Branches At Ernakulam, Kottayam, Thrissur, Angamaly, Alappuzha, Kerala, India

Afterplay

Nurturing Emotional Closeness Through Afterplay: Tips for Couples

Sex is the ultimate source of energy that determines the vitality and vibrancy of marital life. It fulfills the physical and emotional bondage between the partners and paves the way for procreating generations. Sex is a combination of physical intercourse as well as mental intercourse. It can be designed as a three-tier course starting with foreplay passing through vaginal penetration and culminating in contentment afterplay.

Most partners, especially males do not have a well-defined notion regarding after play. It is as important as foreplay. Foreplay is needed to arouse sexual fervor whereas afterplay is needed to pamper the mind, soul, and emotions. 

Why Afterplay Matters: Deepening Connection Beyond Physical Intimacy

Afterplay can be explained as the intimate period following sexual activity which is a crucial yet often underappreciated aspect of sexual health and relationships. This stage extends beyond the physical encounter, including the affectionate gestures, meaningful conversations, and emotional intimacy that follow. Afterplay is essential for strengthening the connection between partners, enhancing overall sexual satisfaction, nurturing mental well-being, and ensuring the enduring vitality of the relationship.

Ways to Extend Intimacy After Sex

Afterplay encompasses various affectionate activities, such as cuddling, kissing, talking, and other forms of physical closeness that partners engage in following sexual intercourse. Unlike foreplay, which is intended to build anticipation and prepare for sexual activity, afterplay is centered on the emotional and psychological connection that follows. It offers partners an opportunity to show affection, provide comfort, and strengthen the bond created during the sexual experience. For many, afterplay is a vital aspect of their sexual interaction, providing a sense of completion and deepening the intimacy that goes beyond the physical act itself.

Building Emotional Trust and Connection Post-Sex

Afterplay plays a crucial role in deepening emotional intimacy between partners. While physical connection often peaks during sex, the emotional bond can sometimes fall behind if not nurtured afterward. Afterplay offers a valuable chance for partners to reconnect emotionally, reinforcing the bonds formed during their physical encounter and creating a sense of closeness and security.
For women, in particular, afterplay is vital for emotional fulfillment. The release of oxytocin during intimate moments enhances feelings of connection and trust. Often called the “love hormone,” oxytocin is key to strengthening emotional ties between partners. Although men also benefit from afterplay, some of them fail to recognize its significance. Regardless, both partners gain from the reassurance and comfort that afterplay brings, helping to maintain and deepen their emotional intimacy.

Why Couples Should Prioritize Afterplay for Lasting Intimacy

Afterplay serves as a vital moment for communication, playing a significant role in sexual satisfaction. During this period, partners can share their feelings, discuss what they enjoyed, and address any concerns or desires for future encounters. This type of open dialogue can help resolve any misunderstandings or discomforts that may have arisen during sex, ensuring both partners feel understood and valued.
Additionally, engaging in these conversations during afterplay can deepen each partner’s insight into the other’s needs and preferences, which can greatly enhance sexual satisfaction. It also provides a safe environment to fortify the relationship leading to a more fulfilling sexual experience over time.

The Role of Afterplay in Sexual Health and Relationship Fulfillment

The psychological benefits of afterplay are commendable, offering a range of emotional and physical advantages. Afterplay can help ease anxiety, enhance feelings of well-being, and foster relaxation. The moments following sex often leave people feeling emotionally vulnerable, and engaging in afterplay can alleviate any feelings of insecurity or emotional distance that might surface. This is particularly valuable for those who experience a dip in mood after sex, a phenomenon known as post-coital dysphoria.
On a physical level, afterplay is equally important. Activities like gentle touching, kissing, and cuddling can sustain the pleasurable sensations from sex, extending the release of endorphins—the body’s natural mood enhancers and pain relievers. This not only prolongs the sense of physical pleasure but also contributes to an extended feeling of overall well-being.

How To Enhance Relationship Vitality and Sexual Satisfaction in Long-term Relationships?

In long-term relationships, afterplay is key to sustaining both sexual satisfaction and emotional closeness. As relationships evolve, sexual experiences can sometimes become more predictable, leading to a drop in excitement and freshness. Afterplay counters this by shifting the focus to the emotional and relational sides of sex, rather than solely the physical aspect.

