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Frequent urination and premature ejaculation. Any solution?

i urinate frequently and also have premature ejaculation. it is very embarrassing that i can not make my wife happy. i have been masturbating for over ten years. i have done various tests but no positive results. all the tests indicate my okay.have also taken so many medications but no results. please help me. thank you. David
Asked On : Mon, 1 Apr 2013
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Dermatologist 's  Response

Frequent urination may be due to anxiety.
Take anxiolytic drugs to reduce anxiety.
Premature ejaculation means coming too quickly, and it's one of the most common sexual problem

Anxiety or 'nerves' play a part in many cases of PE. If you're nervous, you're likely to come too quickly.

Premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration, with minimal sexual stimulation and before the person wishes.

It may result in an unsatisfactory sexual experience for both partners. This can increase the anxiety that may contribute to the problem.

Premature ejaculation is one of the most common forms of male sexual dysfunction and has probably affected every man at some point in his life.

Psychological factors such as anxiety, guilt, or depression can cause premature ejaculation. In some cases, premature ejaculation may be related to an underlying medical cause such as hormonal problems, injury, or a side effect of certain medicines.
Treatment options for premature ejaculation include sexual therapy, medications and psychotherapy. For many men, a combination of these treatments works best.

Antidepressants that are commonly used for this purpose include clomipramine , fluoxetine and sertraline ...

I recommond you and your partner to adopt method called the squeeze technique. This method works as follows:
Step 1. Begin sexual activity as usual, including stimulation of the penis, until you feel almost ready to ejaculate.
Step 2. Have your partner squeeze the end of your penis, at the point where the head (glans) joins the shaft, and maintain the squeeze for several seconds, until the urge to ejaculate passes.
Step 3. After the squeeze is released, wait for about 30 seconds, then go back to foreplay. You may notice that squeezing the penis causes it to become less erect, but when sexual stimulation is resumed, it soon regains full erection.
Step 4. If you again feel you're about to ejaculate, have your partner repeat the squeeze process.

Sometime topical anesthetic cream is advised...
Topical anesthetic creams containing lidocaine or prilocaine dull the sensation on the penis to help delay ejaculation. Applied a short time before intercourse, these creams are wiped off when your penis has lost enough sensation to help you delay ejaculation. A lidocaine spray is also available.

Cognitive behavioral therapy is also helpful...
This approach, also known as counseling or talk therapy, involves talking with a mental health provider about your relationships and experiences. These talk sessions can help you reduce performance anxiety or find effective ways of coping with stress and solving problems. Counseling is most likely to help when it's used in combination with drug therapy.

I hope you got my answer. But ,still you consult sexologist or physician.


Dr. Ilyas Patel MD
Answered: Fri, 24 May 2013
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