HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For Premature Ejaculation

default
Posted on Tue, 18 Aug 2015
Question: Hello Doctor,
My age is 31 and got married for three years. I am having premature ejaculation problem.
Am having very good erection and within 5 - 6 stroke my semen is coming out and not able to have complete sex with my partner.
I have consulted a sexologist for a solution.
Dr suggested me to test Penile doppler ,TMT,Blood & Urine analysis.
I have tested and shown the report to Dr.
Dr prescribed me below Prescription after investigating my doppler test report, due to lack of blood flow in the penis am facing this problem.
1. Enlarge Forte Powder for 60 days after breakfast
2.SD Pill - to be taken before the sex (i.e before 11/2 hrs)
Am taking enlarge forte for the past one week and took SD pill for one day before my sex and kept SEX with my wife but still my problem remain same and am ejaculating within 4-5 stroke (10 to 15 Sec).
We both are much interested to have sex but Myself and My partner are not able to enjoy our sex completely.Due to which my wife got tensed & irritated like anything.
Kindly suggest & Guide the way forward to resolve my Premature Ejaculation problem.
Will the above prescription resolve my problem fully?
Herewith attached penile doppler report for your investigation.




doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (22 minutes later)
Brief Answer:
Premature ejaculation is treatable

Detailed Answer:
Dear XXXXX,
Thanks for using Healthcaremagic.

Premature ejaculation can be treated or controlled with the help of behavioral methods and the medications.
The behavioral techniques need to be practiced during sex and yield results over a time. Even your partner can assist you in some of the techniques like squeeze technique.

The techniques are difficult to explain here but you can just google 'kegel method ' to understand it. For good results it is recommended to have 100 contractions per day which can be divided in three to four times a day as per your convenience.

The other techniques are
1. Squeeze technique
2. Start- stop method
3. Interruption technique
U can choose any of them if they suit you.

Premature ejaculation can also be controlled by medications.

SSRI antidepressant drugs cause delayed ejaculation as a side effect, and this side effect is used therapeutically in the treatment of premature ejaculation. These drugs are as following:
Tablet. Paroxetine [paxil 25 mg] at night or
Tablet. Fluoxetine [Prozac 20 mg] in the morning after the breakfast.. or
Tablet. Sertraline [Zoloft 50 mg] at night. Increase the dose to 100 mg after 15 days.

A person with premature ejaculation need to take any of these drugs regularly and its effect will appear only after 15 to 20 days.

Another strategy is to take drug one hour before sex. The another antidepressant drug dapoxetine [sustinex 30 mg] is given one hour before sex and it cause delayed ejaculation and helps in preamature ejaculation.


Although there is no role of Enlarge forte powder but SD pill contains dopoxetine which I mentioned above. The other medicine in SD pill is not required for you as you have good erection.

So it can be said that you are taking right medicine to some extent but the other methods of treatment missing currently now.

Continue taking dopoxetine 30 mg and practice kegel method as advised above.
In case there is no improvement at the two weeks than dose of dapoxetine can be increased to 60 mg around two hour before sex.

I must assure you that just wait for few weeks and there wll be definite improvement.

You can stop enlarge forte as it has no role.

I hope this answers your question.
If you need to know more feel free to access following article.
https://www.icliniq.com/health-articles/health-topics/sexual-health/assessment-methods-of-premature-ejaculation

Thanks and regards
Dr Ashok Kumar
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Dr. Ashok Kumar Choudhary (47 hours later)
Hello Doctor,

Thanks for your reply.

As per your suggestion, I can stop taking enlarge forte powder and pl confirm whether should i continue to take SD pill or should i take Dopoxetine?
I took SD pill for only 1 day before my Sex and had sex with my partner and no improvement on my ejaculation period and my problem remain same after taking SD Pill also.
One more thing want to know,we are going to try for a Pregnancy whether will it have any impact on pregnancy by taking such pills.. Kindly guide me on the same.

Regards,
XXXXX



doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (40 minutes later)
Brief Answer:
there is no effect on pregnancy

Detailed Answer:
Dear XXXX,
Thanks for reverting back to me.
Yes there is no role of enlarge forte in premature ejaculation and it can be stopped.

If there is no issue with erection take Dapoxetine only and sildenafil part of SD pill can be stopped after talking to your doctor.

On pregnancy no effect of pills taken by male and same is applicable to Dapoxetine.

I hope this answers your question. If you have any questions left feel free to write back to me.
If not please close the query and rate the answer.
Thanks and regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Dr. Ashok Kumar Choudhary (59 minutes later)
Thanks Doctor.

Let me know in what name this dapoxetine pill will be available in Medical shop and is there any side affect in taking this pill.
and also want to know this dapoxetine to be taken only before sex or it should be taken everyday.
if so how long should i take this?
Kindly advise.
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (19 minutes later)
Brief Answer:
Name is already mentioned in first answer

Detailed Answer:
Dear XXXXX,

There are definite side effects and thats why it is prescription only drug. I know in XXXXXXX medical shops can sell anything but I like to inform you that talk to your doctor and get prescription. Discuss each side effect and what need to be done in case there is any.
In case of any untoward accident no one will be responsible including your medical shop if you buy from medical shop without prescription.

I hope you will understand the risk.

The dapoxetine should be taken one to two hour before sex and not everyday.

Generally the treatment is used till behavior methods show response. In can be as short as three months to few years. Depends more on your efforts and motivation.

Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3355 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For Premature Ejaculation

Brief Answer: Premature ejaculation is treatable Detailed Answer: Dear XXXXX, Thanks for using Healthcaremagic. Premature ejaculation can be treated or controlled with the help of behavioral methods and the medications. The behavioral techniques need to be practiced during sex and yield results over a time. Even your partner can assist you in some of the techniques like squeeze technique. The techniques are difficult to explain here but you can just google 'kegel method ' to understand it. For good results it is recommended to have 100 contractions per day which can be divided in three to four times a day as per your convenience. The other techniques are 1. Squeeze technique 2. Start- stop method 3. Interruption technique U can choose any of them if they suit you. Premature ejaculation can also be controlled by medications. SSRI antidepressant drugs cause delayed ejaculation as a side effect, and this side effect is used therapeutically in the treatment of premature ejaculation. These drugs are as following: Tablet. Paroxetine [paxil 25 mg] at night or Tablet. Fluoxetine [Prozac 20 mg] in the morning after the breakfast.. or Tablet. Sertraline [Zoloft 50 mg] at night. Increase the dose to 100 mg after 15 days. A person with premature ejaculation need to take any of these drugs regularly and its effect will appear only after 15 to 20 days. Another strategy is to take drug one hour before sex. The another antidepressant drug dapoxetine [sustinex 30 mg] is given one hour before sex and it cause delayed ejaculation and helps in preamature ejaculation. Although there is no role of Enlarge forte powder but SD pill contains dopoxetine which I mentioned above. The other medicine in SD pill is not required for you as you have good erection. So it can be said that you are taking right medicine to some extent but the other methods of treatment missing currently now. Continue taking dopoxetine 30 mg and practice kegel method as advised above. In case there is no improvement at the two weeks than dose of dapoxetine can be increased to 60 mg around two hour before sex. I must assure you that just wait for few weeks and there wll be definite improvement. You can stop enlarge forte as it has no role. I hope this answers your question. If you need to know more feel free to access following article. https://www.icliniq.com/health-articles/health-topics/sexual-health/assessment-methods-of-premature-ejaculation Thanks and regards Dr Ashok Kumar