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Premature ejaculation, use of tricyclic antidepressants - 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 : 2009
Answered : 595 Questions
Doctor :   Hi
User :   Since few weeks I am unable to perform sex as usual. I am getting ejaculate quickly.
Doctor :   How soon are you ejaculating?
Doctor :   Did you recently suffer from an infection?
User :   Earlier i was getting into mood quickly, but now a days i am not.
User :   Please suggest me.
User :   with in 4-5 min.
Doctor :   Ok
User :   no infection.
Doctor :   May I know your age?
Doctor :   Ok
Doctor :   Let me explain to you.
User :   I was used to ejaculate quickly from before, but i was able to manage to have sex even after that.
User :   but now it has become an issue.
User :   I am 32
Doctor :   Average men ejaculate in 2-3 minutes following sexual intercourse.
User :   sure
Doctor :   So taking the time of ejaculation into consideration, 4-5 minutes is more than the average men.
User :   Ok
Doctor :   However if it is affecting sexual life, then measures to increase the time is definitely to be considered.
Doctor :   Let me suggest a few ways to increase the time: User :   Ok
User :   Thanks
Doctor :   1. Most often the cause of early ejaculation is stress and anxiety induced. So various measures to control stress and anxiety such as regular food, regular sleep, physical exercise, yoga and meditation are essential.
Doctor :   So use these modifications consistently in your life.
Doctor :   2. Early ejaculation is also associated when people tend to hurry.
User :   Ok
Doctor :   It could also occur when there is constant fear of failure to perform well.
Doctor :   So we doctors recommend patients to be relaxed and enjoy the sexual life.
Doctor :   A means of doing this is getting involved in good foreplay.
Doctor :   So spend more time during foreplay.
Doctor :   3. There is a technique which was designed by Masters and Johnsons (pioneer in sexual problem management).
User :   Ok
Doctor :   This technique involves start, pause, withdraw and restart.
Doctor :   To put it in simple terms, they advised that during sexual intercourse when you feel the urge to ejaculate, to pause for a while, withdraw from the partner
Doctor :   and once the urge is reduced to restart.
Doctor :   This helps in delaying the ejaculation.
Doctor :   If you are unable to do it, try having a second sexual intercourse after ejaculation.
Doctor :   You will find that the time of ejaculation is increased during the second sexual intercourse.
Doctor :   Alternatively, try masturbation a few minutes before sexual intercourse.
Doctor :   Involve in sexual activity after that.
Doctor :   These 3 techniques suggested by Masters and Johnsons are very effective.
Doctor :   4. Practice pelvic floor muscles strengthening exercises.
Doctor :   One exercises that is suggested is Keegel's exercise.
User :   Ok
Doctor :   The method of doing this exercise is
Doctor :   try holding urine midstream when you are passing urine.
Doctor :   The muscles that contract when you hold the urine are the pelvic floor muscles.
Doctor :   Learn that action and perform it during your free time.
Doctor :   They sphincter muscles that control ejaculation.
Doctor :   5. Using desensitizing creams such as delay creams have helped in some individuals.
Doctor :   You can try that.
Doctor :   However some people have reported
Doctor :   that the sexual pleasure is reduced with using this cream.
Doctor :   So watch out for this.
User :   ok
Doctor :   6. We do not recommend medications to delay ejaculation.
Doctor :   However these days, drugs belonging to the class of tricyclic antidepressants (which have been used to treat depression) are used to delay ejaculation.
Doctor :   This is the last resort which I hope you do not need at all.
Doctor :   As these medications can be associated with multiple complications.
Doctor :   All these measures will help in increasing sexual intercourse and delay ejaculation.
Doctor :   Have you followed what I have suggested?
User :   Yes
Doctor :   Do you have any other query?
User :   I will surely try the suggestions.
Doctor :   Thanks for consulting me.
Doctor :   Have a nice day ahead!!
Doctor :   Bye for now.
User :   Thanks for your valuable suggestions.
User :   Have a nice day!
User :   Bye
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