Afterplay and Its Impact on Mental Well-Being and Relationship Security

By regularly engaging in afterplay, couples can preserve a deep emotional connection, even as the frequency or intensity of their sexual encounters fluctuates over time. This practice reinforces the idea that sex is about more than just physical gratification; it’s also about nurturing a close and loving bond. As a result, couples often experience greater overall satisfaction in their relationship, fewer conflicts, and a stronger emotional connection.

Why Afterplay Is Crucial for Both Partners

Afterplay is essential for both men and women, but their expectations and approaches to it often differ. These differences can be shaped by societal norms and stereotypes. Women, for instance, may be more inclined to seek afterplay as a way to deepen emotional intimacy, while men might sometimes overlook its significance, influenced by cultural messages that emphasize the physical aspects of sex.
It’s important for both partners to understand and appreciate the role of afterplay in their relationship. Engaging in open conversations about its value and aligning on mutual expectations can help close any gaps in understanding. When both partners are actively involved in afterplay, it can foster a more harmonious and fulfilling sexual relationship.

Strengthen Your Relationship with Effective Practices

In a nutshell, Afterplay plays a decisive role in developing and maintaining a healthy sexual relationship, enhancing emotional intimacy, communication, and overall satisfaction. Engaging in afterplay can deepen the connection between partners, providing both psychological benefits and reinforcing the bond created during sex. While partners may have different expectations based on gender, acknowledging the significance of afterplay and integrating it into their sexual experiences can lead to a more rewarding and harmonious relationship. Ultimately, afterplay transcends the physical; it nurtures the emotional and psychological dimensions of intimacy that truly enrich a partnership.

Need More Insights? Contact Dr. Rana’s Medical Hall

If you’re seeking professional guidance on afterplay or struggling with sexual disorders, consider Dr. Rana’s Medical Hall, a leading sexual wellness center in India. With over sixty years of experience rooted in Unani medicine, this establishment draws on a rich legacy of esteemed medical practitioners from royal courts. Located on MG Road in Kochi, with additional branches in Thrissur, Angamaly, Alappuzha, and Kottayam, it combines traditional Unani knowledge with modern facilities and a team of qualified doctors.

The stewardship of Dr. Althaf Ibrahem Rana, a distinguished scholar, and sexologist, the center specializes in treating a variety of sexual dysfunctions, including Premature Ejaculation, Erectile Dysfunction, Penile Size Issues, and Sexually Transmitted Diseases in men, as well as Vaginal Dryness and Low Libido in women. Their holistic approach involves thorough diagnosis, necessary para-medical tests, and the administration of customized herbal remedies designed to be free from side effects, effectively addressing the root causes of these disorders. In addition, the center recognizes that stress, performance anxiety, and tensions can exacerbate sexual issues, so it also offers psychological therapy sessions to alleviate these concerns. This comprehensive approach aims to restore sexual well-being and happiness. If you need assistance, visit any of Dr. Rana’s Medical Hall clinics or opt for online consultations at your earliest convenience.

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Male Menopause

Understanding Andropause: Male Menopause Explained

Andropause, often referred to as “male menopause,” is a condition characterized by an age-related decline in testosterone levels in cisgender males. This decrease typically occurs in those aged 50 or older and can lead to a variety of symptoms including fatigue, mood changes, insomnia, and can even impact fertility. Although commonly linked to hypogonadism, a condition where the body doesn’t produce enough testosterone, andropause involves similar symptoms. It is also known as testosterone deficiency, androgen deficiency, or late-onset hypogonadism.

The Role of Testosterone in Male Health

In individuals assigned male at birth, testosterone, a crucial hormone, is produced by the testes. It plays a significant role not only in sexual health but also in physical and mental energy, muscle mass maintenance, and regulating essential bodily responses such as the fight-or-flight reaction. Unlike menopause in cisgender females, which is tied to the cessation of the menstrual cycle, andropause in males does not involve a complete shutdown of reproductive function. However, lower testosterone levels can lead to sexual complications.

Testosterone levels naturally fluctuate throughout a male’s life. Before puberty, these levels are relatively low but increase during sexual maturation, driving changes such as increased muscle mass, body hair growth, deepening of the voice, and the development of sexual function. However, as men age, testosterone levels begin to decline, often dropping by an average of 1 percent per year after the age of 30. Certain health conditions can lead to an earlier or more significant reduction in testosterone levels.

