Brief Answer:
early ejaculation can be treated , no need to worry

Detailed Answer:
Hello XXXXXXX

Thanks for writing to us.

You are very young and during experience of sex twice you faced early ejaculation. And you are also suffering from diabetes.

Initially many young men like you face such problem. This is likely due to initial experience of sex, situation in which sex is done, over excitement with partner and sensitivity glans penis.

Let me know some information.

- Are you married or not? If not married have you experienced sex with girlfriend or with someone else? Tell me your 2 experiences of sex with brief details.

- Were you apprehensive about situation and in hurry while doing sex?

- Do you do masturbation? If yes let me know frequency of the same?

- Do you have any problem in urinating?

Treatment for PME is there:

Medicines:
Clomipramine and paroxetine are choice of medicines which are used as antidepressants (For depression dose is higher).
I prefer clomipramine for PME. No significant side effects with these medicines. Initially say for 20-30 days daily after dinner and later on just on the day when you do the sex.
Paroxetine is more potent but it may cause side effects like headache, gastric discomfort, giddiness and sedation. In patients with blood pressure it should be used in consultation with physician/cardiologist.

One molecule called depoxetine has been used specifically for PME and should be taken before 2 hours of sex when required.
These medicines are prescription medicines and you need to consult doctor/psychiatrist/sexologist for prescription.

Behavioral approaches are as follows for PME:

1. Stop & Start and Squeeze techniques can be applied which you can learn from internet and ask me if any query in that.(In brief, method suggests that you should try to divert your mind for a moment when you feel ejaculation arousal or penis should be tightly squeezed with hand inwards by your partner preferably just before arousal).

2. Sex counselling of your sexual behavior and methods. Like if you are down and female partner on top, gravity is going to help you for lengthening the time.

3. You should do masturbation before sex (at least 2 hours before ). It will make seminal vesicles somewhat empty and at time of sex semen will take more time to come out.

4. Use of condoms. Sometime use of condom while sex helps in delaying ejaculation by reducing sensitivity of glans penis.

Revert back to me with answers so I can guide you more specifically.

Regards,
Dr.Chintan Solanki.

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