Hi doctor how i will increase the timing

•  Premature ejaculation is a common problem that affects many men and causes psychological and marital problems. For treatment it is advised to get rid of psychological pressure and not to compare yourself with other men, avoid anxiety and tension from the sexual process, avoid excessive thinking about sex, maintain a good marital relationship, prolong The period of foreplay for the wife during sexual intercourse before penetration of the penis and wearing a condom for a month during intercourse, quitting masturbation or watching porn movies, and it is advised to think about something far from sex and press on the base of the penis when feeling close to ejaculation, and the diet should be improved. And the weight  reduced and exercise regularly especially Kegel exercises, and some drugs such as Dapoxetine 60mg can be used, one pill two hours before sexual intercourse with a large glass of water and a spray or two pills, no more than the topical Lidocaine spray on the penis minutes before intercourse.

•  The diagnosis is made based on the symptoms that the patient is experiencing, and then a clinical examination for him, and some tests are done such as a urine test to exclude urine infections, an ultrasound image of the prostate gland to exclude its enlargement and inflammation, a glucose store test that measures the level of sugar in the past months and the level of sex hormones Such as testosterone to rule out an imbalance in it, and to check the level of thyroid hormones

• Psychological factors
•  an imbalance in the sex hormones
• Excessive sensitivity of the penis
• Urinary tract infections
• An enlarged prostate
• Diabetes
•   masturbation

•  ejaculation before penetration
•  Ejaculation within less than two minutes of penetration
•  frustration with the sexual relationship

•  Follow the treatment advice mentioned above and consult the urologist to run tests to exclude organic causes

penis size :

• the belief that the penis is small to satisfy your partner desires is quite common but many studies have shown that most of the men who think their penises are small were actually have a normal penis, the exact length is measured while the penis is erectile

what Is the normal length of the penis :

• The normal Length varies from person to person depending on a number of genetic ,ethnic factors ,age, and enviromental factors, The length of the penis is measured from its base, which is the surface of the abdomen ,the penis is considered normal-length if it was measured 10-20 cm and it is the length required to fill into the vaginal canal

is there any creams or drug to increase penis size or length:

• the most widely promoted products that claim they can increase the size of the penis including pills and lotions which contain herbs, minerals, hormones, or vitamins , vacum pumps , stretching techniques, and others have not shown any benefits regarding the size of the penis ,however some of these products could be suseful in improving sexual performance such as Vimax,Extra size and titan gel

surgical options :

• severing the suspensory ligament that attaches the penis to the pubic bone
• injecting fat into penis shaft
• grafting tissue onto the shaft o penis
• silicon implants

advice:

• there is no proven way to increase penis length or size ,its high possibility that your penis is within the normal size , and even if it is not it may not matter to your partner
• it is recommended to reduce weight to increase the length of the penis , kegel exercises daily are useful and works to increase blood flow to the penis , you should shave pubic hair, and avoid overthinking about it and talk to your partner
• consult your Urologist to consider surgical options