Anxiety
Performance anxiety, especially in new relationships or after past episodes.
Structured, evidence-based programmes for premature ejaculation — behavioural techniques, medication, pelvic floor training and counselling. Personally led by Dr. Akheel.
Medically reviewed by Dr. Akheel (BUMS, Reg. No. 1703 U) · Last updated: 16 July 2026

Premature ejaculation (PE) is when a man ejaculates sooner than he or his partner would like during sexual activity — often within a minute or two of penetration — and it causes distress or relationship strain. PE is the most common male sexual concern, affecting roughly 20–30% of men. With the right plan, it’s also one of the most treatable.
Reaching climax soon after penetration, repeatedly.
Inability to delay ejaculation in most or all sexual encounters.
Frustration, embarrassment or avoidance of intimacy.
Tension, communication issues or reduced sexual frequency with partner.
Worry about how long you’ll last interferes with arousal.
Symptoms become more pronounced during stressful periods.
A mix of psychological and biological factors — rarely just one cause.
Performance anxiety, especially in new relationships or after past episodes.
Lower brain serotonin levels are linked to shorter ejaculation latency.
Thyroid disorders and certain hormonal imbalances can contribute.
Heightened penile sensitivity reducing tolerance to stimulation.
Inflammation of the prostate gland can affect ejaculatory control.
Rushed early sexual experiences can establish a habit of quick climax.
A combination approach gets the best long-term outcomes.
Start-stop and squeeze methods, practised consistently, build lasting control.
Lidocaine sprays or creams reduce penile sensitivity. Fast-acting and discreet.
Selective serotonin reuptake inhibitors, prescribed at low doses, delay ejaculation.
Targeted Kegel exercises strengthen muscles involved in ejaculatory control.
Confidential support for anxiety, conditioning and relationship factors.
Most patients benefit from combining techniques, medication and lifestyle changes.
Improves cardiovascular health and reduces stress hormones.
7–8 hours nightly stabilises hormones and reduces anxiety.
Mindfulness, breathwork and counselling lower the psychological load.
Heavy drinking affects ejaculatory control and timing.
Talking openly with your partner reduces performance anxiety.
Behavioural techniques need 6–12 weeks of consistent practice for results.
A clear, calm process — usually one visit to start treatment.
Confidential discussion of your concern and medical background.
Brief physical check if needed; rules out underlying issues.
Personalised combination plan with clear timelines and expectations.
Private follow-ups at 2–6 weeks to track progress and adjust.
Medically responsible answers to the questions men ask most.
Book Your ConsultationPE is when a man ejaculates sooner than he or his partner would like during sexual activity, often within a minute or two of penetration, causing distress.
PE affects roughly 20–30% of men at some point. It’s the most common male sexual concern globally — and one of the most treatable.
A mix of psychological (anxiety, conditioning, stress) and biological factors (serotonin sensitivity, hormone imbalance, hypersensitivity, prostate issues).
Yes. Most cases respond well to a combination of behavioural techniques, medication and counselling. Many patients see lasting improvement within 6–12 weeks.
Behavioural techniques, topical anaesthetics, oral SSRIs, pelvic floor training and counselling. Dr. Akheel tailors a combination.
Topical anaesthetics work immediately. Behavioural techniques show improvement in 4–8 weeks. Oral medications take 1–3 weeks. Most see meaningful change in 6–12 weeks.
Yes. Start-stop and squeeze techniques have strong evidence and form the foundation of long-term improvement.
Most patients don’t. Pills are a short to medium-term tool while behavioural techniques and lifestyle changes take effect.
Joint sessions help in some cases but you’re welcome alone. Some behavioural exercises do involve a partner.
They’re separate but can occur together. Anxiety about ED can cause PE and vice versa. Dr. Akheel screens for both.
Yes. Work stress, anxiety, depression and relationship pressure are major contributors. Managing stress is part of effective treatment.
Masturbation itself doesn’t cause PE, but rushed patterns established early can sometimes contribute. Retraining helps.
When prescribed by a doctor, SSRIs and topical anaesthetics for PE are safe for most men. Dr. Akheel reviews your full history first.
A method where stimulation pauses just before ejaculation and gentle squeezing of the penile head reduces arousal. Repeated practice builds control.
You or your partner stops stimulation just before ejaculation, waits for the urge to subside, then resumes. Cycles build control over time.
Yes. Pelvic floor (Kegel) exercises strengthen ejaculatory control muscles. Meaningful improvement after 8–12 weeks of consistent practice.
Yes. Discreet entry, private consultation rooms, encrypted records.
Pricing depends on your plan and is shared upfront. EMI options available. Call 8595987807.
Most patients feel the same. Dr. Akheel uses a calm, judgement-free approach. You can message WhatsApp first.
Call 8595987807, WhatsApp, or use the booking form. Same-day visits usually available.
A 30–45 minute private consultation with Bangalore’s most experienced PE specialist.