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Suggest Treatment For Loss Of Libido And Premature Ejaculation
Question: I would like to introduce myself XXXXXXX i am 26 years old and have problem of lack of interest in sex, very early ejaculation.
I used to masturbate alot earlier and was vry much attracted towards sex but since months now i have lost interest in sex even i dnt get so much excited and whenever i get excited i dnt last long.. it merely stays for a minute.
Please suggest to have long sex and want to again gain interest in sex.
I used to masturbate alot earlier and was vry much attracted towards sex but since months now i have lost interest in sex even i dnt get so much excited and whenever i get excited i dnt last long.. it merely stays for a minute.
Please suggest to have long sex and want to again gain interest in sex.
Brief Answer:
Provide more detail for specific answer
Detailed Answer:
Hello XXXX,
Your problem is loss of libido and probably premature ejaculation.But I need more detail of your problem to help you specifically.
Since when(how many months) problem is there?
Is it started suddenly after some incident or gradually?
Do you think does your masturbation habit has anything related to your problem?If tell me your view how?
Is your problem is totally related to masturbation sex or intercourse with female?
If it is related with sex with a female,Are you married? If yes provide some detail about emotional relationship with wife.If not, do you enjoy sex with girlfriend?
Waiting for your reply,
Regards,
Dr.Chintan Solanki.
Provide more detail for specific answer
Detailed Answer:
Hello XXXX,
Your problem is loss of libido and probably premature ejaculation.But I need more detail of your problem to help you specifically.
Since when(how many months) problem is there?
Is it started suddenly after some incident or gradually?
Do you think does your masturbation habit has anything related to your problem?If tell me your view how?
Is your problem is totally related to masturbation sex or intercourse with female?
If it is related with sex with a female,Are you married? If yes provide some detail about emotional relationship with wife.If not, do you enjoy sex with girlfriend?
Waiting for your reply,
Regards,
Dr.Chintan Solanki.
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
Hi doc,
Thanks for prompt response.
I think I have noticed this near about more than a year now. First I have ignored but I think it's now been point of concern for me.
I am not married, usually I have sex rarely with my gf so can't tell exactly if this is related with sex with female but yes I have notice last 4-5 times whenever I did was only for few seconds I can say... Easily I came out...
Also whenever I masturbate I come out easily, and after it happens I loss interest completely for almost 4-5 days.
After that same thing repeats.. I masturbate once and I loss interest completly for 4-5 days...
M really tensed with this....
Thanks for prompt response.
I think I have noticed this near about more than a year now. First I have ignored but I think it's now been point of concern for me.
I am not married, usually I have sex rarely with my gf so can't tell exactly if this is related with sex with female but yes I have notice last 4-5 times whenever I did was only for few seconds I can say... Easily I came out...
Also whenever I masturbate I come out easily, and after it happens I loss interest completely for almost 4-5 days.
After that same thing repeats.. I masturbate once and I loss interest completly for 4-5 days...
M really tensed with this....
Brief Answer:
Just relax, you need counselling
Detailed Answer:
Hi XXXX,
Thanks for information.
Problem of yours is problem of many young people like you. This problem is more physiological rather pathological.
With regular habit of masturbation in many young men sensitivity threshold for sexual feeling is decreased and he reaches form phase of erection to ejaculation somewhat early than before.
Another reason foe early ejaculation is related to frequency of masturbation.When someone masturbate daily, there is less semen storage in seminal vesicles.So it will take more time for ejaculation. When frequency of masturbation decreases say for once in four days, there is more storage of semen in seminal vesicles as semen production is a normal physiological process and occurs daily.In this case it will take less time for ejaculation as semen is ready to come out almost.
In your case I guess first reason as above occurred initially and due to that you reduced your frequency of masturbation which has ultimately led to more decrease in ejaculation time.
And in apprehension of some problem of early ejacualtion you lost your interest in sex.
As you have not done sex frequently with female, no major issues are there. But during 4-5 episodes, early ejaculation might be due to performance anxiety.
Solutions of your problems are:
No need to tense more after understanding above explanation, you are normal and not suffering from any pathological problem.
Masturbate regularly as before.
There is one technique called "stop and squeeze technique".Whenever you are doing masturbation,one stage will come when you feel that now ejaculation is not far away, at that moment you need to divert your mind from sexual thoughts to somewhere else and somewhat tightly press the penis shaft below glans towards downward direction(towards base of penis).This will help to send semen back to seminal vesicles and after few seconds again you can start movement for masturbation.You can learn this technique with practice and increase your ejaculation time without any medicine.
Though you are not in need of any medicines as your problem is limited to masturbation I would like to mention medicines for premature ejaculation for your knowledge. Clomipramine, paroxetine and depoxetine. Clomipramine and paroxeine can be taken daily or on required basis while depoxetine before sex.
Hope I have answered your query, I will be glad if still any query.
Regards,
Dr.Chintan Solanki.
Just relax, you need counselling
Detailed Answer:
Hi XXXX,
Thanks for information.
Problem of yours is problem of many young people like you. This problem is more physiological rather pathological.
