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Sexual Health & Disorders
Question #22921
118 days ago
215

Sperm comes out soon andsize is small - #22921

Rahul

I cant stay longer in sex with in 2 min comes out andI am31 year old and from long time I had this issue and please help to find solution for this problem and erection is good only sperm comes very soon and size is also small

Age: 31
Chronic illnesses: Back pain
300 INR (~3.51 USD)
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Doctors’ responses

Hello Rahul

" NO NEED TO WORRY "

" I WILL HELP YOU TO RECOVER WITH PREMATURE EJACULATION & PENIS SIZE RELATED QUERIES "

UR ISSUES

* Premature Ejaculation ( PME ) - Discharge whithin 2 mins * Small Penis Size

MY ASSESSMENT

A) FOR PREMATURE EJACULATION

* PME is fairly common issues nowadays U r not alone * Any Discharge Average Before 3 mins can be Taken Clinically as Premature Ejaculation

PME PROBABLE CAUSES

Weak Urogenital Sphincter Pelvic Floor Weakness, Hypersensitive Foreskin Known/ Unknown Urogenital Infections,Prostate issues Stress Anxiety Hyperstimulation , Performance Anxiety.

B) FOR PENIS SIZE ISSUES

FEW FACTS TO UNDERSTAND REGARDING PENIS SIZE

• It’s Fact U need to Understand Penis Growth ( Length Girth Width) is Possible up to certain Age As Like Ur Height Grow till Certain Age and Not After that • With Some Proper efforts few changes possible. • Penis Growth depends upon lots of Factors Viz Genetics Heridity Nutrition Lifestyle Geography Race etc .It’s Different for Persons to Persons all over worlds ( examples Negro’s Higher in Growth But Asian lower in this ) • There are lots Of Psychological Misconceptions regarding size issues.Many of them aren’t true • Broder Defining average length when erect is typically between 5 and 7 inches (13-15 cm). A flaccid penis , on average, is around 3.6 inches (9.16 cm) long, and Girth ( 4 Inches ( 11 cms ) but can range significantly. • Smaller flaccid penises tend to increase in length more significantly during erection than larger flaccid penises. • Research Proved Shorter penis has stronger Erection that Taller

" PENIS STRENGTH MATTERS MORE THAN LENGTH"

WHAT’S POSSIBLE - Moderate Improvement Possible in Girth Width about 1 inches ( 2- 3 cms ) Penis Hardness Penis Tone Increase Libido will be seen

AYURVEDIC TREATMENT

"NOTE - TAKING MEDICINE ONLY IS NOT ENOUGH TO SOLVE THIS PROBLEMS "

"IN MY CLINICAL PRACTICE I HAVE SEEN THE BEST PROMISING RESULTS WITH COMBINATION OF FOLLOWING THERAPY "

" Identify Cause Behind PME + Ayurvedic Medicine + Specialized Exercises for PME + Sexual Position Modifications ( If Sexually Active) + Instructions to Follow During Sexual Activity + Mindset Prepartion Before Sex + Lifestyle Modifications+ Stress Management "

VERY IMPORTANT NOTE TO UNDERSTAND BEFORE STARTING TREATMENT * As Ayurveda Aims Improving Natural Timings.Don’t Expect this medicine acts Instant Like Viagra ( Which Helps Temporary with Dangerous Side Effects * Keep Maximum Patience while taking Ayurvedic Treatment,u feel improvement week by week * Ayurvedic Medicines Take Time to Improve But they improve conditions without side effects) * Few Brands Labelled Ayurvedic Adulterated with Viagra so Don’t ever take Any Sexual Ayurvedic Medicine without Consent of Doctors "