Read more: What is Testosterone and why is it Important?

Symptoms Of Male Menopause / Andropause

The symptoms of andropause are broad, affecting physical, sexual, and psychological well-being, and typically worsen with age. Common symptoms include low energy, depression, reduced motivation and self-confidence, insomnia, increased body fat, decreased muscle mass, and erectile dysfunction. Some individuals may also experience more specific symptoms such as gynecomastia (the development of breast tissue), decreased bone density, reduced libido, infertility, and osteoporosis—a condition characterized by brittle bones. These symptoms usually manifest around the same age that females experience menopause.

Diagnosing Andropause: The Importance of Early Detection

Diagnosis of andropause involves a simple blood test to measure testosterone levels. If the symptoms of male menopause are not severely impacting one’s life, treatment may not be necessary, and lifestyle changes may suffice. The biggest challenge might be overcoming the reluctance to discuss these symptoms with a healthcare provider. Adopting a healthier lifestyle, such as eating a balanced diet, exercising regularly, ensuring adequate sleep, and managing stress, can significantly improve overall health and well-being.

Dr. Rana’s Medical Hall: Holistic Andropause/ Male Menopause Treatment

For those seeking professional help, Dr. Rana’s Medical Hall is a renowned institution specializing in the treatment of sexual health disorders, including andropause. Led by the distinguished sexologist Dr. Althaf Ibrahem Rana, the clinic uniquely integrates traditional Unani medicine with modern medical practices to offer personalized and effective treatments. This holistic approach allows the clinic to address the root causes of male menopause and other sexual health issues, providing patients with comprehensive care without the common side effects associated with conventional therapies.

Dr. Althaf Ibrahem Rana and his team provide thorough evaluations, including consultations, physical exams, and medical tests to diagnose andropause. Following a diagnosis, the clinic offers customized herbal treatments tailored to the individual’s needs. These treatments are designed to enhance sexual health and overall well-being, free from side effects. Patients can consult with Dr. Rana’s Medical Hall team in person or online, with locations available in Kochi, Kottayam, Thrissur, Alappuzha, and Angamaly.

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Dry Orgasm

What is a Dry Orgasm?

Dry orgasm is a condition where a man experiences sexual climax without releasing semen. This situation can cause alarming concerns about fertility and health. Various factors can contribute to dry orgasm, including retrograde ejaculation, low semen volume, blocked ejaculatory ducts, prostate problems, aging, medications, psychological issues, lifestyle choices, and underlying health conditions. Understanding these factors provides insight into the dry orgasm and strives for potential treatment options.

Causes


Retrograde Ejaculation

Retrograde ejaculation occurs when semen moves backward into the bladder instead of being expelled through the urethra. Certain medications, surgeries, or nerve damage can cause this. Alpha-blockers, which treat high blood pressure or enlarged prostate, can interfere with the normal function of the ejaculatory ducts and muscles, causing semen to flow into the bladder. Surgeries involving the prostate, bladder, or urethra can also disrupt the normal flow of semen.


Insufficient Semen Production

Low semen volume is another potential reason for dry orgasm. When the amount of semen produced is too small to notice during ejaculation, it may be due to factors like low sperm count, hormonal imbalances, or dehydration. Hormonal imbalances, particularly involving testosterone, can significantly reduce semen production. Dehydration also decreases overall fluid levels, leading to less semen.

Ejaculatory Duct Obstruction

Blockages in the ejaculatory ducts can prevent semen from being released during orgasm. These ducts transport semen from the seminal vesicles to the urethra, and any obstruction can hinder this process. Infections, inflammation, or congenital abnormalities can cause blockages. Scarring from infections and inflammation can narrow the ducts, obstructing semen flow.

Prostate Health Issues


Prostate health is crucial for proper ejaculation and semen production. Conditions like prostatitis (inflammation of the prostate) or prostate surgery can disrupt these processes. Prostatitis causes swelling and inflammation that can block semen flow. Prostate surgery, particularly those involving tissue removal, can damage the nerves and muscles involved in ejaculation, resulting in dry orgasm.

Aging

As men age, hormonal fluctuations and changes in prostate health can lead to altered semen volume and ejaculation patterns. Decreased testosterone levels and changes in prostate function can reduce semen production and affect ejaculation. Additionally, age-related muscle tone and nerve function changes can impact the ejaculatory process.