With regular habit of masturbation in many young men sensitivity threshold for sexual feeling is decreased and he reaches form phase of erection to ejaculation somewhat early than before.
Another reason foe early ejaculation is related to frequency of masturbation.When someone masturbate daily, there is less semen storage in seminal vesicles.So it will take more time for ejaculation. When frequency of masturbation decreases say for once in four days, there is more storage of semen in seminal vesicles as semen production is a normal physiological process and occurs daily.In this case it will take less time for ejaculation as semen is ready to come out almost.
In your case I guess first reason as above occurred initially and due to that you reduced your frequency of masturbation which has ultimately led to more decrease in ejaculation time.
And in apprehension of some problem of early ejacualtion you lost your interest in sex.
As you have not done sex frequently with female, no major issues are there. But during 4-5 episodes, early ejaculation might be due to performance anxiety.
Solutions of your problems are:
No need to tense more after understanding above explanation, you are normal and not suffering from any pathological problem.
Masturbate regularly as before.
There is one technique called "stop and squeeze technique".Whenever you are doing masturbation,one stage will come when you feel that now ejaculation is not far away, at that moment you need to divert your mind from sexual thoughts to somewhere else and somewhat tightly press the penis shaft below glans towards downward direction(towards base of penis).This will help to send semen back to seminal vesicles and after few seconds again you can start movement for masturbation.You can learn this technique with practice and increase your ejaculation time without any medicine.
Though you are not in need of any medicines as your problem is limited to masturbation I would like to mention medicines for premature ejaculation for your knowledge. Clomipramine, paroxetine and depoxetine. Clomipramine and paroxeine can be taken daily or on required basis while depoxetine before sex.
Hope I have answered your query, I will be glad if still any query.
Regards,
Dr.Chintan Solanki.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Thanks doc,,
Really appreciate, I am going to marry by February.
Wanted to know.. Previously I used masturbate twice thrice but the excitement was intact even after that... That too daily... But now a days even if I will masturbate once in 4 days only after once I feel like m not having any excitement... The only thing worries me is whenever I had sex with my partner last time.. I came immediately after I inserted and than second time I tried after half n hour same thing occurs I come within seconds... And for the third time I dnt get erected...
I was in relation a year before and used to have sex regularly twice a month i tell you doc first time I used to last little long and second time for very long time and third time I used to get erected but don't come almost for 15mins.. I used to enjoy that.. But now only once I do and it's finished in seconds and excitement and everything fades away.... I dnt wanna have regular medicine and dnt wanna depend on medicines evetytime I will go for sex.. Also I dnt wanna try any Viagra or something...
Please suggest something where my sexual life becomes the same as before m really very much worried...
One more thing wanna make a note is whenever I masturbate first time after 4-5 days my sperms ejaculate in speed and comes out in force and second time it comes like water coming out of tap...
And if I masturbate regularly sperms comes out like how water comes from tap... No force nothing..
Really appreciate, I am going to marry by February.
Wanted to know.. Previously I used masturbate twice thrice but the excitement was intact even after that... That too daily... But now a days even if I will masturbate once in 4 days only after once I feel like m not having any excitement... The only thing worries me is whenever I had sex with my partner last time.. I came immediately after I inserted and than second time I tried after half n hour same thing occurs I come within seconds... And for the third time I dnt get erected...
I was in relation a year before and used to have sex regularly twice a month i tell you doc first time I used to last little long and second time for very long time and third time I used to get erected but don't come almost for 15mins.. I used to enjoy that.. But now only once I do and it's finished in seconds and excitement and everything fades away.... I dnt wanna have regular medicine and dnt wanna depend on medicines evetytime I will go for sex.. Also I dnt wanna try any Viagra or something...
Please suggest something where my sexual life becomes the same as before m really very much worried...
One more thing wanna make a note is whenever I masturbate first time after 4-5 days my sperms ejaculate in speed and comes out in force and second time it comes like water coming out of tap...
And if I masturbate regularly sperms comes out like how water comes from tap... No force nothing..
Brief Answer:
consult sexologist/psychiatrist for sex counsellin
Detailed Answer:
hello XXXX,
I can understand your apprehension.
But remember that practice makes the man perfect.
You were able to do good lengthy sex before means you can that is confirmed. Considering your age, there is no chance of any physical problem there. Your problem is mostly due to performance anxiety.Do not worry about your married life. You will have good sex life for sure. You just need one detail sex counselling session.
master & XXXXXXX technique can be learnt from professional and it is one of the best non medical approach for sex related problems.
You will be mostly helped with that and if needed some anti anxiety medicines can be taken initially.
You are not at all in need of medicine like viagra. But yes medicines which I have described previously can be taken initially to boost up your confidence in treating premature ejaculation.
There is called refractory period between two consecutive masturbation in which ejaculation is not possible which is around 30-45 minutes. If you try during this period after first ejaculation there is lack of chances to semen to come out completely and watery part comes which is part of semen as well as lubrication fluid.So it is normal. Keep at least 3 hours distance between two episode.
