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Acute problem of premature ejaculation - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Premature Ejaculation
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   hii have serious problem of premature ejaculation
User :   Hi
User :   Ok
User :   i am facing this problem
User :   what medication to take
User :   i come out the moment i penetrate
User :   Since when are you having this issue?
User :   have no problem with erection
User :   i first had my sex after my mairraige, and since the first time having
User :   i got married a year back
User :   Ok
User :   When was that?
User :   are medicines like Stallion, Climinax or Prejac safe and helpful
User :   Since a year i am having this premature ejaculation problem
User :   Ok
User :   May I know your age, height, weight and occupation?
User :   I need those details
User :   because most of the times this is due to psychological problem
User :   age: 30, height: 173cm, occupation: Sales Manager
User :   Ok
User :   i know but i cant last even beyond a second
User :   Ok
User :   Have you tried relaxation techniques?
User :   hence i need to know whether these medications help or have side effects
User :   whats are those
User :   hallo
User :   Hi
User :   i need your help
User :   Sure I shall help you
User :   I was asking about your stress levels?
User :   i am not that stressed
User :   Ok
User :   everything is fine, my BP is normal, my blood sugar is normal everything
User :   one more is hyperexcitement
User :   during sex
User :   i have been married for a year now and not for once i have lasted for than a second, my wife is very pissed of becaue of that
User :   even that is very much possible cause
User :   Ok
User :   Not a problem
User :   I shall suggest you certain techniques
User :   ok
User :   Have you tried any till now?
User :   no
User :   i was thinking of trying some pills
User :   Ok
User :   Pills are not necessary for you
User :   ok
User :   Do you engage in good foreplay before penetration?
User :   yup
User :   Ok
User :   How long you do that?
User :   good and long
User :   quite long and i penetrate when my wife wants it badly
User :   ok
User :   thats really good
User :   but moment i penetrate it comes out and my wife feels let down
User :   for atleast 15 minutes, can I take it?
User :   and it happens everytime
User :   more than 15 minutes
User :   Ok
User :   Fine
User :   One method is called as start stop method
User :   hmm i have heard about that
User :   The start-stop method works by making you more conscious of sensations on approaching orgasm
User :   Your partner should manually stimulate your penis
User :   and you should focus on the sensation
User :   i tried this and my wife also helped it but it didnt help
User :   Ok
User :   to be honest
User :   did you used to stop it once you reach orgasm
User :   and then start after some time again
User :   hmm i did that
User :   Ok
User :   Fine,
User :   if you dint get result
User :   then there is one more alternative
User :   ok
User :   called as Squeeze technique
User :   ok
User :   during this also
User :   your wife shall stimulate the penis
User :   ok
User :   and stop it when you get excited
User :   ok
User :   and later she should give a firm squeeze for 3-4 seconds
User :   just under the glans
User :   ok
User :   with the thumb on the ridge between the head and shaft and keeping the first two fingers on either side of the ridge opposite the thumb
User :   how many times i have to do that
User :   squeeze should be hard enough to cause some discomfort but should not be painful
User :   ok
User :   This squeeze stops the desire to ejaculate.
User :   start off with 1-2 times during the foreplay
User :   and increase it gradually
User :   till you get the desired results
User :   ok
User :   it is just like training your penis
User :   To do this the penis should be inserted with the female-on-top position, but no movements made. When the man has a desire to ejaculate, the penis should be withdrawn and a squeeze applied
User :   ok
User :   Repeating this technique over time gives control on premature ejaculation during intercourse
User :   this is very effective
User :   ok
User :   but takes some sessions to master it
User :   just for the sake it if i take the pills like Climinax or Prejac, what will happen
User :   It shall
User :   but should not be taken without prescriptio
User :   pills containing Sildenafil
User :   shall increase the duration
User :   do they have any side effect
User :   like my ability to make my wife pregnant
User :   Yes, thats why prescription is mandatory
User :   not on that
User :   but on cardiac health
User :   what do you mean by prescription
User :   Written note of doctor's advice
User :   with his signature
User :   that shall b given after a physical examination
User :   which pill you would suggest
User :   I cannot tell you on this online platform
User :   and I dont see the necessity for the same
User :   i wont take it
User :   just in case your technique doesnot work
User :   you can tell me the combinations what i shud go for and what i shud avoid
User :   no need of medication
User :   there are topical creams
User :   ok
User :   which are helpful
User :   like
User :   Prilox
User :   but those are anesthetics right
User :   it is a local anasthetic
User :   i will loose the sensations and wont enjoy and even my wife can feel the same
User :   You should wash it before intercourse
User :   otherwise it happens like that
User :   were you washing it?