Side Effects of Medications

Certain medications can interfere with ejaculation and semen production, leading to dry orgasm. Alpha-blockers, used to treat high blood pressure or enlarged prostate, affect the muscles involved in ejaculation. Antidepressants, particularly selective serotonin reuptake inhibitors (SSRIs), can also impact sexual function and ejaculation.

Psychological Influences

Psychological factors, including stress, anxiety, or performance pressure, can affect the ejaculatory process. Mental health significantly impacts sexual function, and psychological issues can disrupt normal physiological responses. Performance anxiety, in particular, can create a feedback loop where concerns about sexual performance lead to further ejaculation difficulties.

Lifestyle Choices

Lifestyle choices, such as excessive alcohol consumption, smoking, or drug use, can significantly impact reproductive health and ejaculatory function. Alcohol and drugs impair nerve function and blood flow while smoking damages blood vessels, reducing circulation to the reproductive organs.

Certain Health Conditions

Underlying health conditions like diabetes, spinal cord injuries, or neurological disorders can affect the nerves and muscles involved in ejaculation. Diabetes can cause neuropathy, damaging the nerves responsible for ejaculation. Spinal cord injuries disrupt the signals between the brain and reproductive organs, and neurological disorders impair the coordination of muscles involved in ejaculation.

How to handle Dry orgasm?


Dry orgasm, although concerning, can occur from a variety of factors influencing the complex interplay of physiological and psychological processes in ejaculation. Recognizing the potential causes—from retrograde ejaculation and low semen volume to lifestyle choices and underlying health conditions—can help identify appropriate treatments. Addressing these underlying issues through medical intervention, lifestyle changes, or psychological support can restore normal ejaculatory function and alleviate concerns associated with dry orgasm.

Treatment For Dry Orgasm


The best medical support for Dry Orgasm can be given by Unani and Ayurvedic stream of medicine and it can be offered by none other than Dr Rana’s Medical Hall, the most illustrious herbal sexual calamities asylum, the celebrated sexologists conglomerate. Dr. Rana’s Medical Hall touches global standards specializing in sexual health and delivering effective treatment of various sexual disorders, including Dry Orgasm. Steered by Dr. Althaf Ibrahem Rana, an accomplished sexologist, the clinic masterfully integrates the principles of traditional Unani medicine with modern medical practices. This unique blend of ancient wisdom and contemporary techniques enables the clinic to provide personalized solutions for comprehensive sexual wellness. Dr. Althaf Ibrahem Rana, along with his highly skilled team, is devoted to merging time-tested healing traditions with the latest advancements in medical science, ensuring that patients receive exceptional care and achieve optimal outcomes. By combining proven methodologies with innovative treatments, Dr. Rana’s Medical Hall helps individuals improve their sexual health and overall well-being.


At Dr. Rana’s Medical Hall, we specialize in treating sexual disorders, with a particular focus on Dry Orgasm. Our experienced team of sexologists provides exceptional care within state-of-the-art facilities, employing a holistic approach to achieve complete healing. We utilize advanced herbal remedies, personalized for each individual, to address the root causes of Dry Orgasm and enhance overall well-being. What sets us apart is our commitment to delivering effective treatments without the common side effects associated with conventional therapies, establishing us as a trusted leader in the field.


Dr. Althaf Ibrahem Rana and his team offer comprehensive evaluations for Dry Orgasm at Dr. Rana’s Medical Hall. Our services include consultations, physical exams, and various medical tests aimed at identifying underlying issues. Once diagnosed, we provide customized herbal treatments that are free from side effects. These treatment plans often comprise prescribed medications and therapies designed to rejuvenate sexual health. Patients can access consultations both in-person and online, with our locations in Kochi, Kottayam, Thrissur, Alappuzha, and Angamaly.

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Where to treat Premature Ejaculation ?

Best and Most Effective Treatment for Premature Ejaculation

Are you confused about where to treat Premature Ejaculation safely and effectively? Here is a solution to your all-time doubt: Read to learn more:

Sex is the most indispensable aspect of marital life, creating physical and emotional bondage. It bestows life with vibrancy. If a male refrains from sexual activities or exhibits poor sexual behavior, his or her life will be doomed. Most often, sexual disorders become the prominent reason behind these states. Among them, Premature Ejaculation is a major sexual disorder.

