Reclaim Your Confidence: Comprehensive Premature Ejaculation Treatment at Ankur Urja Goa

Welcome to Ankur Urja Goa, your trusted specialized clinic for Male Sexual Health. If you are reading this, you are likely one of the millions of men in India searching for effective solutions and reliable, confidential Premature Ejaculation Treatment. Premature Ejaculation (PE), often referred to as ‘early discharge,’ is the most common male sexual dysfunction, but it remains one of the most difficult topics to discuss. At Ankur Urja Goa, we believe that seeking PE Treatment is a sign of strength and a commitment to a healthier, more fulfilling life—for both you and your partner.

This comprehensive guide will break down the causes, symptoms, and the full spectrum of advanced Premature Ejaculation Treatment options available right here in Goa. We are dedicated to providing the best PE Treatment in Goa through a personalized, multimodal approach.

Understanding Premature Ejaculation (PE)

Premature Ejaculation is defined by three key factors, as recognized by the International Society for Sexual Medicine (ISSM):

• Time: Ejaculation that always or nearly always occurs within about one minute of vaginal penetration (for lifelong PE) or a significant reduction in latency time, often to three minutes or less (for acquired PE).
• Control: The inability to delay ejaculation during sexual activity on all or nearly all occasions.
• Distress: The condition causes negative personal consequences, such as distress, frustration, anxiety, or avoidance of sexual intimacy.

PE Statistics in India: Breaking the Stigma

While cultural factors often lead to underreporting, global studies consistently show that Premature Ejaculation is highly prevalent.

• Global Prevalence: Estimates suggest that 20% to 30% of men worldwide experience PE at some point in their lives, making it the most common male sexual issue.
• Indian Context: Conservative estimates suggest that over 20% of Indian men report issues with ejaculatory control. The average ejaculation time in India is sometimes cited as less than 7 minutes, and men with PE often have an Intravaginal Ejaculatory Latency Time (IELT) of under 1 to 2 minutes.
• Impact: The condition leads to significant emotional distress, performance anxiety, and relationship strain. Seeking Premature Ejaculation Treatment is vital not just for sexual function, but for mental and relational well-being.

Types and Causes of Premature Ejaculation

Understanding the type of PE you have is the first step toward effective PE Treatment.

1. Lifelong (Primary) Premature Ejaculation

This type has been present since the man became sexually active. It is often linked to biological factors and is typically more severe, with IELT frequently under 60 seconds.

2. Acquired (Secondary) Premature Ejaculation

This type develops after the man has had previous sexual experiences without ejaculatory control issues. It is often linked to psychological or physical changes that have occurred recently.

Psychological and Behavioral Causes

These are the most common factors requiring a behavioral component in the Premature Ejaculation Treatment plan:

• Performance Anxiety: The single biggest driver. Fear and worry about ejaculating quickly can create a vicious cycle that reduces control.
• Early Conditioning: The habit of ejaculating quickly (often developed during hurried adolescent masturbation due to fear of discovery) can be difficult to unlearn.
• Stress and Relationship Issues: High-stress levels, depression, or unresolved relationship conflict can drastically impair ejaculatory control.
• Lack of Sexual Experience: Younger men may experience PE simply due to over-excitement or lack of knowledge about arousal levels.

Biological and Physical Causes

For many men, there are measurable physical factors contributing to the need for PE Treatment:

• Neurobiological Factors (Serotonin): Low levels of the neurotransmitter Serotonin in the brain are strongly linked to PE. Serotonin helps inhibit ejaculation; lower levels mean less control.
• Hypersensitivity: Some men may have a naturally over-sensitive glans penis or frenulum.
• Hormone Issues: Abnormal levels of thyroid hormones, prolactin, or even testosterone may affect ejaculatory timing.
• Prostatitis or Urethritis: Inflammation or infection in the prostate or urethra can contribute to acquired Premature Ejaculation.
• Erectile Dysfunction (ED): PE can be a complication of ED. A man may subconsciously rush to ejaculate before losing his erection, leading to a pattern of early discharge. Dual treatment for both PE and ED is often required.

