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Suggest Treatment For Premature Ejaculation
Question: I m a 25 yrs old guy.still a virgin.me and my girlfriend tried having sex but couldn't do it because all the times we tried I ejaculated as soon as I was about to penetrate or while putting the condom on or when she touched my pennis.its not only embarrassing but scary too.I have tried being slow ,giving more time in foreplay still nothing worked.now we both are very concerned about this.unable to understand the issue .if u can help somehow?
Brief Answer:
it is premature ejaculation, behavioral approach will be useful
Detailed Answer:
Hello,
Thanks for writing to us.
Many young men like you suffer from early ejaculation when they start sex life. Most of these cases do not require any medicines. Detail counseling, assurance and behavioral approaches are almost sufficient to treat the problem.
First of all no need to worry or to be scared. No serious issue is there.
Premature Ejaculation (PME) defined when male partner ejaculates early before penetration, just after penetration or the female partner reaches to orgasm.
Behavioral approaches are as follows for PME:
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 behavior and methods. Like if you are down and female partner on top, gravity is going to help you for lengthening the time.
4. 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.
The best thing is masturbation before sex.
Provide more information so I can help you more.
- Since when are you attempting intercourse?
- Where and when do you attempt sex?
- Do you masturbate? If yes since when and what is frequency of the same?
- Whenever you attempt sex is there feeling of early ejaculation or failure of attempt comes in your mind?
I will be happy to help further.
Regards,
Dr.Chintan Solanki.
it is premature ejaculation, behavioral approach will be useful
Detailed Answer:
Hello,
Thanks for writing to us.
Many young men like you suffer from early ejaculation when they start sex life. Most of these cases do not require any medicines. Detail counseling, assurance and behavioral approaches are almost sufficient to treat the problem.
First of all no need to worry or to be scared. No serious issue is there.
Premature Ejaculation (PME) defined when male partner ejaculates early before penetration, just after penetration or the female partner reaches to orgasm.
Behavioral approaches are as follows for PME:
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 behavior and methods. Like if you are down and female partner on top, gravity is going to help you for lengthening the time.
4. 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.
The best thing is masturbation before sex.
Provide more information so I can help you more.
- Since when are you attempting intercourse?
- Where and when do you attempt sex?
- Do you masturbate? If yes since when and what is frequency of the same?
- Whenever you attempt sex is there feeling of early ejaculation or failure of attempt comes in your mind?
I will be happy to help further.
Regards,
Dr.Chintan Solanki.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanx Dr for the assurance it helps
1. I have attempting inter course since last 2-3 months and I have attempted only 4-5 times .
2.we attempted sex all the times in hotel rooms I mean in bed .i generally travell and go to meet her stay there for 2 days.all the times it was in night .except once we attempted early morning.when it happened the first time it was during foreplay when she touched my pennis.next 3 times it happened when I was on top and was about to penetrate and she was guiding me using her hands.last time it happened was early morning when I was trying to wear a condom during foreplay.
3.yes I have been masturbating since I was 16 yrs old .initial years frequency was very low like once in 10 days or even less .since last 3-4 years I have been doing it regularly like once in 2 days at times .three four times I have done it twice a day or thrice a day.
4. When it happened to me for the first time I took it normally.second time we tried doing it slow I lost errection also in between then again aroused and tried to penetrate.i was litle conscious by now.after it happened to me 3 times I have been scared there after of pre ejaculation.although I try to divert my thoughts but still it happened again.and now yes I am very scared of happening it again.all these thoughts keep me disturbed not only during the attempt but during normal day to day also.
I hope u ll understand it better now.
Regards
XXXXX
1. I have attempting inter course since last 2-3 months and I have attempted only 4-5 times .
2.we attempted sex all the times in hotel rooms I mean in bed .i generally travell and go to meet her stay there for 2 days.all the times it was in night .except once we attempted early morning.when it happened the first time it was during foreplay when she touched my pennis.next 3 times it happened when I was on top and was about to penetrate and she was guiding me using her hands.last time it happened was early morning when I was trying to wear a condom during foreplay.
3.yes I have been masturbating since I was 16 yrs old .initial years frequency was very low like once in 10 days or even less .since last 3-4 years I have been doing it regularly like once in 2 days at times .three four times I have done it twice a day or thrice a day.
4. When it happened to me for the first time I took it normally.second time we tried doing it slow I lost errection also in between then again aroused and tried to penetrate.i was litle conscious by now.after it happened to me 3 times I have been scared there after of pre ejaculation.although I try to divert my thoughts but still it happened again.and now yes I am very scared of happening it again.all these thoughts keep me disturbed not only during the attempt but during normal day to day also.
I hope u ll understand it better now.
Regards
XXXXX
Brief Answer:
need to remove your performance anxiety,medicine can help for confidence
Detailed Answer:
Hi,
Thanks for follow up and information.
It is good that you are doing masturbation and that is also without any problem. This means your system for arousal is working well.
Basically masturbation and sex are processes with different mechanisms aiming for same target (orgasm).
