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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Premature Ejaculation

Hi , I am having big problem of pre ejaculation during sex . It is hampering my marriage a lot . And its not like I am having long gap between times !! I also have a habit of masturbation and its since 5 years before . Now during masturbation Sperms are like negligible but when I do sex its like normal . I do smoke . age - 25 yrs , workout daily - yes . ........now what do I do .....is it a very big disease i.e pre- ejaculation - I last only 2-3 mins . PLZ suggest !!!
Wed, 1 Apr 2015
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Psychiatrist,  's  Response
Hello,
Thanks for choosing HCM for posting your query. I can understand what you are going through.
First you can try the start stop technique. Your wife is supposed to start stimulating you and the moment you are about to ejaculated she is supposed to stop all the stimulaton and and hold your penis head hard. Now this should be repeated.
Perineal exercises also help. These are the muscle exercises that occur when you contract the perineal muscles like when you are trying to stop the urine or feces. You have to do this contrations repeatedly daily to tone up the perineal muscles.
Along with this you can try medications like 12.5 mg paroxetine at night. Normally one should try until 25mg of Paroxetine. If paroxetine is not effective then Dapoxetine is an option. It has to be given 1 hour before having sex and will prolong the sexual interval.

Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
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Suggest Remedy For Premature Ejaculation

Hello, Thanks for choosing HCM for posting your query. I can understand what you are going through. First you can try the start stop technique. Your wife is supposed to start stimulating you and the moment you are about to ejaculated she is supposed to stop all the stimulaton and and hold your penis head hard. Now this should be repeated. Perineal exercises also help. These are the muscle exercises that occur when you contract the perineal muscles like when you are trying to stop the urine or feces. You have to do this contrations repeatedly daily to tone up the perineal muscles. Along with this you can try medications like 12.5 mg paroxetine at night. Normally one should try until 25mg of Paroxetine. If paroxetine is not effective then Dapoxetine is an option. It has to be given 1 hour before having sex and will prolong the sexual interval. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you.