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Premature ejaculation and weak erections - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 1754 Questions
User :   Sir,I am 48 years old and i have premature ejaculation problem. if i indulge in sex directly without much fore play i stay for long before my wife could attain orgasm.
if i indulge in foreplay for longer period and then if i indulge in sex i quicklly ejaculate. it is pecular problem please advice.                                        
User :   PLEASE
User :   Hi
User :   Dr xxxx here
User :   let me read your query
User :   Since wen ru having this problem
User :   FROM ALMOST ONE YEAR
User :   Do u smoke/ consume alcohol
User :   ok
User :   YES I CONSUME ALCOHOL REGULARLY TO SAY 180-250ML DAILY
User :   Dont worry i can help with some remedies
User :   THANK YOU SIR
User :   May i ask u some questions
User :   YES PLEASE
User :   Do you have a proper erection
User :   YES
User :   How long does it last'
User :   There are some techniques which u can practise
User :   10 MINS APPROXIMATELY
User :   There is technique named squeeze-pause technique.
User :   I TRIED BUT NOT MUCH HELPFULL FOR ME
User :   Did u try desentizing creams
User :   Prilox cream apply it over the glans penis one hour before sex
User :   and wipe it clean
User :   Ithink this should help
User :   NO BUT I TRIED VIAGRA TYPE SUHAGRA-50, BUT IT GIVES ME HARD ERRECTION AND LAST FOR LONG AFTER EJACULATION BUT NOT PROLONGED EJACULATION
User :   That will also help, but does help more for erection not for prematyre ejaculation
User :   *premature
User :   So plz dont loose hopes u can improve it by practise
User :   even somr SSRI's will help
User :   Selective serotinin uptake inhibitors
User :   Ru there?
User :   "Somr SSRI's" I DID NOT UNDERSTAND
User :   Did u fol.ow me?
User :   YES
User :   Selective serotinin uptake inhibitors- I DIDNOT UNDERSTAND
User :   These are drugs which help you out, they are more of antidepressants kind
User :   OK LET ME KNOW SIR
User :   FLuhexitine
User :   HOW TO TAKE AND DOSAGE PLEASE
User :   U have to consult an urologist who after thorough examination can give the dose
User :   PLEASE ADVICE ME TO WHICH DOCTOR/HOSPITAL
User :   The drug has got its own side effects so physical examination will be required
User :   ok sure
Doctor :   Hi
User :   PLEASE ADVICE ME
Doctor :   The drug mentioned to you is a prescription only drug,
Doctor :   These medications can only be suggested after a physical examination by an urologist.
User :   I NEED HARDER ERRECTION THAN I AM HAVING AT PRESENT
Doctor :   May I know if your problems is just premature ejaculation or erectile dysfunction too?
User :   IT IS JUST PREMATURE EJACULATION BUT ERECTION IS NOT HARD BUT OK
Doctor :   Ok
Doctor :   Let me brief you.
User :   OK
Doctor :   The sexual functions are controlled by many factors.
User :   YES
Doctor :   1. Psychological factors, that includes stress, the sexual desire, and so on.
Doctor :   2. Hormonal factors.
User :   I HAVE GOOD SEXUAL DESIRE
Doctor :   3. Presence of infection or other health problems.
User :   OK
Doctor :   4. Alcohol consumptions.
User :   YES
Doctor :   5. Diabetes, high cholesterol levels, neurological factors and vascular factors and so on.
User :   SINCE FROM 10 DAYS IAM NOT CONSUMING ALCOHOL SO I AM HAVING GOOD SEX
Doctor :   yes, Its absolutely necessary that you restrain from alcohol, if you want to get back to your sexual life.
User :   OK SIR
Doctor :   And get a check up done to see if you have diabetes, hypertension, high cholesterol.
Doctor :   Adequate sleep, good nutrition, proper stress management by means of exercise and yoga are also few things which I suggest you to include in your life style.
User :   NO DIABETES, HYPERTENSION BP IS 120/90, HIGH CHOLESTROL IS THERE
Doctor :   These can make lot of changes in your sexual functions.
Doctor :   Since you have high cholesterol, you need low fat diet, to improve it, this may inturn also help in keeping your sexual life as normal as possible.
Doctor :   These tips are for getting a good erection.
User :   IF I DONOT CONSUEM ALCOHOL CHOLESTROL WILL BE IN LIMITS , IF I CONSUME ALCOHOL IT EXEED THE LIMITS, SO I AN RESTRAINING FROM ALCHOL
Doctor :   And for premature ejaculation, I suggest you to follow stop and start method during sexual intercourse.
Doctor :   Alternatively you can use the desensitization creams.
Doctor :   You can also practice keegel's exercise while passing urine to strengthen the pelvic muscles thereby helping the problem of premature ejaculation.
User :   OK SIR ALONG WITH THAT SHALL I CONTIUE WITH DESENSITIZATION AND FLUHEXITINE ,
Doctor :   So its necessary that you change your present lifestyle and most importantly abstrain from alcohol, practise these exercise regimens.
Doctor :   You can continue them, fluhexitine is recommended only after you consult a doctor.
Doctor :   Hence I suggest you to consult a doctor/urologist, if you have planned to use fluhexitine.
Doctor :   It seems you have moved out of the chat window. Please log in back if you have medical queries
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