Sometime due to fatigue, lack of mood, situational problem or environmental changes man can fail in sex. It is normal phenomenon. However when this failure makes person apprehensive about erection, sex life is affected. This is called performance anxiety. After such failure when person actively thinks about erection or success of intercourse during sex his mind is likely diverted to such thoughts. For constant erection continuous exciting/romantic/erotic feelings should be there in mind. If mind diverted to concern about erection or ejaculation, erection may lose or ejaculation occurs.
From your history it seems that performance anxiety is playing some role in your problem.
To get rid of performance anxiety help of partner is also an important aspect.
Whenever you go for sex, spare enough time in foreplay. You should not think actively about erection, your mind must be occupied with sexual/romantic feelings. During foreplay your partner should try to arouse you and note that your penis gets erection or not. When she feels that penis is sufficiently erect she herself should try to put erect penis in vagina gradually and you should continue your foreplay feelings without being conscious about erection. You must try to enjoy and only enjoy. Once penis is able to enter in vagina and strokes starts it is easy to complete successful sex.
Practice makes the man perfect. Try for at least 4-5 times with relax mind and you are going to likely succeed.
However no need to worry at all if you cannot.
Medicines are there:
Clomipramine and paroxetine are choice of medicines which are used as antidepressants (For depression dose is higher).
I prefer clomipramine for PME. No significant side effects with these medicines. Initially say for 20-30 days daily after dinner and later on just on the day when you do the sex.
Paroxetine is more potent but it may cause side effects like headache, gastric discomfort, giddiness and sedation. In patients with blood pressure it should be used in consultation with physician/cardiologist.
One molecule called depoxetine has been used specifically for PME and should be taken before 2 hours of sex when required.
These medicines are prescription medicines and you need to consult doctor/psychiatrist/sexologist for prescription.
You can go for depoxetine if not able to succeed even after behavioral approach I mentioned.
Feel free to discuss further.
need to remove your performance anxiety,medicine can help for confidence
Detailed Answer:
Hi,
Thanks for follow up and information.
It is good that you are doing masturbation and that is also without any problem. This means your system for arousal is working well.
Basically masturbation and sex are processes with different mechanisms aiming for same target (orgasm).
Sometime due to fatigue, lack of mood, situational problem or environmental changes man can fail in sex. It is normal phenomenon. However when this failure makes person apprehensive about erection, sex life is affected. This is called performance anxiety. After such failure when person actively thinks about erection or success of intercourse during sex his mind is likely diverted to such thoughts. For constant erection continuous exciting/romantic/erotic feelings should be there in mind. If mind diverted to concern about erection or ejaculation, erection may lose or ejaculation occurs.
From your history it seems that performance anxiety is playing some role in your problem.
To get rid of performance anxiety help of partner is also an important aspect.
Whenever you go for sex, spare enough time in foreplay. You should not think actively about erection, your mind must be occupied with sexual/romantic feelings. During foreplay your partner should try to arouse you and note that your penis gets erection or not. When she feels that penis is sufficiently erect she herself should try to put erect penis in vagina gradually and you should continue your foreplay feelings without being conscious about erection. You must try to enjoy and only enjoy. Once penis is able to enter in vagina and strokes starts it is easy to complete successful sex.
Practice makes the man perfect. Try for at least 4-5 times with relax mind and you are going to likely succeed.
However no need to worry at all if you cannot.
Medicines are there:
Clomipramine and paroxetine are choice of medicines which are used as antidepressants (For depression dose is higher).
I prefer clomipramine for PME. No significant side effects with these medicines. Initially say for 20-30 days daily after dinner and later on just on the day when you do the sex.
Paroxetine is more potent but it may cause side effects like headache, gastric discomfort, giddiness and sedation. In patients with blood pressure it should be used in consultation with physician/cardiologist.
One molecule called depoxetine has been used specifically for PME and should be taken before 2 hours of sex when required.
These medicines are prescription medicines and you need to consult doctor/psychiatrist/sexologist for prescription.
You can go for depoxetine if not able to succeed even after behavioral approach I mentioned.
Feel free to discuss further.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi
Thank you for the guidance and i just hope it will be fine.i ll do as u have suggested.one last thing can you tell me how abnormal it is and how worse it can be?
Thank you for the guidance and i just hope it will be fine.i ll do as u have suggested.one last thing can you tell me how abnormal it is and how worse it can be?
Brief Answer:
Nothing serious is there , it is common problem
Detailed Answer:
Hi XXXXX,
I used to get such type of questions on this forum frequently from young people like you.And almost 90% of them do not have any physical problem. They improve with assurance. I wish you would not need any medicines and would succeed on your own.
Take care and all the best.
Nothing serious is there , it is common problem
Detailed Answer:
Hi XXXXX,
I used to get such type of questions on this forum frequently from young people like you.And almost 90% of them do not have any physical problem. They improve with assurance. I wish you would not need any medicines and would succeed on your own.
Take care and all the best.
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
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