• EFFECTIVE AYURVEDIC MEDICINES IN MY CLINICAL PRACTICE

U MUST TRY

FOR PREMATURE EJACULATION * Tab.Virya Stambhan Vati with Gold ( Sharmayu Pharma) 1-0-1 After Food FOR UROGENITAL SPHINCTER SUPPORT & TO INCREASE SEMEN HOLDING CAPACITY * Tab.Neo ( Charak Pharma) 1 -0- 1 After Food TO INCREASE MOOD & LOST SEXUAL ENERGY * Mulatani Madananad Modak Powder ( Mulatani Pharma Compulsory ) 1 Tsf -0- 1 Tsf After Food Preferably with 1 Glass of Luke Warm Milk TO INCREASE PROPER PENILE BLOOD FLOW TO GENITALS & PELVIC FLOOR * Cap.Men’s Drive ( Bioqem Pharma) FOR HYPERSENSITIVITY RELATED ISSUES * Vyas Masti Oil ( Vyas Pharma) 15 Drops For Penile Application 30 min Before FOR PENILE SIZE & NEUROMUSCULAR GROWTH & IMPROVE LOCAL BLOOD CIRCULATION ISSUES - * Lingvardhak Taila ( Arya Vaidya Pharma AVP Pharma)For Penile Application at Night And Massage

POSITIVE MIND SET UP BEFORE SEXUAL ACTIVITY ( IF U R SEXUALLY ACTIVE)

• For Few Persons who r Nervous Anxious Overexcited Hyperstimulation cases their 1 st Ejaculation is Early Naturally ,They must try 2 nd Round • Go With Confidence and Positive Approach.Back Urself • Don’t Be Overanxious Overexcited Tensed initially • Always Prefer Slow Steady Rhythmics Sexual Activity • Don’t Be Hurried initially during sexual activities • Extend Foreplay to get Full Arousal.Without Arousal Erection won’t be harder • Be In Comfortable Position Place for Sexual Activity • Have Strong Emotional Connection with Partner and Have Mutual Understandings • Have Good Communication and Understanding with Partner so Sex Becomes Easy Comfortable • Use desensitizing sprays or Oil to Mask Over sensation if Foreskin in Hypersensitive • Find Appropriate Sexual Position in which you feel more comfortable and get Good Erection and timings • Sometimes Failure in 1 St Round then Try 2 nd Round Sex After a few hours of 1 st Sex • Try Prior Mastrubation 3 to 4 Hrs Before Sex and Observe timings in 1 st Sex

SPECIAL EXERCISES FOR PME

Please Open This You Tube Link How to do those

1 ) Kegel’s Exercises

Step 1 Focus On Muscle of Perineum area between anus and Scrotum Step 2 Tighten your pelvic floor muscles for 3-5 seconds. Step 3 Then, relax them for 3-5 seconds. Step 4 Repeat this cycle 10-20 times.

2 ) Pelvic floor Exercise

Bridge Pose ,Squats , Pelvic Tilts

SPECIAL EXERCISES HELPFUL FOR PENIS SIZE

1.Kegel’s Exercise 2.Penile Stretching 3.Jelqing 4.Pelvic floor Exercise

" DON’T USE PENILE TRACTION AND VACCUM PUMPS "

BEHAVIORAL TECHNIQUES FOR ED PME

1.Start Stop Method

When feeling the urge to ejaculate, stop sexual activity and allow arousal to subside before resuming. Then Start Again Erection and Sexual Activity Likewise

2.Squeeze Technique

As the urge to ejaculate intensifies, the partner can apply gentle pressure on Base of Penis to the penis to help delay ejaculation.

SPECIAL PREFERRED SEXUAL POSITIONS FOR ED PME

1) Missionary Sex Position 2) Cowgirl & Modified Cow Girl Sex Position 3) Left Lateral Sleeping Side way position 4 ) Spooning Sex Position 5 ) Side by Side Sex Position 6) Cross Lotus Sex Position

YOGA FOR ED PME

Dhanurasan 6 Rounds Paschimottanasan 5 Rounds Surya Namaskar 5 Rounds Ardhamatsyendriyasan 5 Rounds Mool Bandh 5 Rounds Ashwini Mudra 5 Rounds

ANTISTRESS REGIME

Dhayn Meditation Positive Sexual Mid Set Up

• DO’S - Plenty of Water Fluids Juices intake Approximately 3 Liters Per Day All Alkaline Highly Nutritious Healthy Leafy Vegetables Fruits salads sprouts Fibers Soaked Dry Fruits Milk products Amla Flaxseed Pumpkin seeds Sunflower Seeds Soaked Almonds Anjir Dates Moringa Drumstick Methi Spinach Aloe Vera Beet Carrot Juice Apple Pomegranate Watermelon Juices to take

