Brief Answer:
It is likely premature ejaculation

Detailed Answer:

Hello,

Your problem is likely premature ejaculation. To confirm the diagnosis, I need more information.

- Are you married?
- If yes, what is the duration of your marriage?
- If you are not married, provide details about your sex life with your girlfriend.
- Do you pay more attention to erection while trying for intercourse/sex?
- Is morning erection present when you wake up from sleep ?
- Is there any difficulty in urinating?
- Is there any history of masturbation? If yes, how was pleasure/orgasm during masturbation?
- What is frequency of sex or masturbation per week or per month?
- How much duration do you last before ejaculation? Do you ejaculate before your partner reaches orgasm?
- Are you taking any medicine for allergy or common cold? If yes,provide details.

I will be happy to help further after your response.

Regards,
Dr. Chintan Solanki
Psychiatrist

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Brief Answer:
Treatment details as below

Detailed Answer:

Hello,

Your problem is premature ejaculation. It means early ejaculation. It means your ejaculation (coming out of semen /sperms) is so early that the partner is not able to enjoy or be satisfied.

It suggests that you have good amount of semen production and good testosterone level. It is not a pathological problem but it is only a physiological problem.

It can be treated with medicines and behavioral modifications. Behavioral approaches are as follows to prevent early ejaculation

1. Stop and start 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. Kegel exercise also helps in some cases. You can learn the same from internet.

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.

Another approach:

-Use of condoms. Sometime use of condom, while sex, helps in delaying ejaculation by reducing sensitivity of glans penis . even condom with anesthetic gel is also avaible - long lasting condom.

--Topical application of lignocaine anesthetic gel/spray.

Medicines for premature ejaculation:

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 0-30 days daily after dinner and later on just on the day when you do the sex.


One molecule called Dapoxetine has been used specifically for PME and should be taken before 2 hours of sex when required.

One Ayurvedic supplement Confido is also helpful in some patients.

I recommend Clomipramine and Confido in your case. You can ask your doctor to provide prescription.

Hope I have answered your query. Do not hesitate to ask your doubt if any.

All the best.

Regards,
Dr. Chintan Solanki
Psychiatrist

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Brief Answer:
You need to take prescription from doctor

Detailed Answer:

Hi,

Clomipramine is to be stated with 10 mg. Take one tablet after dinner, if you not satisfied in 15 days with improvement, you can increase dose to 2 tablets (20mg) after dinner. After one month, you can take only on day of sex.

Please ask your family doctor to give you prescription as I cannot provide prescription on this online forum.

Hope I have answered your query.

All the best.

Regards,
Dr. Chintan Solanki
Psychiatrist

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