Diagnosis: The Path to Personalized PE Treatment

A successful Premature Ejaculation Treatment plan must begin with an accurate, in-depth diagnosis at Ankur Urja Goa.

• Detailed Medical and Sexual History: The specialist will ask specific questions about your ejaculation latency time (IELT), history (lifelong vs. acquired), frequency, and the impact on your well-being.
• Validated Questionnaires: Tools like the Premature Ejaculation Diagnostic Tool (PEDT) are used to objectively assess the severity and type of your condition.
• Physical Examination: To check for underlying physical factors such as frenulum issues, nerve sensitivity, or signs of inflammation.
• Targeted Blood Tests: To rule out or confirm hormonal factors (e.g., thyroid function, testosterone, prolactin) and other underlying conditions (e.g., diabetes) that require specific PE Treatment.

The Multi-Modal Approach to Premature Ejaculation Treatment

At Ankur Urja Goa, we utilize a combination of behavioral, pharmacological, and psychological strategies—the gold standard for achieving long-lasting ejaculatory control.

Pillar 1: Behavioral Techniques and Education (Non-Drug PE Treatment)

These techniques are foundational for all Premature Ejaculation Treatment plans as they build control and awareness.

• The Start-Stop Technique (Edging): Involves stimulating the penis until you feel you are approaching the point of no return. Stop all stimulation until the urge subsides, then resume. This process is repeated 3-4 times before allowing ejaculation. This teaches you to recognize and modulate arousal levels.
• The Squeeze Technique: Similar to the Start-Stop method, but when the point of no return is near, you or your partner gently but firmly squeeze the head (glans) of the penis for about 30 seconds until the urge to ejaculate passes. This reflexively decreases arousal.
• Pelvic Floor (Kegel) Exercises: Strengthening the bulbocavernosus and pubococcygeal muscles can improve ejaculatory control. This simple PE Treatment is effective, especially when combined with other methods.
• Masturbation Schedule: Advising the patient to masturbate 1-2 hours before intercourse to take advantage of the body’s refractory period (the time needed to recover after ejaculation).

Pillar 2: Pharmacological Interventions (Medication for PE)

Medications work by modulating neurotransmitters, primarily serotonin, to increase ejaculatory latency time. They are a powerful, reliable component of modern Premature Ejaculation Treatment.

Medication Class	Example Drug (Generic)	Mechanism of Action	Usage/Benefit in PE Treatment
Oral SSRIs (On-Demand)	Dapoxetine (Only drug specifically licensed for PE)	Increases Serotonin rapidly to inhibit the ejaculatory reflex.	Taken 1-3 hours before intercourse. Fast-acting and has a short half-life, minimizing side effects. Primary choice for PE Treatment.
Oral SSRIs (Daily)	Paroxetine, Sertraline, Fluoxetine	Provides a sustained increase in Serotonin levels.	Taken daily. Often leads to a greater overall delay than on-demand, but may have more continuous side effects.
Topical Agents (Delay Sprays/Gels)	Lidocaine/Prilocaine (e.g., delay sprays)	Reduce the hypersensitivity of the glans penis by mild local numbing.	Applied 10-15 minutes before intercourse. Highly effective as a non-systemic PE Treatment.
Dual Therapy (SSRIs + PDE5 Inhibitors)	Dapoxetine + Sildenafil/Tadalafil	Combines ejaculation delay with improved erection quality.	Used for men with both PE and mild Erectile Dysfunction. Highly effective combination PE Treatment.
Other Off-Label Drugs	Tramadol, Clomipramine	Have secondary effects that delay ejaculation via different neural pathways.	Prescribed cautiously when primary treatments are ineffective. Requires specialist monitoring.

Pillar 3: Psychological and Counseling (Long-Term Success)

For acquired PE, anxiety, or relationship distress, counseling is an integral, non-drug element of Premature Ejaculation Treatment.

