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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Premature Ejaculation

sir , i am 27 years old ...the problem i am facing erectile problem ....i get ejaculte within a minute after erectrion without timulation aur touchning the penis while ejacultioon i feel like viberations in my perineal area ...also i feel numbness of my penis
Tue, 10 Nov 2015
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General & Family Physician 's  Response
Hi,
Thanks for posting in HCM.
I understand your concern.
You don't have to worry much about this as many men have this problem at your age and you can overcome it in the following way.
1. You can try behavioral therapy, which would help about 70% of men to overcome this problem. Under this, you need to practice 'pause-squeeze technique'. This requires cooperation from your partner too. Over a period of time, you will start holding it longer than before and would increase your confidence and performance.
2. You can try tropical anesthetics too. It would temporarily reduce the sensations and would help you to hold on for quite some time.
3. Also, use of medications like selective serotonin re-uptake inhibitors (SSRIs) like sertraline or fluoxetine would help to delay ejaculation. This may be used in conjunction with behavioral therapy.
4. Sometimes, masturbating before sexual activity would help to hold on ejaculation for some time and it may be beneficial.
5. Since anxiety or stress is a factor which would cause premature ejaculation, it would be better to practice relaxation techniques like meditation to keep your mind calm and composed.
Hope the information provided would help in overcoming your problem.
All the best.
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Suggest Treatment For Premature Ejaculation

Hi, Thanks for posting in HCM. I understand your concern. You don t have to worry much about this as many men have this problem at your age and you can overcome it in the following way. 1. You can try behavioral therapy, which would help about 70% of men to overcome this problem. Under this, you need to practice pause-squeeze technique . This requires cooperation from your partner too. Over a period of time, you will start holding it longer than before and would increase your confidence and performance. 2. You can try tropical anesthetics too. It would temporarily reduce the sensations and would help you to hold on for quite some time. 3. Also, use of medications like selective serotonin re-uptake inhibitors (SSRIs) like sertraline or fluoxetine would help to delay ejaculation. This may be used in conjunction with behavioral therapy. 4. Sometimes, masturbating before sexual activity would help to hold on ejaculation for some time and it may be beneficial. 5. Since anxiety or stress is a factor which would cause premature ejaculation, it would be better to practice relaxation techniques like meditation to keep your mind calm and composed. Hope the information provided would help in overcoming your problem. All the best.