### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi.. To all doctors im Chris  and im 28 years old n im married  my problem is while having sex my penis gets discharge fast like within 1min so my wife gets fedup of me please help me doctors and my penis is also bend in shape n my wife want my penis to make straight n strong n it sud b last for long while having sex and I think this problem is bcoz of masturbation bcoz I use to masturbation for so many years n im thin also some time back pain come after masturbation please help me to improve my sex life

### output:

Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. The condition that you are suffering is called premature ejaculation. Now it's a type of anxiety disorder and the person normally suffers from performance anxiety where in he is anxious if he can perform or not. First you can try the start stop technique. Your wife is supposed to start stimulating you and the moment you are about to be ejaculated she is supposed to stop all the stimulation and hold your penis head hard. Now this should be repeated. Perineal exercises also help. These are the muscle exercises that occur when you contract the perineal muscles like when you are trying to stop the urine or feces. You have to do this contractions repeatedly daily to tone up the perineal muscles. One solution is medications. Some patients are not willing to wait for these acts to produce results and instead demand medicines. I prescribe them 12.5 mg paroxetine at night, and they are doing good. Normally one should try until 25 mg of Paroxetine. If paroxetine is not effective then Duloxetine is an option. It has to be given 1 hour before having sex and will prolong the sexual interval. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, or want to know further details, you can use the below-mentioned link:bit.ly/ Chat Doctor. 