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Dr. Andrew Rynne

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How to overcome premature ejaculation?

Answered by
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Dr. Ashok Kumar

Psychiatrist

Practicing since :2000

Answered : 2678 Questions

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Posted on Wed, 6 Jun 2018 in Sexual Health
Question: I am getting early discharge (premature ejaculation) during intercourse. Is there anyway to increase this timings.
doctor
Answered by Dr. Ashok Kumar 2 hours later
Brief Answer:
Yes there are many

Detailed Answer:
Dear XXXXXXX
Thanks for using Healthcaremagic.

I read your query and understand your concerns.

First of all I like to inform you that there are multiple methods of treatment in premature education which includes behavioral techniques and medications.

The behavioral techniques need to be practiced during sex and does not yields the benefits from the first day.. it generally takes 2 weeks to three months. Even your partner can also help you by participating in the behavioral intervention.These techniques are very difficult to explain here in detail. You can google the names of techniques, I am about to mention.
Techniques are:
1.     Squeeze technique
2.     Start- stop method
3.     Interruption technique
You can perform one of these behavioral methods, as per your convenience. They are easy to understand.

I often recommend Kegels exercise as first line as it is very effective in compare to other techniques. However the results are different for every individual.

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
Tablet. Fluoxetine
Tablet. Sertraline

The effect is seen within few days although the full effect is seen by two weeks.

Another strategy is to take drug one hour before sex..the another medication called dapoxetine is given one hour before sex and it cause delayed ejaculation and sexual pleasure to both. This is immediately effective.

I hope this answers you.
Feel free to write back to me if you have more questions.
Thanks and regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Ashok Kumar 36 hours later
Thanks for reply, I heard about this kegel exercise, but could not understand the exact way to find out those PC muscles...

If you can just let me know the ways to find out those PC muscles and regular exercise to perform this kegel workout. I watched you tube, but could not really understand those.

Drug dapoxetine, is this safe and not any side effects it gives in long run.

Below medicines are to control the ejaculation or are they to have longer intercourse duration and for what period should be consumed:
Tablet. Paroxetine
Tablet. Fluoxetine
Tablet. Sertraline
doctor
Answered by Dr. Ashok Kumar 57 minutes later
Brief Answer:
Follow up

Detailed Answer:
Dear XXXXXXX
Thanks for follow up.

I am sorry to know that it was not easy job for you but I think it is very difficult to explain in limited answer format.

However while urinating try to stop your urine as many times as possible and the muscle which prevents flow of urine is your PC muscle. By this you can identify the right muscle before commencing treatment. While doing above you will feel contraction below your penis. To be precise at the root of penis along with your anus.

Regarding medication Dapoxetine is largely safe medication and there is little possibility of side effects. However it is not recommended for long run as there is little safety data available.

The other options are often required for a duration of 3-6 months and meantime behavioral intervention is continued to yield optimum results.

I hope this answers you further.
Thanks and regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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