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Suggest Treatment For Premature Ejaculation
Question: Hi, I have a problem of premature ejaculation since last one year. I end up ejaculating within a minute. Can u please advise how I can improve? Even if I go for a spa, I ejaculate even though there is no reason to
Brief Answer:
Please provide some details to get specific answer
Detailed Answer:
Hello,
You have premature ejaculation and treatment of this problem is also available. So just relax.But to help you exactly I want some information from your side.
Are you married?
If yes, duration of marriage, frequency of sex and some points which you think necessary regarding this problem in terms of relation with wife.
If not married, are you in relationship? Describe detail with sexual relationship with partner in terms of place, situation and frequency.
Describe what does happen during intercourse exactly?
What happens in spa?
Do you masturbate? If yes, frequency of it and do you have early ejaculation with masturbation also?
Waiting for your reply to help you further.
Regards,
Dr.Chintan Solanki.
Please provide some details to get specific answer
Detailed Answer:
Hello,
You have premature ejaculation and treatment of this problem is also available. So just relax.But to help you exactly I want some information from your side.
Are you married?
If yes, duration of marriage, frequency of sex and some points which you think necessary regarding this problem in terms of relation with wife.
If not married, are you in relationship? Describe detail with sexual relationship with partner in terms of place, situation and frequency.
Describe what does happen during intercourse exactly?
What happens in spa?
Do you masturbate? If yes, frequency of it and do you have early ejaculation with masturbation also?
Waiting for your reply to help you further.
Regards,
Dr.Chintan Solanki.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Not married. I have sex with my girlfriend 2-3 times a month. The place is mostly my house. After a few minutes of foreplay, when we start intercourse, I ejaculate in the first minute or so. Sometimes it happens even before intercourse, during oral sex. This is happening since last one year. Earlier I would have a good 7-10 mins.
In a spa, I ejaculate even when the masseuse is massaging my back and thighs, even though its a regular spa. Maybe its all in the head. This was never the case earlier.
I masturbate once or twice a month. Ejaculation again happens in a minute or so.
In a spa, I ejaculate even when the masseuse is massaging my back and thighs, even though its a regular spa. Maybe its all in the head. This was never the case earlier.
I masturbate once or twice a month. Ejaculation again happens in a minute or so.
Brief Answer:
Your problem is physiological,you can solve it
Detailed Answer:
Hi,
Thanks for detail information.
First of all Premature Ejaculation (PME) is defined when male partner ejaculates so early before the female partner reaches to orgasm. There is no absolute time by which we can diagnose PME. It is relative term and female partner is the best judge.
Your problem seems to be physiological means it is not due to any defect , it is just a situational problem.
If frequency of sex is 2-3 times a month and 1-2 times masturbation in a month, there is likely excessive semen in seminal vesicles. So when you go for sex, with little excitation or arousal (it may be physical or in thoughts like at spa and during foreplay) ejaculation occurs.
Solution is simple: Frequency of sex should be increased or you should do masturbation before sex(at least 2 hours before ). It will make seminal vesicles somewhat empty and at time of sex semen will take more time to come out. If you can masturbate regularly, say thrice a week, I think there will be no problem of PME.
If you regularly masturbate with sex and problem is still there (which I do not think will be your case but I am explaining for your info) then problem can be solved with following measures.
1. Stop and Squeeze technique can be applied which you can learn from internet and ask me if any query in that.(In brief method suggests that you should try to divert your mind for a moment when you feel ejaculation arousal and penis should be tightly squeezed with hand inwards by your partner preferably).
2. Master and XXXXXXX technique can also be learnt from qualified sexologist/Psychiatrist which includes sessions in couple as it is couple sex therapy. It can help in prolongation of time.
3. Sex counselling of your sexual behaviour and methods. Like if you are down and female partner on top, gravity is going to help you for lengthening the time.
4. If someone would not like to go for such practices and counselling as I mentioned above, one can start with medicines.
Clomipramine 10 -25 mg and paroxetine 10 mg are choice of medicines (which are generally used as antidepressants,for depression dose is higher than in PME). I prefer clomipramine for PME. No significant side effects with these medicines. It should be taken initially say for 10-20 days daily after dinner and later on just on the day when you do the sex.
One molecule called depoxetine 30 mg his being used specifically for PME and should be taken before 2 hours of sex when required.
I hope you are clear now about your problem. You can visit a sexologist personally if you wish to learn master & XXXXXXX or need some sex counselling else you can follow what I suggested and see the results.
Hope I have answered your query. If still any query there, I will be happy to answer. If not, you can close the discussion and if feasible give your feedback so I can improve service. In future you can contact me directly if you wish with this link: http://bit.ly/drchintansolanki
Regards,
Dr.Chintan Solanki
Your problem is physiological,you can solve it
Detailed Answer:
Hi,
Thanks for detail information.
First of all Premature Ejaculation (PME) is defined when male partner ejaculates so early before the female partner reaches to orgasm. There is no absolute time by which we can diagnose PME. It is relative term and female partner is the best judge.
Your problem seems to be physiological means it is not due to any defect , it is just a situational problem.
If frequency of sex is 2-3 times a month and 1-2 times masturbation in a month, there is likely excessive semen in seminal vesicles. So when you go for sex, with little excitation or arousal (it may be physical or in thoughts like at spa and during foreplay) ejaculation occurs.
Solution is simple: Frequency of sex should be increased or you should do masturbation before sex(at least 2 hours before ). It will make seminal vesicles somewhat empty and at time of sex semen will take more time to come out. If you can masturbate regularly, say thrice a week, I think there will be no problem of PME.
If you regularly masturbate with sex and problem is still there (which I do not think will be your case but I am explaining for your info) then problem can be solved with following measures.
1. Stop and Squeeze technique can be applied which you can learn from internet and ask me if any query in that.(In brief method suggests that you should try to divert your mind for a moment when you feel ejaculation arousal and penis should be tightly squeezed with hand inwards by your partner preferably).
2. Master and XXXXXXX technique can also be learnt from qualified sexologist/Psychiatrist which includes sessions in couple as it is couple sex therapy. It can help in prolongation of time.
3. Sex counselling of your sexual behaviour and methods. Like if you are down and female partner on top, gravity is going to help you for lengthening the time.
4. If someone would not like to go for such practices and counselling as I mentioned above, one can start with medicines.
Clomipramine 10 -25 mg and paroxetine 10 mg are choice of medicines (which are generally used as antidepressants,for depression dose is higher than in PME). I prefer clomipramine for PME. No significant side effects with these medicines. It should be taken initially say for 10-20 days daily after dinner and later on just on the day when you do the sex.
One molecule called depoxetine 30 mg his being used specifically for PME and should be taken before 2 hours of sex when required.
I hope you are clear now about your problem. You can visit a sexologist personally if you wish to learn master & XXXXXXX or need some sex counselling else you can follow what I suggested and see the results.
Hope I have answered your query. If still any query there, I will be happy to answer. If not, you can close the discussion and if feasible give your feedback so I can improve service. In future you can contact me directly if you wish with this link: http://bit.ly/drchintansolanki
Regards,
Dr.Chintan Solanki
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
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