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What Causes Premature Ejaculation?

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Posted on Tue, 1 Jul 2014
Question: Dear Dr
Main Problem is premature ejaculation(less than a min.) in first round, in second it extend but not good, more over in second round which will approximate after 3 to 4 hrs but now hardness not so good.we go for sex once in a week. Also some weakness feel whole day after sex.
doctor
Answered by Dr. Ashish Mittal (23 hours later)
Brief Answer:
Hi

Detailed Answer:
Hello,
Thanks for your query.
I appreciate your efforts for medical consultation in so much distress.

Premature ejaculation is a very common and treatable problem. Premature ejaculation is diagnosed when ejaculation time is less than 3 Min, like in your case. Dapoxetine is good, but it is sad you are getting side effects with its use. Try to to take half tablet to avoid side effect.

It take some time to regain erection after ejaculating once. This time may differ 1 hour to 1 day and depend on age/sexual experience of person. As you avoid costly treatment, then following interventions will be helpful.

STEPS FOR TREATMENT:

-Start jogging in morning for 20-30 minutes daily, as it reduces performance anxiety and improve blood circulation.

- Try distracting yourself when you feel you are about to ejaculate. Take a deep breath and stay relaxed during intercourse.

-Stop start technique: In stop start technique, near ejaculation stop all movements, relax and think about something else. Then wait for 1 minute before starting movements. According to number of stops, ejaculation time will come under your control.

-In many persons woman on top position increases ejaculation time, so try this position and experiment with other positions also.

-Condoms with desensitizing creams (marketed as Kohinoor extra time) help in increasing ejaculation time. Just wear this as normal condom and start sex after 30 seconds of penile massage, as medicine take some time to act.

-Also get checked your Serum Vitamin D3 level, as its low level can lead to bodyache (you had bodyache after dapoxetine use) and low sex drive.

I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.

Wish you good health.
Regards,
Note: For further guidance on mental health, Click here.

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

Psychiatrist

Practicing since :2004

Answered : 1859 Questions

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What Causes Premature Ejaculation?

Brief Answer: Hi Detailed Answer: Hello, Thanks for your query. I appreciate your efforts for medical consultation in so much distress. Premature ejaculation is a very common and treatable problem. Premature ejaculation is diagnosed when ejaculation time is less than 3 Min, like in your case. Dapoxetine is good, but it is sad you are getting side effects with its use. Try to to take half tablet to avoid side effect. It take some time to regain erection after ejaculating once. This time may differ 1 hour to 1 day and depend on age/sexual experience of person. As you avoid costly treatment, then following interventions will be helpful. STEPS FOR TREATMENT: -Start jogging in morning for 20-30 minutes daily, as it reduces performance anxiety and improve blood circulation. - Try distracting yourself when you feel you are about to ejaculate. Take a deep breath and stay relaxed during intercourse. -Stop start technique: In stop start technique, near ejaculation stop all movements, relax and think about something else. Then wait for 1 minute before starting movements. According to number of stops, ejaculation time will come under your control. -In many persons woman on top position increases ejaculation time, so try this position and experiment with other positions also. -Condoms with desensitizing creams (marketed as Kohinoor extra time) help in increasing ejaculation time. Just wear this as normal condom and start sex after 30 seconds of penile massage, as medicine take some time to act. -Also get checked your Serum Vitamin D3 level, as its low level can lead to bodyache (you had bodyache after dapoxetine use) and low sex drive. I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups. Wish you good health. Regards,