<s>[INST] hello sirmy self kiran .... recently i got engaged wid one of ma fren...we met for 2-3 timesnd d guy has told me dat he has got some premature ejaculation problem...nd he says like i should take dis condition as if he is on d worst stage....can u plzzz tell me...wat can b d conditions bad 4 melike can i get pregnent if i get married wid himcan v njoy totally sex married life or notreallly sir i will b very thnkfull to u....if u can guide me....thanx a lot [/INST] Hi, Premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration. It happens with minimal sexual stimulation and before the person wishes. Most cases of premature ejaculation do not have a clear cause. With sexual experience and age, men often learn to delay orgasm. Premature ejaculation may occur with a new partner. It may happen only in certain sexual situations or if it has been a long time since the last ejaculation. Psychological factors such as anxiety, guilt, or depression can also cause it. In some cases, it may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines. In many cases premature ejaculation gets better on its own over time. Treatment may not be needed. Practicing relaxation techniques or using distraction methods may help you delay ejaculation. For some men, stopping or cutting down on the use of alcohol, tobacco, or illegal drugs may improve how well they can control ejaculation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Iven Romic Rommstein, General Surgeon </s>