• DON’TS - Too Acidic Spicy Salty Sour Masala Fast Juck Foods Bakery Non Veg Heavy Sun Heat Exposure Late Night Sleeps Carbonated Beverages Excessive Tea Coffee Packed Canned Processed Sweets Avoid Soda Vinegar Pickles Fermented Foods

• LIFESTYLE MODIFICATIONS Rest Good Sleep Lifestyle Physical Activities Timely Food Intakes Sleep Early Wake Early Avoid Sedentary Lifestyle, Avoid Overthinking Unnecessary Thoughts Panicness

REGARDS

Dr Arun Desai

GOD BLESS YOU 😊🙏

If you have any questions u can ask me.I will answer to the level of your satisfaction.U have text option here

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Rahul,Medication that improve stamina, and nerve control.- Follow For atleast 3mnth. 1.Ashwagandha 500 mg twice/day With warm milk or water after meals 2.Shilajit (Purified) 300–500 mg/day With warm milk in morning Kaunch Beej Churna 1 tsp twice/day With milk 3.Triphala Churna 1 tsp at night With warm water (for digestion and detox)

4.Himalaya Himcolin Gel – apply 30 mins before intercourse (helps delay ejaculation).

DIET & LIFESTYLE

Avoid: Spicy food, alcohol, smoking, porn addiction, heavy junk food.

Include: Dates, almonds, walnuts, cow’s milk, ghee, saffron, pumpkin seeds.

Sleep: Ensure 7–8 hours of quality sleep.

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Take cap. Ashwashila 1-0-1 after food with water Apply Shilajit oil on penis externally twice daily This will help improve sexual time Size usually does not matter,

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HELLO RAHUL, You are experiencing premature ejaculation for long time, despite having normal erection strength. you are also concerned about small penis size and have chronic back pain

1)WHAT IS PREMATURE EJACULATION(PE)? premature ejaculation means a man ejaculate too quickly during sexual activity-often within 1-2 minutes of penetration -without control and before both partners are satisfied

2)CAUSES OF PE -PSYCHOLOGICAL- performance anxiety, stress,low self-esteem, fear of disappointing partner

-BIOLOGICAL- sensitive penile nerves, abnormal serotonin levels in the brain

-BEHAVIORAL- habit of fast ejaculation during masturbation or watching porn

-MEDICAL- prostatitis,thyroid issues or low testosterone(rare) *Most men develop PE because they never learned ejaculatory control and reinforced early release through years of hurried masturbation or anxiety.

3)CAUSES OF PE- AURVEDIC PERSPECTIVE in ayurveda this condition is described as -SHUKRAGATA VATA OR SHUKRA KSHAYA -the vata dosha especially apana vata,gets aggravated -it becomes hyperactive, leading to early or forceful ejaculation -the semen is not stable, and vital essence is low

#ROOT FACTORS -EXCESS MASTURBATION OR PORN= loss of semen -STRESS AND ANXIETY= vata imbalance+rajasic mind -WEAK DIGESTION= incomplete tissue nourishment -IMPROPER FOOD AND LIFESTYLE= vata-pitta aggravation -CHRONIC BACK PAIN= nerves and bone marrow weakness -IRREGULAR SLEEP=reduced Ojas and mental control

4)PENIS SIZE CONCERN- most penis size worries are psychological not medical. the size does not affect sexual satisfaction if your erection and timing are right. NORMAL ERECT PENIS SIZE INDIAN MEN- 4.5-5.5 INCHES ON AVERAGE WHO GLOBAL AVERAGE- 5.1 INCHES

Ayurveda doesn’t aim at artificial enlargement but improves -blood circulation -tissue nourishment -hormonal balance

5)HOW BACK PAIN AND WEAKNESS AFFECT SEXUAL HEALTH chronic lower back pain is a sign of:- -vata aggravation in kati region(lumbar spine) -weak bone marrow, nervous system -pressure on nerves supplying the pelvic area

this leads to- -poor ejaculatory control -lower sexual strength or sensitivity -general fatigue during sex