User :   how do i apply
User :   i havent applied yet
User :   you should apply an hour before penetration
User :   ok
User :   and should be cleaned before penetration
User :   washed rather
User :   like before i start foreplay
User :   Better
User :   or even before
User :   1 hour is mandatory
User :   and shud be washed with soap
User :   before pentration
User :   normal water
User :   or just water
User :   is fine
User :   so i apply it and keep it for an hour and wash it and the do my normal stuff
User :   Rightthere is one mental technique
User :   When you are fully aroused and feel that you are going to orgasm, take a deep breath and think about something dull and boring
User :   i can apply and wear my pants or need to keep it open
User :   you can apply it
User :   thats sufficient from medical point of view
User :   see my wife had never had a good feeling till today and i want her to give her one good noght of enjoyment
User :   wearing anything should not take off the medicine
User :   Ok
User :   You can give it
User :   with these techniques
User :   and cream as well
User :   i will try and go for the squeeze technique in the long run
User :   and built up my mental strenght
User :   Exactly right
User :   Distraction technique is also helpful
User :   for immediate results
User :   just honestly tell me if i buy the cream apply it tonight before one hour, and wash it off and then do my foreplay and penetrate will it work becuase if it doesnot i will loose all my motivation and will feel sad for my wife, mental games i will master in the long run
User :   It shall work
User :   dont worry
User :   come back to me with the positive result
User :   i hope the wahsing doesnot take the effect away and it should be repulsive for my wife, i am doing it all for my wife i lover her a lot and want to give her the best
User :   Sure
User :   is prilox available in any medicinal shop
User :   over th counter
User :   or there are other brand names
User :   It is a local anasthetic cream
User :   and an OTC
User :   i stay in Dubai and India
User :   will it be available here
User :   can you help me how to get it
User :   it contains lidocaine 25 mg, prilocaine 25 mg
User :   give that detail to your pharmacist
User :   here and what should i say to the person in the shop
User :   he shall give a substitute if the particular brand is unavailable
User :   ok
User :   it contains both lidocaine and prilocaine 25 mg
User :   tell that
User :   a good pharmacist shall know that
User :   only and nothing else right
User :   ok
User :   Right
User :   hey doc thanks
User :   i am thankful to you hope i can give some happiness back to my wife
User :   Sure
User :   All the best
User :   one more thing i wanted ask i hope i have time
User :   proceed
User :   we still have a minute
User :   one of my freind had sex with a woman, the sex was prtcted but she did give her blow job and he gave her a lick
User :   can he have STD or Aids
User :   Ok
User :   I shall explain you
User :   during such exposure, the main route of infection
User :   ok
User :   u thre
User :   hallo
Doctor :   Yes
User :   so can he have STD or AIDS, he is shit scared
Doctor :   is through penetrative intecourse
Doctor :   and since it was protected
Doctor :   he should be safe
Doctor :   unless he had an open wound coming in contact
Doctor :   with the vaginal fluids or her blood
User :   so if a girl is say infected and gives a blow job there is no chance of AIDS you say
User :   so Saliva of that gal is not going to effect him right
Doctor :   there are negligible chances as such
Doctor :   but no cases reported
User :   but there are chances?
User :   he had protected sex
Doctor :   Very remote
Doctor :   chance
User :   only he licked her vagina and she gave her a blowjob
Doctor :   you can think, that there have not been any case reported
Doctor :   because HIV virus cannot stay in the oral cavity
Doctor :   as it is very sensitive
Doctor :   and cannot survive
User :   also if a person is got the infection and he or she is in the window period of three to six months can he or she infect any other person in that period of 3 to 6 months
Doctor :   Yes, they can
User :   ok
User :   there is no way u can detect if anyone is infected in that window period
Doctor :   can be detected with a Pcr test
User :   my freinds was thinking o going for some test so as to have some solace
Doctor :   where in the virus can be picked
Doctor :   it is a highly sensitive test
Doctor :   and could be done
User :   so even in tha 3 to 6 months gestation period this test can give indications
Doctor :   but for your friend, if it is more than 6 weeks
Doctor :   he can go for ELISA
Doctor :   no need of PCR
Doctor :   they are the methods
Doctor :   6 weeks is the window period
User :   is it available at all labs or it is highly specialsed
Doctor :   PCR in higher setups
Doctor :   ELISA is available in all the labs
User :   ok
Doctor :   Do you have any other queries?
User :   nope doc
User :   it was good to have chatted with you
Doctor :   Pleasure here
User :   thanks
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