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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Premature Ejaculation Since 18 Years?

Hi doctor, I am 40 yrs old, and I am suffering from severe premature ejaculation for more than 18 yrs as far as I can remember, I consulted with so many doctors and used a lot of medications but all in vain. So, my question is can you assist me with anything to get rid off that thorny problem on my heart ?
Thu, 23 Jun 2016
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General & Family Physician 's  Response
Hi welcome to HCM...

The cause for premature ejaculation is mainly stress, anxiety , guilt and depression...
This psychological factors are main causative factors...
So performance anxiety should be avoided...

You can consult psychiatrist for various helping therapy like.....
/master and johnsons stop start technique for desensitizing man response
/penile squeeze technique
/focus, breathing exercises
/kegel exercise to make pelvic floor muscle strong
/distraction procedures...
/you can discuss with partner when to slow down stimulation
/more then one condom
/SSRI drug like fluoxetin if needed...

If still no benefit discuss with doc for searching other cause like trauma , hormonal problems etc...

Take care ...
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What Causes Premature Ejaculation Since 18 Years?

Hi welcome to HCM... The cause for premature ejaculation is mainly stress, anxiety , guilt and depression... This psychological factors are main causative factors... So performance anxiety should be avoided... You can consult psychiatrist for various helping therapy like..... /master and johnsons stop start technique for desensitizing man response /penile squeeze technique /focus, breathing exercises /kegel exercise to make pelvic floor muscle strong /distraction procedures... /you can discuss with partner when to slow down stimulation /more then one condom /SSRI drug like fluoxetin if needed... If still no benefit discuss with doc for searching other cause like trauma , hormonal problems etc... Take care ...