#AYURVEDIC GOALS OF TREATMENT IS AIM AT 1)BALANCE APANA VATA- restore control of ejaculation 2)REBUILD SHUKRA DHATU- semen quality, stamina 3)STRENGTHEN MAJJA DHATU-for nervous control, back support 4)CALM MIND- reduce anxiety ,build confidence 5)STIMULATE BLOOD FLOW- to genital region, size improvement 6)BREAK OIL HABITS-retrain your mind- body control

#MINIMUM 3 MONTH MEDICATIONS FOR YOUR CASE

1)ASHWAGANDHA CHURNA+VIDARIKAND CHURNA- 1 tsp each with warm milk after lunch and dinner= builds stamina, strengthens shura dhatu.

2)CAP. SHILAPRAVANG SPECIAL- 1 capsule after breakfast= delays ejaculation,improves erectness

3)TAB. TENTEX ROYAL(HIMALAYA)- 1 tab at bedtime= boosts stamina, natural aphrodisiac

4)MAHARASNADI KASHAYA- 20 ml with warm water before meals=for chronic back pain

5)ASHWAGANDHARISTA- 10 ml+10 ml water twice a day=builds energy, removes stress

#DIET SHOULD BE MAINTAINED

MUST EAT FOODS- -warm milk with ghee+chrushed almonds,dates=at bedtime -boiled eggs with black pepper -black sesame seeds -moong dal khichdi with ghee -moringa sabzi, garlic, asparagus,banana,pomegranate

AVOID- -cold drinks, tea/coffee -tobacco/alcohol-strictly -sour curd at night -excess spicy/oily

#YOGA AND EXERCISE FOR SEXUAL STAMINA AND CONTROL do this routine daily in morning or evening(30-40 mins)

PELVIC STRENGTHENING(KEGEL EXERCISES) helps in controlling ejaculation and improving size/strength

HOW TO DO KEGEL(MOOLA BANDHA) -sit or lie down comfortably -tighten the muscles you use to stop urination(do not squeeze glutes or thighs) -hold for5 seconds->release - do3 sets of 10 reps daily -gradually increase to 10 sec holds *do this multiple times daily- even at work

YOGA ASANA -ashwini mudra(anal squeezing)-20 squeeze * 2 rounds =strengthen apana vata, controls premature ejaculation

-setubadhaasana-hold 30 sec*3=strengthen pelvic and lower back muscles

-bhujangasana- hold 20 sec* 3 =improves spinal strength and blood flow

-paschimottasana- hold 30 sec*3= tones pelvic and back region

-utkatasana-30 sec*2= boosts pelvic and leg strength

#PRANAYAM FOR CONTROL AND CALM MIND- -Nadi Shobhana-5-7 min=calms nervous system, reduce anxiety -bhramari- 5 rounds=calms mind, improves focus -sheetali- 5 rounds=cools pitta, reduces sexual hyperexcitability

#EXTERNAL THERAPIES -Bala taila- warm oil massage - lower back,thighs and spine, daily or alternate days before bath -badam rogan oil-apply few drops on the shaft (not glans) massage gently for 5-10 min at night improves blood flow and warmth enhances size perception, reduces tension

#AVOID MASTURATION ,ESPECIALLY LYING DOWN -weakens ejaculation control over time -avoid pornograpy-it overstimulates the mind and weakens natural response

#SWITCH OFF PHONE 1 HOUR BEFORE SLEEP -blue light and stimulation delay melatonin -poor sleep=eak testosterone and shukra dhatu -calm mind=better sexual control

#PRACTICE SLOW AND CONSCIOUS BREATHING DURING SEX -when close to ejaculation stop movement -breathe deeply and hold -focus on controlling urge-mind control improves physical control

-Don’t chase perfection during sex.focus on intimacy not performance -use stop-start technique during intercourse -be open with your partner-it reduces anxiety

do follow for 3 months and see 100% improvement

hope this might be helpful

thank you

DR.MAITRI ACHARYA

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Premature ejaculation and concerns about penis size are common issues faced by many men, and Ayurveda can offer valuable insights and remedies. First, premature ejaculation is often linked to imbalances in the Vata dosha, which governs movement and activities within the body. Addressing this imbalance can help improve control over ejaculation.

