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Reasons for Premature Ejaculation - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Average Posted in: Premature Ejaculation
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
User :   HI
Doctor :  
How can I help you?
User :   DR I WANT O TALK ABOUT SEX PROBLEM
User :   MY NAME IS XXXXXXXX
Doctor :  
Sure
User :   28 YEARS AGE
Doctor :  
YOu can proceed with it
Doctor :  
Fine
User :   I HAVE A PROBLEM OF PE
Doctor :  
Ok
User :   IN LESS THEN A MINUIT
Doctor :   Ok
Doctor :  

May I know your marital status?
User :   I AM MARRIED
Doctor :   Ok, thats good

User :   premature ejaculation(PE)
Doctor :   Since when are you facing this problem?
User :   I THNK FROM MANY YEARS
Doctor :  
Ok
Doctor :  
When was your first sexual act?
User :   I DID mastubarate IN MY CHILD HOOD , I THINK THATS WHY MY EYES IS WEAK AND HAVE A PROBLEM OF NIGHT FALL TOO
Doctor :  
No
User :   I MARRIED LAST YEAR
Doctor :  
Masturbation does not have a role
Doctor :  
Ok
User :   IN JUNE
Doctor :  
Before marriage have you had sex?
User :   YES
Doctor :  
Ok
User :   ON THAT TIME I HAVE SAME PROBLEM OF PE
Doctor :   Ok
Doctor :  
So now how are things going?
User :   SOME TIME I TRY TO TAKE FOR-ZEST BUT IT DOESNT WORK , ITRY IT TWO OR THREE TIME
Doctor :  
Ok
Doctor :  
Now I will explain you about it
User :   OK
Doctor :  
Premature ejaculation is a male sexual dysfunction characterized by ejaculation which always or nearly always occurs prior to or within about one minute of vaginal penetration
Doctor :  
It is mainly due to Psychological causes like performance anxiety, stress, depression
Doctor :  
Are you following?
Doctor :  
I hope that I am not too fast
User :   DONT THINK I HAVE ANY ABOVE PROBLEM
Doctor :  
Ok
Doctor :  
Other causes include hormonal problems
User :   COZ I HAVE NO ANY REASION TO TAKE STRESS
Doctor :  
like low testosterone, thryroid problems
Doctor :  
Ok
User :   OK
Doctor :  
It is good that you are quite positive of not having any stress
Doctor :  
But 95% of cases come under this category
Doctor :  
It may not be evident
Doctor :  
but the hidden cause will be Psychological
Doctor :  
because there wont be any Physiological problesm
User :   K
Doctor :  
You will need to consult a Psychiatrist
Doctor :   and a Urologist
Doctor :  
They will examine you and see if there is any problem
User :   OK
Doctor :  
Besides that I will suggest you a few techniques
Doctor :  
which you can try
Doctor :  
They have a very good success rate as well
Doctor :  
One such technique is Squeeze technique
Doctor :  
Have you come across this before?
User :   Squeeze , WHAT IS THS
Doctor :  
In this technique you and/or your partner squeezes the erect penile shaft before ejaculation
Doctor :  
Are you getting it?
User :   NOT MORE
Doctor :  
Sorry?
User :   IT MEAN PRESS SOMETHING
Doctor :  
Yes
User :   OK UNDESTAND
Doctor :  
You and she has to gently squeeze it
Doctor :   This will help you to voluntarily delay ejaculation while maintaining sexual excitation
User :   OK
Doctor :   Significant improvements are seen
Doctor :  
but it is time consuming and requires a partner willing to participate.

User :   OK
Doctor :   Will you try it?
User :   YA CARRY ON
Doctor :  
Is there anything else you want to ask?
User :   I WANT TO KNOW IS THERE IS NO ANY DRUG COME WHICH CAN SOLVE THIS ISSUE PERMANNTLYU
Doctor :   The technique I suggested is a good solution too

Doctor :  
If you are not willing for it, then you can consider other options
User :   U CAN SAY ME ALL OPTION
User :   WHICH IS POSSIABLE
Doctor :  
Ok
Doctor :  
One more technique is Start-Stop method
User :   OK
Doctor :  
Here you practise masturbatory stimulation of the penis
User :   ANY DRUG
Doctor :   There are some desensitizing creams available
Doctor :  
You can discuss that while you meet the Urologist
User :   WHAT KIND OF TEST I NEE
User :   D
Doctor :   Some blood test
Doctor :  
like Serum testosterone levels
Doctor :  
Thyroid profile
Doctor :  
Semen analysis
Doctor :   Also your hemoglobin, TC, DC
User :   OK
Doctor :  
These tests will determine if there are any Physiological causes
User :   OK I HAVE TO GO NOW , WHATS UR MAIL ID
User :   I WILL MSG U IF I HAVE ANY OTHER QUESTION
User :   RELATE THIS ISSUE
Doctor :  
Please fill the feedback form say done when done.

User :   YES I IT DONE
Doctor :   You can approach me via chat only
User :   OK
User :   I WILL BACK SOON
Doctor :  
We are not entitled to give personal addresses here
Doctor :  
It is against Company's rules
User :   OK
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to ur service.
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