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Causes of premature ejaculation - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Men's Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   hello doc..
Doctor :   hi
Doctor :   How can i help you
Doctor :   are you there XXX
User :   i need the suggestion regarding sexual problems...
Doctor :   hi
User :   can u help me out..
Doctor :   ok
User :   actually i have problem .. of premature ejaculation...
User :   can it be sorted out.. as m gettin married early next yr..
Doctor :   ok
Doctor :   plase provide your age, gender, oocupation, marital stATUS
User :   23, m, XXX, single...
Doctor :   OK
User :   so can u help me out of this problem..
Doctor :   YES
Doctor :   i6t can sorted out
Doctor :   Main cause of this is stress, anxiety
User :   so how can i sort it out..
User :   is there any medicine..
User :   or how can i relax my anxiety..
Doctor :   give me a minute i will let you know
Doctor :   causes for this are
Doctor :   â?¢     General anxiety
â?¢Anxiety related to performance, partner.
â?¢Increased penile sensitivity
â?¢Sexual in experience
â?¢Abdominal or pelvic trauma/ surgery.
â?¢Increased excitation during foreplay
â?¢May be a normal variant in some adolescents
Doctor :   It includes behavioral change, psychological change, and attempts to alter the sensory input or retard the ejaculatory reflex through pharmacological means. It is important to review all available treatment options and side effects with the patient and preferably with his spouse as well so that an informed decision can be made
Doctor :   Squeeze technique
â?¢During which the patient and/or his partner squeeze the erect penile shaft before the ejaculatory reflex is stimulated.
â?¢With this technique the patient will learn to voluntarily delay ejaculation while maintaining sexual excitation
â?¢Significant improvements are seen; but therapy is time consuming and requires a partner willing to participate
Doctor :   Start-stop method
â?¢Technique involves masturbatory stimulation of the penis till the sensation of heightened arousal is met but prior to the onset of the ejaculatory reflex.
â?¢The stimulation is then withheld until the sensation resolves.
â?¢This is repeated until the man reaches a point that extravaginal stimulation occurs without ever reaching the sensation of inevitability
Doctor :   any more query
Doctor :   I have to close this window since there is no response from your side, please get back to us if you need further medical advice. We are available round the clock.
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