Enhancing Vata balance requires specific approaches. In your diet, focus on consuming warm, nourishing foods. Include foods like ghee, almonds, sesame seeds, and milk. Avoid excessively spicy, dry, or cold foods as they can aggravate Vata. Regularly incorporate Ashwagandha and Shatavari in your diet. These herbs are known to support reproductive health and stabilize the nervous system. You can take them as powders or capsules, but it’s always better to consult with an Ayurvedic practitioner to get the correct dosage based on your individual constitution.

Practicing proper lifestyle habits is crucial. Ensure you have a regular sleep schedule, allowing your body ample rest. Add relaxation techniques such as meditation or gentle yoga to calm the mind and body. Practices like Anulom Vilom (alternate nostril breathing) or Shavasana can be especially helpful.

For concerns about penis size, it’s important to understand that many factors influence perception of size, including body image and self confidence. However, Ayurveda emphasizes improving vitality and overall well-being over focusing fundamentally on size. Regularly engaging in physical exercise improves circulation, which can enhance overall penile health and function.

Massaging with warm, herbal oil, such as sesame oil infused with Bala or Ashwagandha, can strengthen and nourish the tissues. Massage gently for a few minutes each day.

Finally, remember that stress, anxiety, and psychological factors often play a significant role in sexual health. Addressing these through proper counseling or therapy can enhance your confidence and performance. Always consult with a qualified health professional to address any underlying medical conditions or concerns. It’s also important to remain patient and consistent with these practices for lasting effects.

