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40 years old, premature ejaculation inspite of foreplay before sex. Medication to prevent this?

Hello Doctor , I am XXXXXX 40yrs old male, 70 kg weight... Doctor whenever I do sexual intercourse with my wife it just ejaclation within1-2minute... Before intercourse we do foreplay for more than half an hour bt it is nt helpful.. During intercourse i used thnk abt other issue as dr told me it is helpful bt it is not helping me... I hve heard that some medicine are there which help to increase ejaculation time for more. Pls advice.
Asked On : Tue, 3 Jul 2012
Answers:  1 Views:  54
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General & Family Physician 's  Response
Hi Palash,

It seems like you are suffering from premature ejaculation. The following are the treatment options:

1. Techniques: 2 techniques pioneered by Master and Johnson are very useful in treating premature ejaculation. They include

(a) Stop & Re Start Method: Stop at a point just before you are about to ejaculate and restart foreplay and insertion. You may repeat this cycle again.
(b) Squeeze Method: Your partner squeeze the base of glands for a few minutes penis just before you ejaculate. Repeat the process again as required.
(c) Increased frequency of sexual activity can increase the ejaculation time as well.

2. Sex Therapy: Sex therapy is a form of psychotherapy integrating biomedical and psychosocial components in the treatment of sexual. You can get the benefits of psychotherapy from a competent sexologist/Psychotherapist. Consider visiting one near your location.

3. De-sensitization. Use of desensitization products like Delay creams can benefit you to some extent.

4. Selective Serotonin Reuptake inhibitor (SSRI) drug like Tab. Dapoxetine have been tried in the recent years to treat premature ejaculation. It is more effective when taken 3 hours before intercourse. A physician can prescribe it to you.

I hope this helps.

Regards,
Answered: Tue, 3 Jul 2012
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