dapoxetine jaisi medicines, aur ED ho to uska ilaj.
Premature ejaculation (PE) kise kehte hain?
Premature ejaculation ka matlab hai ki aap apni chahat se pehle hi climax par pahunch jate hain, is par aapka control kam rehta hai, aur isse aapko ya partner ko pareshani hoti hai. Kabhi-kabhi jaldi ho jana, lambe gap ke baad ya bahut excitement wali raat mein, PE nahi hai. Yeh medical problem tab banti hai jab lagbhag har baar aisa ho aur aap tension mein rahein ya sex se bachne lagein.
International Society for Sexual Medicine (ISSM) ki ek working definition hai. Lifelong PE mein penetration ke lagbhag ek minute ke andar ejaculation ho jata hai aur aisa pehle sexual experience se hi chala aa raha hai. Acquired PE mein pehle sab theek tha, phir ejaculation saaf taur par jaldi hone laga, aam taur par lagbhag teen minute ya usse kam. Dono mein control ki kami aur pareshani bhi zaroori hai. Sirf ghadi se faisla nahi hota.
| Lifelong PE | Acquired PE | |
|---|---|---|
| Shuruaat kab | Bilkul pehle sexual experience se | Kuch time normal control ke baad |
| Aam time | Penetration ke baad lagbhag 1 minute ya kam | Saaf girawat, lagbhag 3 minute ya kam |
| Aam background | Aksar sensitivity, body ki banawat, anxiety ki aadat | Aksar ED, stress, thyroid ya prostate ki dikkat, rishte mein tension |
| Pehla step | Assessment, behavioural plan, zaroorat ho to dawai | Trigger dhoondh kar uska ilaj, phir lifelong PE jaisa ilaj |
Premature ejaculation ke causes kya hain?
PE ke peeche aksar kai causes mile-jule hote hain aur har baar ek hi cause nahi milta. Isme body aur mind dono ka role hota hai, isiliye iske alag-alag ilaj kaam karte hain.
- Anxiety aur performance ka darr: "kahin jaldi na ho jaye" ka darr wahi cheez badha deta hai jisse aap darte hain. Detail mein padhein performance anxiety aur ED.
- Stress aur neend ki kami: exam, target, night shift aur ghar ka pressure body ko har waqt alert mode mein rakhte hain. Dekhein stress se ED aur PE kaise hote hain.
- Shuruaati aadatein: joint family mein jaldbaazi wala sex, ya kisi ko pata na chale isliye jaldi-jaldi masturbation, body ko jaldi khatam karne ki aadat daal sakte hain. Hamari post masturbation ke myths mein sach aur darr ka farak samjhaya hai.
- Erection ki dikkat: jise erection par bharosa nahi hota, wo aksar erection dheela padne se pehle khatam karne ki jaldi mein rehta hai. Yeh bahut common kadi hai.
- Acquired PE ke medical causes: thyroid zyada banna, prostate ya urine ka infection, kuch medicines, ya sharaab aur nasha chhodne ka daur.
- Body ki banawat: kuch men naturally zyada sensitive hote hain aur yeh family mein bhi chal sakta hai.
Doctor premature ejaculation ki jaanch kaise karta hai?
PE ki pehchaan zyadatar baatcheet se hoti hai, scan se nahi. Doctor poochta hai ki yeh kab shuru hua, aap kitni der tikte hain, kya thoda bhi rok paate hain, kya har partner ke saath aur masturbation mein bhi hota hai, aur iska aap dono par kya asar hai.
- History: lifelong ya acquired, hamesha ya kabhi-kabhi, stress, medicines, tambaku, sharaab.
- Erection ki jaanch: erection ki sakhti par kuch sawaal, kyunki ED ho to ilaj ka plan badal jata hai.
- Zaroorat ho to tests: blood sugar ya HbA1c, thyroid profile, testosterone, aur peshab ke symptoms hon to urine test. Lifelong PE wale zyadatar men ko bahut kam tests chahiye hote hain.
PE mein kaun se behavioural tareeke madad karte hain?
Behavioural training se control behtar ho sakta hai, isme koi kharcha ya side effect nahi hai, lekin iske liye kai hafte regular practice chahiye, aur partner saath ho to aur achha. Dawai ke saath jodne par kai men ko behtar result milta hai.
Stop-start tareeka
- Khud ko ya partner se tab tak stimulate karayein jab tak lage ki ab ejaculation hone wala hai.