Usually during sexual intercourse, after getting a proper erection for strong strokes, the male penetrates his penis to the vagina for stroking, and after a reasonable time, he ejaculates after attaining sexual fulfillment or orgasm for both partners. But if he is down with premature ejaculation, he ejaculates at the very start without attaining a genuine orgasm. If this feature repeats, we can undoubtedly confirm that he has premature ejaculation.

Factors Causing Premature Ejaculation

The main factors causing premature ejaculation can be classified as physical factors, psychological factors, lifestyle factors, and relationship factors.

The physical reasons are erectile dysfunction nerve issues, chronic diseases, prostate problems, surgery-related problems, hormone imbalances, etc.

The psychological causes are performance anxiety, stress, tension, etc., and the memory of past bad experiences related to sexual interaction.

The lifestyle factors are obesity, sedentary lifestyle, alcoholism, smoking, lack of exercise and workouts, unbalanced diet, etc.

The relationship factor refers to the lack of warmth and genuineness between the partners.

It was an earlier belief that old people were only prone to premature ejaculation. But now, we find that more and more young people succumb to this sexual disorder.

Where to treat Premature Ejaculation?

Where to treat Premature Ejaculation is a question to answer with great caution because there are many fake advertisements and instant libido medicines to prolong erection. But they are deadly and create serious health problems.

If premature ejaculation is in its initial stages, there are some remedies to ease it. They are pelvic floor muscle exercises, relaxation exercises, stop-and-proceed techniques during sexual intercourse, and attempting sexual activities from different positions.

But if premature ejaculation becomes chronic, the best treatment option is to avail yourself of the services of Dr. Rana’s Medical Hall, the most distinguished sexual wellness clinic in Kerala. A legendary medical institution, imbibing its treasure of medicinal knowledge from its forefathers, who were great medical practitioners in the royal courts of the medieval period, started its operation six decades ago. Now it works with MG Road Kochi as the corporate base and branches at Kottayam, Thrissur, Alappuzha, and Angamaly.

The Ultimate Solution for Premature Ejaculation!

🌿 Herbal Unani Treatment:

Dr. Rana’s Medical Hall initiates a holistic and herbal Unani treatment technique, combining the knowledge inherited from the ancestral lineage with contemporary scholastic wisdom.

💪 Empowerment through Expertise:

Dr. Althaf Ibrahem Rana, an exceptionally brilliant and academically qualified doctor, is the head of the institution, who is supported by a group of highly skilled sexologists and aided by state-of-the-art infrastructure. Here, all sexual disorders, including premature ejaculation, will be treated forever,without causing any side effects 

A person struck with premature ejaculation will be diagnosed in detail by one-to-one interaction, physical examination, and paramedical tests if needed, and based on these, the pivotal reason behind this disorder will be found. If it is a physical one,  100% customized herbal medicines with zero side effects will be prescribed. The patient, by completing his customized course of medicine, will be saved from premature ejaculation forever. If the cause behind the disorder is a psychological one or a relationship issue, he will be served with psychological therapy sessions, which Dr. Althaf and his teammates are highly equipped with. These sessions will tear away the mental blockades inhibiting sexual fervor through premature ejaculation. Thus, the inherent sexual power is reinstated, and sexual resurgence is guaranteed.

🌐 Online Consultation Available:

If you are disheartened by premature ejaculation, please visit any of Dr. Rana’s Medical Hall clinics or log in for an online consultation at the earliest.

📞 Book Your Consultation Today

Embrace a future of satisfaction and connection with Dr. Rana’s Medical Hall—Your Path to Lasting Intimacy!

Call or WhatsApp (91) 8848511462 for an appointment and book your slots now with Dr. Althaf Ibrahem Rana.

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Will Premature Ejaculation Affect Pregnancy

Can you still get Pregnant with Premature Ejaculation?

A very common doubt among people is: Will Premature Ejaculation Affect Pregnancy? To understand it in detail, we need to understand Premature Ejaculation, and its impacts on one’s marital life.

