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Premature ejaculation, history of depression and anxiety - 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 : 37 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   i am suffering from premeture ejaculation from last 6years and i am married .Is it cureable? please suggest.
Doctor :   May I know your age?
User :   35years
Doctor :   Do you have any other medical illness such as diabetes?
User :   no
Doctor :   Do you use any medical drugs that contain steroids?
Doctor :   Do you consume alcohol?
User :   no
Doctor :   Ok
Doctor :   Let me brief you.
User :   sorry,i take alcohol
Doctor :   Premature ejaculation is caused by certain factors and most often they can be corrected.
Doctor :   However there are few conditions such as alcohol consumptions which can predispose you to this problem.
Doctor :   Hence before starting the treatment options, you need to restrict the alcohol consumption as much as you can.
Doctor :   I shall suggest you few other measures that should help you in treating your problem.
User :   two year i used to take tablets pariCR-25mg and using local anthathesia
Doctor :   1. Increase the foreplay during the sexual intercourse, they can help in getting control of the ejaculation.
Doctor :   2. continue the use of local anaesthestic creams during intercourse such as delay creams.
User :   during foreplay i get excited
Doctor :   3. Practice squeeze technique during sexual intercourse.
Doctor :   Squeeze technique involves
Doctor :   squeezing the base of the penis when you feel that you are about to ejaculate.
User :   no result,already excercised
Doctor :   This will reduce the sexual excitement and prevent the ejaculation,
Doctor :   You can continue the sexual intercourse once the sexual excitements have reduced.
Doctor :   4. similarly you can use start and stop methods while masturbation.
User :   Is Musliextrapower and ultimate man workable?
Doctor :   5. You can also practise keegel's exercise.
Doctor :   This involves trying to hold the urine while urination and then voiding after holding for some time.
Doctor :   Musliextrapower and other products are ayurvedic products.
User :   Is there any medicine for this?
Doctor :   My knowledge on these products are restricted.
Doctor :   There are few medications belonging to the class of psychiatric medications, that can help in premature ejaculation.
User :   can you suggest me?
Doctor :   since these medications have side effects, my recommendations are not to use them unless prescribed by a doctor
Doctor :   after a physical examination.
Doctor :   I suggest you to practice these exercises, restrict alcohol consumptions.
User :   i am also suffering from depression and anxiety
Doctor :   And if these exercises are of no help, then you may need to consult an urologist who will be able to prescribe you those medications.
Doctor :   Depression and anxiety have a role in sexual functions
Doctor :   and that includes sexual functions.
Doctor :   Hence you also need to involve measures that can help you with depression and anxiety.
Doctor :   Measures such as deep breathing exercises,
Doctor :   physical exercises, yoga, meditations and so on.
Doctor :   Have you followed what I have suggested?
User :   can i continue local anasthetia?
Doctor :   You can continue with the local anaesthetic creams during sexual intercourse.
Doctor :   They along with those exercise with,
User :   Is there any side effect?
Doctor :   proper anxiety managements and alcohol restriction should help you in this sexual problems.
Doctor :   local anaesthetic creams do not cause any side effects.
Doctor :   The only disadvantage(side effects) that may occur are
User :   for anxiety managment i am taking ciplar20
Doctor :   allergic reaction if you are allergic to any of the contents of the cream and off course reduction in stimulation.
Doctor :   You can continue with it.
Doctor :   In the mean time also involve the use of meditations, yoga, breathing exercises too.
Doctor :   Do you have any other query?
User :   for anxiety management i am taking ciplar20
Doctor :   Ciplar is a beta blocker.
Doctor :   they are given to help you control the symptoms of anxiety.
User :   can you sugest me some medicine for depression?
Doctor :   You still need those other measures which I suggested you to help you control the problem of anxiety.
Doctor :   The medical drug for depression and anxiety are based on the symptoms that you have.
Doctor :   The are decided after a thorough counselling which is by face to face contact with a doctor.
Doctor :   since this is not possible online, I suggest you to consult your doctor for the medications.
Doctor :   Have you followed what I have suggested?
User :   symtoms on me are short temper,shyness,early morning sleep disaorder etc
User :   also worryness, feeling guilty
Doctor :   I do not wish that you use medications for depression and anxiety based on web search or online chatting.
Doctor :   since the drugs can have various side effects, they
Doctor :   need to be taken only after consulting your doctor ( face to face consultation)
Doctor :   Hence I suggest you to check with your treating doctor.
Doctor :   The need for those medications can be decided only after a good counselling.
Doctor :   Have you followed what I have suggested?
User :   ok doctor, good night
Doctor :   Do you have any other query?
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
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