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I am Dr. Anjali Sehrawat. Graduated BAMS from National College of Ayurveda & Hospital, Barwala (Hisar) in 2023—and right now I'm doing my residency, learning a lot everyday under senior clinicians who’ve been in the field way longer than me. It’s kind of intense but also really grounding. Like, it makes you pause before assuming anything about a patient. During my UG and clinical rotations, I got good hands-on exposure... not just in diagnosing through Ayurvedic nidan but also understanding where and when Allopathic tools (like lab reports or acute interventions) help fill the gap. I really believe that if you *actually* want to heal someone, you gotta see the whole picture—Ayurveda gives you that depth, but you also need to know when modern input is useful, right? I’m more interested in chronic & lifestyle disorders—stuff like metabolic imbalances, stress-linked issues, digestive problems that linger and slowly pull energy down. I don’t rush into giving churnas or kashayams just bcz the texts say so... I try to see what fits the patient’s prakriti, daily habits, emotional pattern etc. It’s not textbook-perfect every time, but that’s where the real skill grows I guess. I do a lot of thinking abt cause vs symptom—sometimes it's not the problem you see that actually needs solving first. What I care about most is making sure the treatment is safe, ethical, practical, and honest. No overpromising, no pushing meds that don’t fit. And I’m always reading or discussing sth—old Samhitas or recent journals, depends what the case demands. My goal really is to build a practice where people feel seen & understood, not just “managed.” That's where healing actually begins, right?
5
86 reviews
Dr. Nisha Bisht
I am an Ayurvedic physician with over 10 years of real, everyday experience—both in the clinical side and in managing systems behind the scenes. My journey started at Jiva Ayurveda in Faridabad, where I spent around 3 years juggling in-clinic and telemedicine consultations. That time taught me how different patient care can look when it’s just you, the person’s voice, and classical texts. No fancy setups—just your grasp on nidan and your ability to *listen properly*. Then I moved into a Medical Officer role at Uttaranchal Ayurved College in Dehradun, where I stayed for 7 years. It was more than just outpatient care—I was also involved in academic work, teaching students while continuing to treat patients. That phase really pushed me to re-read things with new eyes. You explain something to students one day and then end up applying it differently the next day on a patient. The loop between theory and practice became sharper there. Right now, I’m working as Deputy Medical Superintendent at Shivalik Hospital (part of the Shivalik Ayurved Institute in Dehradun). It’s a dual role—consulting patients *and* making sure the hospital ops run smooth. I get to ensure that the Ayurvedic care we deliver is both clinically sound and logistically strong. From patient case planning to supporting clinical staff and overseeing treatment quality—I keep an eye on all of it. Across all these years, my focus hasn’t changed much—I still work to blend classical Ayurved with today’s healthcare structure in a way that feels practical, safe and real. I don’t believe in overloading patients or selling “quick detox” ideas. I work on balancing doshas, rebuilding agni, planning proper chikitsa based on the person’s condition and constitution. Whether it’s lifestyle disorders, seasonal issues, chronic cases, or plain unexplained fatigue—I try to reach the cause before anything else. I still believe that Ayurved works best when it’s applied with clarity and humility—not overcomplicated or oversold. That’s the approach I carry into every patient room and every team meeting. It’s a long road, but it’s one I’m fully walking.
5
248 reviews
Dr. Ayush Bansal
I am an Ayurveda doctor with about 1 yr of hands on clinical practice, still learning everyday from patients and the science itself. My journey started as a VOPD doctor with Hiims Hospital under Jeena Sikho Lifecare Ltd. For 6 months I was into virtual consultations, understanding cases online, preparing treatment protocols and doing follow ups to track progress. That phase trained me well in quick patient assesment and also in explaining Ayurveda in a way that fit with modern expectations. I dealt with many chronic and acute cases during that time.. things like gastric issues, joint pain, stress related complaints, skin problems. The remote setting forced me to sharpen my diagnostic skill and rely more on careful history taking, prakriti analysis, and lifestyle understanding. After that, I moved to a Resident Doctor role at Chauhan Ayurved and Panchkarma Hospital, Udaipur. This was very different.. more practical, hands on, and really grounded me in classical Panchakarma. I was actively part of planning and performing therapies like Vamana, Virechana, Basti, Abhyanga, Shirodhara, and other detox and rejuvenation procedures. Many patients came with long standing spine issues, metabolic disorders, skin complaints, or hormonal imbalance and I got to see how tailored Panchakarma protocols and lifestyle advice together can bring changes that medicines alone couldn’t. Working closely with senior consultants gave me better clarity on safety, step by step planning and how to balance classical texts with practical hospital settings. Now, whether in OPD consultations or Panchkarma wards, I try to meet patients with empathy and patience. I focus on root cause correction, using herbs, diet, daily routine guidance, and therapy whenever needed. My belief is that Ayurveda should be accessible and authentic, not complicated or intimidating. My aim is simple—help people move towards long term wellness, not just temporary relief. I see health as balance of body, mind and routine.. and I want my practice to guide patients gently into that space.
5
144 reviews
Dr. Narendrakumar V Mishra
I am a Consulting Ayurvedic Physician practicing since 1990—feels strange saying “over three decades” sometimes, but yeah, that’s the journey. I’ve spent these years working closely with chronic conditions that don’t always have clear answers in quick fixes. My main work has been around skin disorders, hair fall, scalp issues, and long-standing lifestyle stuff like diabetes, arthritis, and stress that kinda lingers under everything else. When someone walks into my clinic, I don’t jump to treat the problem on the surface. I start by understanding their *prakriti* and *vikriti*—what they’re made of, and what’s currently out of sync. That lets me build treatment plans that actually *fit* their system—not just push a medicine and hope it works. I use a mix of classical formulations, panchakarma if needed, dietary corrections, and slow, practical lifestyle changes. No overnight miracle talk. Just steady support. Hair fall and skin issues often feel cosmetic from outside—but internally? It’s about digestion, stress, liver, hormones... I’ve seen patients try 10+ things before landing in front of me. And sometimes they just need someone to *listen* before throwing herbs at the problem. That’s something I never skip. With arthritis and diabetes too, I take the same root-cause path. I give Ayurvedic medicines, but also work with *dinacharya*, *ahar* rules, and ways to reduce the load modern life puts on the body. We discuss sleep, food timing, mental state, all of it. I’ve also worked a lot with people dealing with high stress—career burnout, anxiety patterns, overthinking—and my approach there includes Ayurvedic counseling, herbal mind support, breathing routines... depends what suits them. My foundation is built on classical *samhitas*, clinical observation, and actual time with patients—not theories alone. My goal has always been simple: to help people feel well—not just for a few weeks, but in a way that actually lasts. Healing that feels like *them*, not just protocol. That’s what I keep aiming for.
5
758 reviews

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