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After child birth lost excitement. Have premature ejaculation. Suggest diet and medication?

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Psychiatrist
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I got married 2 years ago and My sexual life was fine till we had a baby last year. My partner and I used to spend more time in taking care of the child and dint spend good enough time for sex and I lost the excitement of it. Even if we had spent time, I was not able to hold the cum not more than 90 seconds. This ejaculation used to happend even after we used to have foreplay for almost 20 minutes. Earlier I used to do intercourse for 3 minutes which is also not that ideal time to my knowledge.

Could you please suggest some diet, medication or tips to this problem
Posted Fri, 31 May 2013 in Sexual Problems
 
 
Answered by Dr. Ashish Mittal 47 minutes later
Hello,
Thanks for your query.

You appear to suffering from premature ejaculation, which is a very common and treatable problem. Premature ejaculation is diagnosed when ejaculation time is less than 3 Min, or both partners are not satisfied with sex. In your case it is only 1.5 Minute (90 seconds).

Premature ejaculation (PE) is common problem and depends on multiple factors like:
*Psychological factors: most common. The psychological factors may include stress, performance anxiety, excessive alcohol use and depression

*Medical causes: Reflex activity of ejaculatory system, thyroid problems, diabetes, hypertension and neurological causes.

Following steps will be helpful for treatment:

-Treatment of above conditions (if present) after examination.

-Start jogging in morning for 20-30 minutes, as it reduces performance anxiety and improve blood circulation.

- Try distracting yourself when you feel you are about to ejaculate. Take a deep breath and stay relaxed during intercourse.

- Do not worry about performance and talk to your partner openly about any apprehensions if you have. Conversation with partner during sex also delay ejaculation.

- Stop-start or squeeze-pause technique- In stop start technique, near ejaculation stop all movements, relax and think about something else. Then wait for 1 minute before starting movements. According to number of stops, ejaculation time will come under your control.

-Squeeze- pause technique: squeeze the end or the tip of the penis for 10 to 20 seconds when you are close to ejaculation and then resume stimulation after withholding for half a minute.

-In many persons woman on top position increases ejaculation time, so try this position and experiment with other positions also.

-Condoms with desensitizing creams (marketed as Kohinoor extra time) help in increasing ejaculation time.

-Tablet like dapoxetine (should be taken 1 hour before sex) will be helpful, which you can get after prescription from physician.

Follow these above methods regularly according to your comfort and your problem will solve in few weeks.

Wish you good health.
Regards.
Above answer was peer-reviewed by
 
Follow-up: After child birth lost excitement. Have premature ejaculation. Suggest diet and medication? 7 minutes later
Thanks Dr. XXXXXXX for your quick repliy. I would follow the tips that you had suggested and get back to you about the progress. However, I missed out to add two more questions.

1. The amount of the libido is very less. Not sure if its unhealthy sign. Could you please suggest medication for improving libido levels.

2. I am curious to know what would be the ideal duraion of intercourse for a person aged between 30-40.
 
 
Answered by Dr. Ashish Mittal 4 hours later
Hello again,
Thanks for follow up.

1. The amount of the libido is very less. Not sure if its unhealthy sign. Could you please suggest medication for improving libido levels.
Ans: It may be due to multiple reasons in your case, like: stress, loss of confidence due to PME, obsity/alcohol/smoking (if present) or hormonal imbalance, for that evaluation is needed.

2. I am curious to know what would be the ideal duraion of intercourse for a person aged between 30-40.
Ans: More than 3 Minute.

Wish you good health.
Regards.
Above answer was peer-reviewed by
 
Follow-up: After child birth lost excitement. Have premature ejaculation. Suggest diet and medication? 7 minutes later
Regarding the first question,
I donot smoke and donot consume alcohol too and I donot have any hormonal imbalance. It can be strees. If stress is managed and still the libido level is less then would you suggest the medication. For your information I am a vegetarian.

Second Question,
Could you be specific about the duration, I mean minimum and maximum length of duration.
 
 
Answered by Dr. Ashish Mittal 14 minutes later
Hello again,
Thanks for follow up.

In allopathy, treatment or medicine depend on the cause of the problem. If you have stress, then there is need to manage it. If still, you continue to have low libido, then you need to get investigated further for hormonal test (like thyroid, testosterone, prolactin, estrogen, prolactine. LH, FSH and corticosteroids), vitamins (B12, Vit D3 and folic acid level) and for chronic diseases.

As your hormonal tests are normal, you can upload test reports (or write test findings here) for interpretation.

If you follow all steps regularly, improvement usually come in 1-2 months for PME.

Wish you good health.
Regards.
Above answer was peer-reviewed by
 
Follow-up: After child birth lost excitement. Have premature ejaculation. Suggest diet and medication? 2 hours later
Would you be able to provide prescription for dapoxetine ?
 
 
Answered by Dr. Ashish Mittal 16 hours later
Hello,

Print out /Online prescriptions are not allowed in pharmacy. You can XXXXXXX me personally or nearby physician for prescription.

Above all, follow above mentioned all steps and be confident, that you will be well. Gaining confidence is most important to get rid off sexual problems.

Wish you good health.
Regards.
Above answer was peer-reviewed by
 
Follow-up: After child birth lost excitement. Have premature ejaculation. Suggest diet and medication? 48 minutes later
Please let me know how to book an appointment with you if you are located in Hyderabad. Thanks for your support..
 
 
Answered by Dr. Ashish Mittal 23 minutes later
Hello,

Sorry, I sit in Gurgaon, Delhi NCR.
For info related to me, you can visit WWW.WWWW.WW

Wish you good health.
Regards.
Above answer was peer-reviewed by
 
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