• Cognitive Behavioral Therapy (CBT): Helps men identify and challenge the negative thought patterns (e.g., performance anxiety) that fuel PE, replacing them with positive, realistic expectations.
• Sex and Couples Therapy: Addressing relationship dynamics, communication issues, and non-coital sexual techniques (sensate focus) is vital for long-term sexual satisfaction and helps reduce the pressure associated with the need for PE Treatment.

Pillar 4: Emerging and Specialized Treatments

For select cases, Ankur Urja Goa offers targeted, minimally invasive options:

• Hyaluronic Acid (HA) Filler Injections: Involves injecting a medical-grade filler into the glans penis to create a thin insulating layer, effectively reducing physical sensitivity. This is an elective procedure for specific cases of sensory-driven PE.
• Frenuloplasty: A minor surgical procedure used as a PE Treatment when the frenulum (the small band of tissue under the glans) is unusually sensitive or tight (Frenulum Breve), which can trigger early ejaculation.
• Pelvic Floor Muscle Training (PFMT): Specialized physical therapy focusing on strengthening the ejaculatory muscles, often superior to simple Kegels, and guided by our specialists.

Confidentiality and Your Journey to Control

We understand the hesitation associated with seeking Premature Ejaculation Treatment in India. Our commitment at Ankur Urja Goa is to provide a 100% confidential and discreet experience. Our goal is to shift your mindset from simply ‘lasting longer’ to ‘achieving control’—a critical component of successful PE Treatment.

The Three Phases of Successful PE Treatment

Phase	Goal	Key Treatment Modalities	Duration
1. Diagnosis & Stabilization	Accurate classification (Lifelong/Acquired) and establishing baseline IELT. Immediate relief from distress.	Oral Medication (Dapoxetine) and/or Topical Agents. Initial Behavioral Technique instruction.	2–4 Weeks
2. Learning & Skill Acquisition	Mastering behavioral techniques and achieving reliable control. Finding the optimal drug dose (if required).	Consistent practice of Start-Stop/Squeeze. CBT/Counselling sessions. Drug dosage adjustment.	2–6 Months
3. Maintenance & Weaning	Sustaining ejaculatory control without reliance on high-dose medication. Integrating skills into natural sexual life.	Gradually reducing reliance on on-demand medication. Lifestyle maintenance. Follow-up visits for support.	Ongoing

Why Choose Ankur Urja Goa for Your PE Treatment?

• Specialist Expertise: Our clinic is led by experts in Male Sexual Health and Andrology, providing informed, evidence-based Premature Ejaculation Treatment.
• Multimodal Care: We don’t just prescribe pills. We integrate medication, behavioral techniques, and psychological support for the best PE Treatment in Goa.
• Advanced Options: Access to specific topical agents, dual therapy, and minor surgical procedures (like Frenuloplasty) not offered at general clinics.
• Total Confidentiality: We prioritize your privacy above all else, ensuring a judgment-free environment for sensitive discussions.

E-E-A-T: Trust the Experts at Ankur Urja Goa

Ankur Urja Goa is a specialized center recognized for its commitment to comprehensive male sexual health and effective Premature Ejaculation Treatment. Our protocols are guided by the latest ISSM and AUA guidelines.

Authored by: The Clinical Team at Ankur Urja Goa, under the direction of Dr. Vasan S.S. (Founder, Andrologist, and Specialist in Premature Ejaculation Treatment). Our mission is to ensure that every patient in Goa and across India receives precision care tailored to their unique neurobiological, psychological, and physical profile.

Reclaim Your Control. Schedule Your Consultation Today.

If you are tired of the anxiety, frustration, and relationship strain caused by PE, it is time to take action. Premature Ejaculation Treatment is highly effective when managed by specialists.

Don’t search for a temporary fix—seek a lasting solution. Contact Ankur Urja Goa today for a private, confidential consultation.

Ankur Urja Goa – Your Partner in Effective Premature Ejaculation Treatment and Male Sexual Health.