Premature Ejaculation: Understanding the Sexual Disorder

Premature Ejaculation is an alarming sexual disorder that happens to males. Usually, in a genuine sexual interaction, a male, after getting a proper erection, penetrates his penis into the vagina of his female partner and conducts intercourse with strong strokes for a long time. After a long period of sexual progression, he ejaculates after achieving sexual fulfillment, or orgasm. But, if a person is struck with Premature Ejaculation, just after starting sexual intercourse, he ejaculates out, without achieving an actual orgasm. What he’s getting is a fake or bogus orgasm. At that time, the female partner will be far away from her orgasm. This puts them both in great mental and physical distress. 

Occasional early ejaculation can’t be counted as a grave problem. This becomes a contingency, only if it gets repeated. Then it can destroy sexual life and, of course, life in general.

Factors and Impacts of Premature Ejaculation on Sexual Life

Many reasons can lead to Premature Ejaculation. Physical and clinical factors like nerve issues, chronic diseases, prostate problems, surgery-related issues, hormone imbalances, lifestyle factors like obesity, sedentary lifestyle, alcoholism, smoking, lack of exercise and workouts, an unbalanced diet, relationship issues, and psychological factors like performance anxiety, stress, tension, etc. can be the genuine reasons behind this sexual calamity. But here we are discussing some points related to its impact on fertility and pregnancy and the answer to Will Premature Ejaculation Affect Pregnancy?

Premature Ejaculation’s Influence on Fertility and Pregnancy

To attain pregnancy, the sperm must be ejaculated into the vagina. But sometimes premature ejaculation occurs even before penetration or very shortly after. In those cases, chances of conceiving become remote because sperm needs to be present in the reproductive tract to have a chance of fertilizing the egg. A successful pregnancy is directly proportional to the health and quality of the sperm. Even though premature ejaculation has no direct connection to sperm health and quality, some factors that cause Premature Ejaculation, like stress, alcoholism, smoking, and chronic diseases, can contribute to it.

Psychological Consequences of Premature Ejaculation

Psychological factors can result in Premature Ejaculation, and Premature Ejaculation creates psychological problems. It can result in stress, and frustration, which eventually leads to avoiding sexual activities or reducing the frequency of sexual interactions, which may lead to not conceiving. These emotional factors create a sort of diffidence between the partners, culminating in sexual estrangement.

Addressing Premature Ejaculation: Communication and Remedies

As a first step to sorting out this issue, open up with the partner and discuss premature ejaculation. Bring forth a positive attitude towards this, which delivers great chances to improve ejaculation time and get better results in conception and pregnancy. Home remedies like the stop-and-start method while engaging in sexual intercourse can be attempted to ease Premature Ejaculation.

Medical Solutions for Premature Ejaculation at Dr. Rana’s Medical Hall

The final and best method to pluck out this sexual condition is to seek professional medical care from Dr. Rana’s Medical Hall, the most acclaimed sexual wellness clinic in India. This clinical service is based on the most effective Unani stream of medicine, which is holistic and herbal. The clinical conglomerate has been giving permanent solutions to all sexual disorders, including premature ejaculation, for the last six decades. The compendious medical knowledge imbibed from the legendary forefathers, who were great medical practitioners in the royal courts of the medieval period, is clubbed with contemporary scholastic wisdom and formulated into an herbal path supported by state-of-the-art infrastructure. Dr. Althaf Ibrahem Rana, a highly intellectual and experienced sexologist par excellence, is the current head of this clinical asylum and is supported by a bunch of highly skilled sexologists. 

A person affected by Premature Ejaculation is subjected to a detailed diagnosis comprising one-on-one interaction, physical examination, and paramedical tests if needed. On evaluating these, the pertinent cause behind the disorder, which may differ from person to person, is found, and an out-and-out customized treatment will be given to him. This includes the administration of 100% herbal medicines with zero side effects, which will remove premature ejaculation from his life. Apart from this, if the reason behind this is a psychological problem, he will be given detailed Psychological therapy sessions, in which Dr. Althaf and his team are highly proficient. Thus, sexual rejuvenation is assured, and sexual glory is reinstated.

Will Premature Ejaculation Affect Pregnancy?

If you still have doubts about the question, will Premature Ejaculation affect pregnancy? Please feel free to contact us. If you are struck with premature ejaculation or any other sexual disorders like erectile dysfunction, penile size issues, sexually transmitted diseases for males, and low libido and vaginal dryness for women, please visit any of Dr. Rana’s Medical Hall clinics or log in for an online consultation, at the earliest.

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