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

question-icon

What Is The Cause And Treatment For Premature Ejaculation?

default
Posted on Mon, 2 Mar 2015
Question: Hi I have problem that when I start intercource with my wife I ejaculate in 1-2 min and which made me depressed.please help.
doctor
Answered by Dr. Shubham Mehta (44 minutes later)
Brief Answer:
need some more details.

Detailed Answer:
Hello
Welcome to HCM.
I can understand your concerns.

Before suggesting a treatment, I would like to tell you some facts about normal male sexuality:
-First there is excitement phase in which the person is aroused and there is erection. Heightened excitement lasts from 30 seconds to several minutes.

-Then there is orgasm phase which consists of a peaking of sexual pleasure, with the release of sexual tension in form of ejaculation. Orgasm lasts from 3 to 25 seconds.

-Then there is resolution which lasts for 30mins to 1 hour.

Premature ejaculation is labelled when there is persistent or recurrent ejaculation with minimal sexual stimulation before, on, or shortly after penetration and before the person wishes it.

Does your partner also feels that you ejaculate early?
Do you take any medicines for any health conditions?
Alcohol or any drug abuse?

I know this is a bit more detail then you asked for. But these facts will help you to understand your problem well. We must know what is normal before labeling it a disorder.

Kindly revert back with the answer to queries above as follow-up.

This will help me to guide you better.

Thanks.
Dr. Shubham Mehta, MD.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Shubham Mehta (7 hours later)
I would like to thank youvfor the information.
Yes my partner feels the same way.
I do not taken any medication for the problem yet.
I have never taken alcohol or never edicted to drug.
But I can last long after first ejaculation.but the period between erection is frustrating.
Please help
doctor
Answered by Dr. Shubham Mehta (1 hour later)
Brief Answer:
Wait for refractory period to pass.

Detailed Answer:
Thanks for the follow-up query.

I would like to tell you that after orgasm, men have a refractory period that may last from several minutes to many hours; in that period they cannot be stimulated to further orgasm.

Women do not have a refractory period and are capable of multiple and successive orgasms.

So you should not get frustrated and keep yourself calm and satisfied. The frustration can generate desperation and thus problems in intercourse.
Both of you can discuss these facts to create a better understanding between you.

However, I understand that problem of early ejaculation is making you feel depressed. For this, drugs like paroxetine and dapoxetine are safe and work very well. But these are prescription drugs. I would suggest you to visit your nearest psychiatrist to get suitable prescription and doses for you.

Hope this helps.
Feel free to ask further.

Kindly close the discussion if you have no more queires and give your valuable feedback.

Thanks.
Dr. Shubham Mehta, MD (Psychiatry).
Note: For further guidance on mental health, Click here.

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

Psychiatrist

Practicing since :2008

Answered : 2145 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
What Is The Cause And Treatment For Premature Ejaculation?

Brief Answer: need some more details. Detailed Answer: Hello Welcome to HCM. I can understand your concerns. Before suggesting a treatment, I would like to tell you some facts about normal male sexuality: -First there is excitement phase in which the person is aroused and there is erection. Heightened excitement lasts from 30 seconds to several minutes. -Then there is orgasm phase which consists of a peaking of sexual pleasure, with the release of sexual tension in form of ejaculation. Orgasm lasts from 3 to 25 seconds. -Then there is resolution which lasts for 30mins to 1 hour. Premature ejaculation is labelled when there is persistent or recurrent ejaculation with minimal sexual stimulation before, on, or shortly after penetration and before the person wishes it. Does your partner also feels that you ejaculate early? Do you take any medicines for any health conditions? Alcohol or any drug abuse? I know this is a bit more detail then you asked for. But these facts will help you to understand your problem well. We must know what is normal before labeling it a disorder. Kindly revert back with the answer to queries above as follow-up. This will help me to guide you better. Thanks. Dr. Shubham Mehta, MD.