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Suffering from anxiety tension, irritability, impatience and premature ejaculation. Had allopathy, now on homeopathy

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Internal Medicine Specialist
Practicing since : 1998
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suffering from anxiety related problems like sudden out burst of anger,tension,no concentration,irritability,impatiance.also may be for this reason sexual problem erectile disfunction to some extent,prmature ejaculation.i have taken allopathic medicines for almost 6 years but due to side effects also no medine works beyond some time so swithed over to positive homeopathy since 3 years that also has limitations still not much improvement still undergoing same problems,so i have lost all hopes pl do help more thing iam also having fatigue,no interest in work,llethargy.iam confused whether i shoul go for ayurveda pl advise&help me.
Posted Mon, 27 May 2013 in Mental Health
Answered by Dr. Jasvinder Singh 12 minutes later

I can understand your concern for GAD (generalized anxiety disorder). Premature ejaculation may be due to GAD only. You may need antiananxiety medicines like a SSRI (selective serotonin reuptake inhibitor) which is an antidepressant and a benzodiazepine as sedative.

Apart from the treatment mentioned above, try the following treatment options:

1) Keep a regular sleep and awakening schedule.

2) Then we can try the non pharmacological methods first. You should consult a psychiatrist and dissuss the treatment option of Cognitive Behavioral Therapy.

3)Try distracting yourself when you feel you are about to ejaculate. Take a deep breath and stay relaxed during intercourse. Also do not worry about performance and talk to your partner openly about any apprehensions if you have.

4)     Other treatment methods which can be followed are stop-start or squeeze-pause technique. In stop start technique, near ejaculation withdraw from your partner and relax and think about something else. In 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.

5)     If the symptoms persist then SRRI (selective serotonin reuptake inhibitors) may need to be prescribed for which you have to consult a urologist.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

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