- Poori tarah ruk jayein aur dheere-dheere saans lein, jab tak urge shaant na ho jaye, aam taur par 30 se 60 second.
- Phir shuru karein, aur yeh cycle teen-chaar baar dohraayein.
- Aakhri round mein ejaculation hone dein. Hafte mein kai baar practice karein, phir intercourse mein try karein.
Squeeze technique
Jab lage ki ab hone wala hai, tab aap ya partner penis ke sire ko, jahan wo shaft se milta hai, lagbhag 10 se 20 second tak mazbooti se dabayein, jab tak urge kam na ho jaye. Phir dobara shuru karein. Pressure firm ho, dard wala nahi. Time ke saath zyadatar men "ab rokna mushkil hai" wala point pehle pehchanna seekh jate hain.
Pelvic floor (Kegel) training
Pelvic floor ki muscles ejaculation ko control karne mein madad karti hain. Inhe pehchanne ke liye ek baar peshab ke beech mein use rok kar dekhein, iske baad is tarah practice na karein. In muscles ko 3 se 5 second kasein, utni hi der dheela chhodein, 10 baar, din mein teen baar, kam se kam 8 se 12 hafte. Kuch studies mein control behtar dikha hai, lekin trials chhote hain. Hips na bhinchein aur saans na rokein. Sahi technique doctor ya physiotherapist dekh sakte hain.
Condom, jo sensation thoda kam karta hai, aur aisi positions jin mein aap aasani se ruk sakein, bhi madad karte hain.
Premature ejaculation ke ilaj mein kaun si medicines use hoti hain?
PE mein dapoxetine (zaroorat ke waqt), roz wali SSRI aur sunn karne wale topical spray use hote hain, aur teeno sirf doctor ki prescription par. AUA aur EAU ki guidelines in options ko support karti hain, aur doctor aapke pattern, doosri bimariyon aur aapki pasand ke hisaab se chunta hai.
| Option | Kaise use hota hai | Kya jaanna zaroori hai |
|---|---|---|
| Dapoxetine (zaroorat par lene wali SSRI) | Aam taur par 30 mg, kabhi-kabhi 60 mg, sex se 1 se 3 ghante pehle, 24 ghante mein ek baar se zyada nahi | India aur kai European aur Asian deshon mein PE ke liye approved hai, lekin US FDA ne approve nahi ki hai. Aam taur par ejaculation mein lagbhag 2 se 3 guna zyada time lagta hai. Nausea, headache, chakkar aa sakte hain; kabhi-kabhar behoshi. |
| Roz wali SSRI (jaise paroxetine) | Roz kam dose, doctor tay karta hai | Asar 1 se 2 hafte mein banta hai. Thakaan, nausea, desire mein kami ho sakti hai. Achanak band nahi karni chahiye. |
| Lidocaine/prilocaine spray ya cream | Sex se lagbhag 10 se 15 minute pehle penis ke sire par, bataye anusaar | Sensitivity ghatata hai. Ponchha na jaye ya condom na ho to partner ko bhi sunn kar sakta hai, aur jagah par jalan ho sakti hai. |
Agar ED aur PE dono hon to?
Dono hon to doctor aam taur par pehle erection ki dikkat ka ilaj karte hain, kyunki erection dheela padne se pehle khatam karne ki jaldi PE ka common cause hai. Erection bharosemand hone par kai men mein control sudhar jata hai, aur na sudhre to PE ka ilaj jodte hain.
- Erection ki chinta
- Jaldi khatam karne ki hadbadi
- Jaldi ejaculation
- Aur chinta aur sharm
- Agli baar erection aur kamzor
Tadalafil jaisi PDE5 inhibitors ED ke liye sirf doctor ki prescription par di jati hain, aur nitrate medicines ke saath kabhi nahi. Kuch trials batate hain ki yeh kuch men mein PE mein bhi madad kar sakti hain, par yeh doctor tay karta hai. Hamari guide ED aur PE saath mein, age ke hisaab se ilaj mein poora plan samjhaya gaya hai.
Partner se PE par baat kaise karein?
Is baare mein bedroom ke bahar, shaanti se aur jaldi baat karein, kyunki chuppi mein dono sabse bura soch lete hain. Zyadatar partners ghadi se zyada nazdeeki aur shamil hone ki parwah karte hain.
