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Suggest Treatment For Premature Ejaculation

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Posted on Tue, 7 Jul 2015
Question: I m 29 years old and I feel that I am suffering with Premature Ejaculation. Last month we got a baby. Now we want to start our new life with complete satisfaction. Pl suggest the long lasting treatment.
doctor
Answered by Dr. Divakara (2 hours later)
Brief Answer:
Learn Kegel's Exercise.

Detailed Answer:
HI

Greetings from Dr.Divakara.P
Thanks for posting your query.

For Pre mature Ejaculation there are 2 methods :

1. Self Control Methods : While Masturbating just stop before ejaculation , do this many times . Also you can do this even while having sex , just pull out before ejaculation .

2. Medications : There are certain medications called SSRIs which can delay the ejaculation time . But before starting this you need to get your heart , kidney and liver tested to see if they are normal.

Also learn to do kegel's exercise and start doing it daily.

Kegel Exercise :
Kegel exercise will be helpful for both pre mature ejaculation and ED.

Kegel exercise is the exercise of Pelvic floor muscles . First you need to identify pelvic floor muscles .

To identify pelvic floor muscles do the following :

. Try to stop and start your urine stream while you stand at your toilet to
urinate (pee). Try to do this two or three times. The muscles you use to stop your urine flow are your pelvic floor muscles.

Now that you have located your pelvic floor muscles, you can exercise them even
when you do not have to urinate (pee) by following these simple steps:
1. Tighten and hold your pelvic floor muscles for five seconds (count 1 one
thousand, 2 one thousand, 3 one thousand, 4 one thousand, 5 one thousand).
2. Relax your pelvic muscles.
You have just done one Kegel exercise. You should plan to do 10 to 20 Kegel
exercises three to four times each day.


Hope this information was useful to you.
Any clarifications feel free to ask .

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Divakara (33 minutes later)
What medical tests do I need to check? And what medicines can I take along with exercise? Is there any oil recommended for this?

Is there any timing for the Kegel Exercise?

Can I take any ayurvedic medicine like shilajit also?
doctor
Answered by Dr. Divakara (22 minutes later)
Brief Answer:
Exercise can be done anytime.

Detailed Answer:
HI

You can get Scrotal Ultrasound, Serum Prolactin , Serum Testosterone,Liver function test, Serum creatinine and FBS , PPBS.

The effectiveness of Shilajit or ay ayrvedic medicine is questionable. In my recommendation I advise you to start doing exercises first and the technique advised previously. See for 3-4 weeks and if there is no significant difference then you can start medicines. Because medicine is not a short course , you may have to take it for months to years.

To initiate medicine you do need to consult a doctor as these are prescription only medicine. In my practice I start Fluoxetine or Sertaline . I don't recommend any oil.


There is no particular timing for the exercise , you can do it any time any where.

Any clarifications feel free to ask.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Divakara

Internal Medicine Specialist

Practicing since :2006

Answered : 2358 Questions

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Suggest Treatment For Premature Ejaculation

Brief Answer: Learn Kegel's Exercise. Detailed Answer: HI Greetings from Dr.Divakara.P Thanks for posting your query. For Pre mature Ejaculation there are 2 methods : 1. Self Control Methods : While Masturbating just stop before ejaculation , do this many times . Also you can do this even while having sex , just pull out before ejaculation . 2. Medications : There are certain medications called SSRIs which can delay the ejaculation time . But before starting this you need to get your heart , kidney and liver tested to see if they are normal. Also learn to do kegel's exercise and start doing it daily. Kegel Exercise : Kegel exercise will be helpful for both pre mature ejaculation and ED. Kegel exercise is the exercise of Pelvic floor muscles . First you need to identify pelvic floor muscles . To identify pelvic floor muscles do the following : . Try to stop and start your urine stream while you stand at your toilet to urinate (pee). Try to do this two or three times. The muscles you use to stop your urine flow are your pelvic floor muscles. Now that you have located your pelvic floor muscles, you can exercise them even when you do not have to urinate (pee) by following these simple steps: 1. Tighten and hold your pelvic floor muscles for five seconds (count 1 one thousand, 2 one thousand, 3 one thousand, 4 one thousand, 5 one thousand). 2. Relax your pelvic muscles. You have just done one Kegel exercise. You should plan to do 10 to 20 Kegel exercises three to four times each day. Hope this information was useful to you. Any clarifications feel free to ask . Regards.