Hope I have answered your query, I will be happy to answer more if needed.
regards,
Dr.Chintan Solanki.
consult sexologist/psychiatrist for sex counsellin
Detailed Answer:
hello XXXX,
I can understand your apprehension.
But remember that practice makes the man perfect.
You were able to do good lengthy sex before means you can that is confirmed. Considering your age, there is no chance of any physical problem there. Your problem is mostly due to performance anxiety.Do not worry about your married life. You will have good sex life for sure. You just need one detail sex counselling session.
master & XXXXXXX technique can be learnt from professional and it is one of the best non medical approach for sex related problems.
You will be mostly helped with that and if needed some anti anxiety medicines can be taken initially.
You are not at all in need of medicine like viagra. But yes medicines which I have described previously can be taken initially to boost up your confidence in treating premature ejaculation.
There is called refractory period between two consecutive masturbation in which ejaculation is not possible which is around 30-45 minutes. If you try during this period after first ejaculation there is lack of chances to semen to come out completely and watery part comes which is part of semen as well as lubrication fluid.So it is normal. Keep at least 3 hours distance between two episode.
Hope I have answered your query, I will be happy to answer more if needed.
regards,
Dr.Chintan Solanki.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Hi doctor,
Thanks for the response. Still m pretty much sure m scared enough and not yet assure with the solution.
Would be glad if you can help me with the answers for the following questions.
1. Still I am unclear with the reason why this is happening ( immediate ejaculation while having sex and also while having oral sex I ejaculate immediately if she holds it tightly. Lost of interest in sex).
2. Want to understand more in detail with thev therapy you mention in above note.
3. Want to have exact satisfactory solution (stepwise if possible ) and estimated time when I will be fine again .
4. Will I be the same and can have sex with pleasure and excitement if yes then how.
5. Please doc help me with proper and satisfactory solutions m still scared.
6. This is my last text here doc I think I have last followup question left.
Please help me doc... I would also like to talk doc in future if required please suggest.
Thanks a ton doc in advance
Thanks for the response. Still m pretty much sure m scared enough and not yet assure with the solution.
Would be glad if you can help me with the answers for the following questions.
1. Still I am unclear with the reason why this is happening ( immediate ejaculation while having sex and also while having oral sex I ejaculate immediately if she holds it tightly. Lost of interest in sex).
2. Want to understand more in detail with thev therapy you mention in above note.
3. Want to have exact satisfactory solution (stepwise if possible ) and estimated time when I will be fine again .
4. Will I be the same and can have sex with pleasure and excitement if yes then how.
5. Please doc help me with proper and satisfactory solutions m still scared.
6. This is my last text here doc I think I have last followup question left.
Please help me doc... I would also like to talk doc in future if required please suggest.
Thanks a ton doc in advance
Brief Answer:
see detail answer
Detailed Answer:
Dear Young man,
I can understand your anxiety and concern for problem.
Please see the answers below.
1.Reason is psychological. Your apprehension for capability of lasting long is causing loosing of erection early. And because of this early ejaculation you have lost interest in sex.
2.The therapy I mentioned is required 3-4 sessions to explain in detail n personal. So on this forum it is not practically possible to write lots f pages. And therapy is driven according to your response.You can get brief information on internet I guess.
3.If I were your treating doctor, I would like to start with clomipramine 10 mg daily with 0.25 mg clonazepam and suggest regular masturbation. With these you will likely get response in a week and you will be cured in 4-5 weeks according to response and changing of treatment strategy.
4.Yes you will be able to enjoy sex as before 100%.
5.The best solution is personal counselling with a doctor though he is going to explain what i had but personal consultation matter more in this regard.
6.Yes it is last follow up question, but it is not the end. It is just the beginning towards normal healthy sex life. If you revise my answers, you can get clues and you need to just work on it.
In future you can reach me directly at
http://doctor.healthcaremagic.com/doctors/dr-chintan-solanki/68060
Hope you will find these helpful.
Regards and all the best.
Dr.Chintan Solanki.
see detail answer
Detailed Answer:
Dear Young man,
I can understand your anxiety and concern for problem.
Please see the answers below.
1.Reason is psychological. Your apprehension for capability of lasting long is causing loosing of erection early. And because of this early ejaculation you have lost interest in sex.
2.The therapy I mentioned is required 3-4 sessions to explain in detail n personal. So on this forum it is not practically possible to write lots f pages. And therapy is driven according to your response.You can get brief information on internet I guess.
3.If I were your treating doctor, I would like to start with clomipramine 10 mg daily with 0.25 mg clonazepam and suggest regular masturbation. With these you will likely get response in a week and you will be cured in 4-5 weeks according to response and changing of treatment strategy.
4.Yes you will be able to enjoy sex as before 100%.
5.The best solution is personal counselling with a doctor though he is going to explain what i had but personal consultation matter more in this regard.
6.Yes it is last follow up question, but it is not the end. It is just the beginning towards normal healthy sex life. If you revise my answers, you can get clues and you need to just work on it.
In future you can reach me directly at
http://doctor.healthcaremagic.com/doctors/dr-chintan-solanki/68060
Hope you will find these helpful.
Regards and all the best.
Dr.Chintan Solanki.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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