- Aaram ka waqt chunein, sex ke theek baad nahi aur jhagde ke beech nahi.
- Bachaav karne ki bajaye apni feeling batayein ("main ghabra jata hoon aur jaldi karta hoon").
- Poochein ki partner ko kya achha lagta hai. Kai women sirf penetration se climax par nahi pahunchtin, isliye touch, oral sex aur lamba foreplay matter karte hain.
- Maan lein ki jaldi khatam hona nakaami nahi hai, aur ejaculation ke baad sex khatam nahi ho jata.
PE ke liye sexologist, urologist ya GP: kise dikhayein?
Teeno mein se koi bhi ilaj shuru kar sakta hai, par sahi kaun hai yeh is par depend karta hai ki saath mein aur kya chal raha hai. Board par likhe naam se zyada zaroori hai ki registered doctor ho jo sexual health ka ilaj regularly karta ho.
| Doctor | Kiske liye sabse achha | Dhyan rakhein |
|---|---|---|
| GP / family physician | Pehli jaanch, simple PE, blood tests, baaki medicines ki jaanch | Mamla uljha ho to refer karte hain |
| Urologist | ED ke saath PE, prostate ya peshab ki dikkat, ya dard | Medical causes mein strong; counselling ke liye kam time de sakte hain |
| Sexologist (MD psychiatry ya recognised sexual medicine qualification) | Anxiety wali PE, rishte ki dikkatein, technique training | Registration aur degree zaroor check karein; "sexologist" protected title nahi hai |
Dekhein ki doctor ke paas medical registration number hai aur wo pehli hi visit mein koi mehnga "package" nahi thop raha. Agar clinic jaane mein jhijhak ho to registered doctor se online consult bhi ek theek shuruaat hai.
PE ke ilaj mein kin cheezon se bachein?
Bina label ki "timing" goliyon, anjaan cheez wale delay spray aur sadak kinare ki dukaanon, station ke stall ya social media par bikne wale herbal "power" products se bachein. FDA ko aise products mein baar-baar chhupi hui prescription dawaiyan mili hain, aur India mein bina label ki puriya mein kya hai, yeh aap jaan nahi sakte.
- Bina label ki goliyan aur "Ayurvedic" capsules: inmein sildenafil jaisi dawaiyan ya doosre undeclared substances ho sakte hain, jo dil ke mareezon ke liye khatarnak hain.
- Heavy metals ka khatra: kuch traditional preparations mein milawat paayi gayi hai. Agar aap pehle se koi le rahe hain to doctor ko batayein. Yeh bhi dekhein kya Shilajit ED aur PE mein kaam karti hai?
- "Relax hone ke liye" sex se pehle sharaab: yeh thodi der sensation ghatati hai, par aksar baad mein ED laati hai aur dapoxetine ke saath theek nahi baithti.
- Gutka, khaini aur cigarette: yeh blood vessels ko nuksaan pahunchate hain aur ED ka khatra badhate hain, aur ED se PE bigadta hai.
India mein roz ki zindagi mein kya madad karta hai?
- Neend: night shift aur call-centre ke ghante control ghatate hain. Jab ho sake 7 ghante ki neend bachayein.
- Chai aur cheeni: kai cup meethi chai aur mithaiyan blood sugar badhati hain. Kam karein, aur agar aap 30 se upar hain ya family mein diabetes hai to ek baar HbA1c check karayein.
- Vegetarian-friendly khana: tale snacks aur bakery ki jagah dal, chana, paneer, dahi, nuts, seasonal fruit aur sabziyan.
- Ghar ka pressure aur privacy: joint family mein aisa time nikalein jab aap kadmon ki aahat na sun rahe hon. Jaldbaazi ki aadat chhudana mushkil hota hai.
- Har roop mein tambaku chhodein, aur sharaab kam rakhein.
Premature ejaculation ke liye doctor ko kab dikhayein?
Agar jaldi ejaculation lagbhag teen mahine se zyada se chal raha hai, zyadatar baar hota hai, ya aapke confidence ya rishte ko chot pahuncha raha hai, to doctor ko dikhayein. "Pehle sab kuch try kar loon" wala intezaar na karein.
Jaldi dikhayein agar PE pehle theek rehne ke baad achanak shuru hua, saath mein erection kamzor hai, dard hai, peshab mein jalan hai, semen mein khoon hai, ya aapko diabetes, thyroid ki dikkat ya dil ki bimari hai. Plan shuru karne ke kuch hafton mein kai men ko farak dikhta hai, aur kisi ko chupchaap sehne ki zaroorat nahi.
