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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For Curing Premature Ejaculation

Hello Doctor, I am Pralay Gupta 33yrs old male, 60 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 than half an hour... Plz doctor suggest some medicine to save my married life..
Tue, 1 Jul 2014
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Psychiatrist 's  Response
Dear Mr. Pralay,

You seem to be suffering from Premature Ejaculation which is causing you distress. It is a condition when a person ejaculates earlier than desired which leads to dissatisfaction in sexual intercourse in either the person or his partner.

It is recommended that you seek a psychiatric consultation for starting treatment in form of both medications and behavior therapy.

Medications would include selective serotonin reuptake inhibitors like paroxetine (daily) or dapoxetine on as required basis. But, you will have to be realistic about the expectations from the medications. Thinking it will prolong your ejaculation time directly to more than 30 minutes isn't what I will recommend. It will help increase the time for sure, but the exact duration varies person to person. Behavior therapy sessions complement the effect of the medications.

Behavior therapy sessions would consist of 1-2/week for 6-8 weeks. It would incorporate relaxation training, sex education and learning methods like squeeze technique, start-stop method and distraction. The outcome will be even more favorable if your wife participates in the behavior therapy sessions.

Hope this information was helpful. Best wishes.
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Suggest Medication For Curing Premature Ejaculation

Dear Mr. Pralay, You seem to be suffering from Premature Ejaculation which is causing you distress. It is a condition when a person ejaculates earlier than desired which leads to dissatisfaction in sexual intercourse in either the person or his partner. It is recommended that you seek a psychiatric consultation for starting treatment in form of both medications and behavior therapy. Medications would include selective serotonin reuptake inhibitors like paroxetine (daily) or dapoxetine on as required basis. But, you will have to be realistic about the expectations from the medications. Thinking it will prolong your ejaculation time directly to more than 30 minutes isn t what I will recommend. It will help increase the time for sure, but the exact duration varies person to person. Behavior therapy sessions complement the effect of the medications. Behavior therapy sessions would consist of 1-2/week for 6-8 weeks. It would incorporate relaxation training, sex education and learning methods like squeeze technique, start-stop method and distraction. The outcome will be even more favorable if your wife participates in the behavior therapy sessions. Hope this information was helpful. Best wishes.