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Is There A Permanent Cure For Premature Ejaculation?

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Posted on Sat, 8 Sep 2012
Question: Dear doctor,
m feeling early discharge during sex m a 25 yr guy would this problem shot out by the help of yours team i want a proper and permanent cure for this if i have to take medicines if they are ayurvedic then it ll be also be fine kindly suggest me
doctor
Answered by Dr. Shanthi E (1 hour later)
Hello XXXXXXX,

Thank you for posting your query. I understand your health concern.

Early discharge during sexual intercourse, also called as premature ejaculation is a common health concern among young men. The commonest cause for this is anxiety and lack of proper knowledge on sexual intercourse.

The following measures will help:

a.     You can practice Kegel exercises which are good for better pubococcygeal muscle control. The technique is to contract the muscle puboccocygeus. This muscle is the one which you contract when you need to hold back urine. So you need to contract this muscle, hold and relax. This needs to be repeated several times daily.

b.     The frequency of intercourse also has an important role. If you have intercourse more frequently, the duration will also be more and vice versa.

c. The medical management is usually by using selective serotonin uptake inhibitors like duloxetine. Since this is a prescription drug, please get it prescribed by your doctor.

Hope I have answered your query. Please accept my answer in case you do not have further queries.

Regards,

Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
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Follow up: Dr. Shanthi E (1 hour later)
Dr. Shanthi.E m not understand what you wanna to say and also what i have to do kindly explain me all things clearly.
and is it a proper and permanent cure for this. I want a proper and permanent cure.
kindly revert me back.
doctor
Answered by Dr. Shanthi E (27 minutes later)
Hi XXXXXXX,

I am sorry I could not convince you with my explanation during our last conversation. Let me try again.

Yes, there is a permanent cure for this. It is a multimodality treatment, both medications and sexual counselling is necessary. Since you are young, sexual counselling will be of great help to you and you may see the improvement after 3 to 5 sessions. The medications are prescribed after medical examination by a sexologist or a psychiatrist.

As I said in my earlier reply, duloxetine is used for premature ejaculation in allopathy. You can choose between both allopathy and ayurvedic treatment. I am unsure of medicines in ayurveda and their effects.

Since premature ejaculation is mostly a psycho-social problem, your problems may be resolved with few sessions of sexual counselling.

I am sorry but I cannot prescribe any drug here as it is unethical and inappropriate to prescribe you scheduled drugs without doing a proper examination.

Hope this helps.

Regards,

Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
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Follow up: Dr. Shanthi E (18 minutes later)
dr. first off all tell me are you the doctor who resolve my wife's problem last week of incomplete abortion after taking mt pills.
ok now tell me where i have to take those sessions and if i have a need of any examination tell what is the name of examination and where it will be exam.
and for Kegel exercises how i ll do this whats the process of this exercise whats the steps of this exercises.
i think by mailing this is too difficult to understand ll you please explain it on call or any other process to explain me please use for me.
m waiting for your kind reply.
doctor
Answered by Dr. Shanthi E (1 hour later)
Hello XXXXXXX,

Yes, I remember that you are the same person to whom I spoke the previous week. It was regarding an incomplete abortion for your wife.

The sexual counseling sessions come as a part of couple therapy where both the partners visit the sexologist / counselor take individual and combined sessions. I believe that this type of sessions do benefit a lot of young men with similar problems. Let me also reassure you that 99% of men have early ejaculatory signs at least once during their sexual journey. This is definitely curable and I am sure you will get back your sexual life. Please do not delay and XXXXXXX a counselor in person.

Since we have reviews about different doctors we can help you XXXXXXX a good sexologist in your location too. You can mail YYYY@YYYY who can fix appointment for you.

This consultation involves complete physical examination by the doctor. The doctor may order some tests deemed necessary. A thorough history about your family, stressors, occupation is pertinent to make the counseling personalized.

You can use this link to learn more on kegel exercises that I was mentioned in my previous answer. WWW.WWWW.WW

If you have more concerns, please let me know.

Regards,
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Shanthi E

General & Family Physician

Practicing since :2005

Answered : 2483 Questions

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Is There A Permanent Cure For Premature Ejaculation?

Hello XXXXXXX,

Thank you for posting your query. I understand your health concern.

Early discharge during sexual intercourse, also called as premature ejaculation is a common health concern among young men. The commonest cause for this is anxiety and lack of proper knowledge on sexual intercourse.

The following measures will help:

a.     You can practice Kegel exercises which are good for better pubococcygeal muscle control. The technique is to contract the muscle puboccocygeus. This muscle is the one which you contract when you need to hold back urine. So you need to contract this muscle, hold and relax. This needs to be repeated several times daily.

b.     The frequency of intercourse also has an important role. If you have intercourse more frequently, the duration will also be more and vice versa.

c. The medical management is usually by using selective serotonin uptake inhibitors like duloxetine. Since this is a prescription drug, please get it prescribed by your doctor.

Hope I have answered your query. Please accept my answer in case you do not have further queries.

Regards,