Myth vs fact
Myth Premature ejaculation masturbation ki wajah se hota hai.
Fact Normal masturbation se PE nahi hota. Jaldbaazi aur chhupkar kiya gaya masturbation aadat ban sakta hai aur guilt anxiety badhata hai, par dono badle ja sakte hain.
Myth PE bas kamzori hai, iska ilaj nahi hota.
Fact PE ek recognised medical condition hai. Behavioural tareeke, dapoxetine, roz wali SSRI aur spray, sab kai men ki madad karte hain.
Myth Chemist ya online ki timing goliyan safe shortcut hain.
Fact Bina label ke products mein chhupi prescription dawaiyan ya milawat ho sakti hai. Sirf registered doctor ki likhi dawai lein.
Myth Aadmi zyada der tike to partner hamesha satisfy hoti hai.
Fact Satisfaction touch, connection aur baatcheet par depend karti hai, sirf penetration ki duration par nahi.
Myth PE ke ilaj ka matlab hai umar bhar goliyan khana.
Fact Dapoxetine zaroorat padne par li jati hai, aur kai men training ke saath dawai lekar baad mein doctor ki salah se kam ya band kar dete hain.
Pakka nahi ki wajah kya hai?
2 minute ka private health check lein. Ek registered doctor use dekh kar sambhavit wajah dhoondhte hain aur aapke saath plan banate hain.
2 minute ka health check lein →Aksar pooche jaane wale sawaal
Sex kitni der chalna chahiye aur normal kya hai?
Koi ek normal time nahi hai. Couples par hui studies penetration ke baad ejaculation ka aam time kai minute batati hain. PE ki pehchaan time ke saath-saath control ki kami aur pareshani se hoti hai, aur lifelong PE aam taur par lagbhag ek minute ya usse kam hota hai.
Kya premature ejaculation hamesha ke liye rehta hai?
Zaroori nahi. Acquired PE aksar tab sudharta hai jab stress, ED ya thyroid jaise cause ka ilaj ho jaye. Lifelong PE mein aam taur par lagataar dekhbhaal lagti hai, lekin training aur medicines kai men mein kaafi farak laati hain.
Kya dapoxetine India mein safe aur legal hai?
Dapoxetine India aur kai doosre deshon mein PE ke liye approved hai, lekin US FDA ne approve nahi ki hai. Ise sirf doctor ki prescription par lena chahiye, kyunki isse chakkar ya behoshi ho sakti hai aur yeh doosri medicines aur sharaab ke saath asar karti hai.
Kya Kegel exercise se premature ejaculation theek ho sakta hai?
Roz lagbhag 8 se 12 hafte practice se kuch men mein control sudhar sakta hai, par saboot seemit hain aur yeh akele kam hi kaam karti hain. Inhe stop-start practice ke saath, aur doctor kahe to dawai ke saath jodein.
Kya condom ke saath sunn karne wala spray use kar sakte hain?
Lidocaine ya prilocaine wale spray PE ke liye likhe jate hain, aur kai doctors extra spray ponchhne ya condom lagane ki salah dete hain taki partner sunn na ho. Jo product doctor de, uske instructions maanein.
Sexologist ko dikhaun ya urologist ko?
Dono madad kar sakte hain. Agar saath mein ED, prostate ya peshab ki dikkat hai to urologist achha choice hai, aur trained sexologist anxiety aur couple ki problems mein madad karta hai. Hamesha valid medical registration check karein.
Sources
- Disorders of Ejaculation — American Urological Association (AUA)
- Guidelines on Sexual and Reproductive Health — European Association of Urology (EAU)
- Ejaculation problems — NHS
- Tainted Sexual Enhancement Products — U.S. Food and Drug Administration (FDA)
- Erectile Dysfunction (ED) Guideline — American Urological Association (AUA)
Medical disclaimer. Yeh article sirf general jaankari ke liye hai, kisi qualified doctor ke consultation ka vikalp nahi. Doctor ki salah ke bina koi prescription dawa shuru, band ya saath mein na lein — kuch ED dawaiyan dil ya BP ki dawaiyon, khaas kar nitrates ke saath khatarnak ho sakti hain. Hum content ka review kaise karte hain.