Hello,

Thanks for your query.

Premature ejaculation (PE) is not uncommon and depends on multiple factors, the most common being psychological factors. The psychological factors may include stress and anxiety in daily life and depression due to personal, professional , financial and other social issues.

Medical causes of premature ejaculation include abnormal hormone level, reflex activity of ejaculatory system, thyroid problems, diabetes, hypertension and neurological causes.

Try distracting yourself when you feel you are about to ejaculate. Take a XXXXXXX breath and stay relaxed during intercourse. Also do not worry about performance and talk to your partner openly about any apprehensions if you have.

Other treatment methods which can be followed are stop-start or squeeze-pause technique. In stop start technique, near ejaculation withdraw from your partner and relax and think about something else. In squeeze- pause technique, squeeze the end or the tip of the penis for 10 to 20 seconds when you are close to ejaculation and then resume stimulation after withholding for half a minute.

If the symptoms persist then desensitizing creams and SSRI drugs (selective serotonin reuptake inhibitors) may need to be prescribed for which you have to consult a urologist. A urologist will be the best person to guide you through this and the duration of treatment depends on the severity of symptoms. You may need to undergo certain medical tests like for diabetes, thyroid profile and hormonal assay.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Regards

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Hello,
Thanks for writing back.

Antidepressants (SSRI's) that are commonly used for premature ejaculation include clomipramine (Anafranil), fluoxetine (Prozac) and sertraline (Lustral).

However they should be used under medical supervision because these are powerful drugs that can last a long time in the body, and have a considerable list of potential side-effects.

Desensitizing creams containing local anesthetic agents can also be useful in some men with premature ejaculation but use it under a doctor's guidance.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Regards

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Hello,

Thanks for writing back.

Some examples of desensitizing creams are lignocaine, Durex Desensitizing Lubricant, Enlast cream etc

They should also be used under medical guidance and under prescription to avoid any untoward side effects.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Regards

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