Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

139 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

How can premature ejaculation due to high sensitivity be treated?

Answered by
Dr.
Dr. Ashok Kumar

Psychiatrist

Practicing since :2000

Answered : 2655 Questions

default
Posted on Mon, 22 Oct 2018 in Sexual Health
Question: Hi,
I have a problem of pre mature ejaculation, the sensitivity is too high and as a a result the climax is reached very fast.
doctor
Answered by Dr. Ashok Kumar 28 minutes later
Brief Answer:
It is treatable condition

Detailed Answer:
Hello,

Premature ejaculation can be treated or controlled with the help of behavioral methods and the medications.
The behavioral techniques need to be practiced during sex and yield results over a time. Even your partner can assist you in some of the techniques like squeeze technique.

The techniques are difficult to explain here but you can just google 'kegel method ' to understand it. For good results it is recoomended to have 100 contractions per day which can be divided in three to four times a day as per your convenience.
The other techniques are
1. Squeeze technique
2. Start- stop method
3. Interruption technique
U can choose any of them if they suit you.

Premature ejaculation can also be controlled by medications.

SSRI antidepressant drugs cause delayed ejaculation as a side effect, and this side effect is used therapeutically in the treatment of premature ejaculation. These drugs are as following:
Tablet. Paroxetine [Paxil 25 mg] at night or
Tablet. Fluoxetine [Prozac 20 mg] in the morning after the breakfast.. or
Tablet. Sertraline [Zoloft 50 mg] at night.

A person with premature ejaculation need to take any of these drugs regularly and its effect will appear only after 15 to 20 days.

Another strategy is to take drug one hour before sex. The another antidepressant drug Dapoxetine is given one hour before sex and it cause delayed ejaculation.

I hope this answers your question. Let me know if I can assist you further.

Thanks and regards,
Dr Ashok Kumar
Psychiatrist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Ashok Kumar 1 hour later
Hello Doctor,
Thanks for your response, for how many days do i need to continue this medication and also can you please brief what is meant by the techniques you proposed in your description?
doctor
Answered by Dr. Ashok Kumar 17 minutes later
Brief Answer:
Kegel technique is one of the effective techniques

Detailed Answer:
Dear XXXX,
Thanks for following up.

Most of my patients with premature ejaculation need atleast three months of treatment with medications and concurrent behavioral techniques.

Among the behavioral techniques I often found that Kegel exercise is easy to do and have good results over a period of time. As stated it is difficult to explain here but you can google it as the description is readily available over the internet. I will recommend you to check Mayo clinic as they have reliable description.

I hope this helps you further.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for my future patients.

Thanks and regards,
Dr. Ashok Kumar,
Psychiatrist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Drug/Medication ,   ,   ,   ,  

Recent questions on  Sertraline

doctor1 MD

I am looking for a psychiatrist or neuro psychiatrist familiar with traumatic brain injury for my adult daughter . Her current psychiatrist has been basically missing/unavailable for two weeks with no answering service and a broken answering machine with no ability to leave a message. She currently takes Zoloft, Trazadone (sp) and neurotin. She needs a new prescription for Zoloft immediately. We need HELP ! Prefer a doctor in the Oakland/Berkeley/Montclair area.

doctor1 MD

Hi. Over the past month or so, any time I turn over to the other side in while in bed, my heart beats quickly, and I feel as though I just got finished running in a race; I have that exhausted feeling without the hard breathing. Also throughout the day, I have a shortness of breath and feel exhausted when doing anything like the laundry, making the bed, or cleaning. I have to sit down for about 10-15 minutes to rest. I also have GERD. I had an EKG, and that came back normal. I currently take 40 mg of Prilosec, and 100 mg of Zoloft. All of my bloodwork came back normal: WBC count RBC count, cholesterol, etc. I am scheduled to have a stress test, but I was wondering if it could be something else? Thank you!

doctor1 MD

I am a 42 yr old female, only have 1/10 th of a percent thyroid, I take synthroid and zoloft and have been on synthroid for approximate 22 yrs. I am now just in the past month experiencing shortness of breath, tightness in chest, dizziness, and increased pulse rate. What is happening to me?

doctor1 MD

I am a 57 year old female who has been experiencing extreme episodes of sweating lasting sometimes for a couple of hours. Hair dripping. Feel tired most of the time. Dr. just took me off Zoloft thinking that may be causing the extreme sweating. I had been on 100mg of Zoloft for about 13 years. I also take Wellbutrin XL 300. My A1C was 6.1. Doctor doesn't seemed concerned with A1C. I just don't know what can be causing such extreme sweating. Any ideas? Thanks, Marilyn

doctor1 MD

i have crirrocis quit drihking 2years but i have bad itching

doctor1 MD

Hi my name is XXXXXXX I take trazodone, gabapentin and duloxetine HCL DR, with oxycodon-acetaminophen7.5-325 witch I have to drug test for. I was just told my test came back showing I have taken lorazepam . this is not the first time for this...

doctor1 MD

I have anxiety attacks, fatigue and major depression , I am hot and cold, sick to stomach but no vomiting . Thyroid tests (THS, T3, T4) are normal. Zanax, Pretiq etc. have not helped. I need help.