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Suggest treatment for low stamina during intercourse and premature ejaculation

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Posted on Sat, 23 May 2015
Question: Recently I have noticed my stamina during intercourse has decreased drastically. A year ago I could last 30 mins or more. but now I can do only 5.
then I had intercourse about 2 or 3 times a day. Now it is once a week Since then I have had a new girlfriend.


I looked online and say hundreds of different ways to last longer but I I don't want to do anything that will hurt me.

so what would you suggest I do, or take to increase my stamina
doctor
Answered by Dr. Chintan Solanki (2 hours later)
Brief Answer:
treatment for early ejaculation is there

Detailed Answer:
Hello Young man,

Thanks for writing to us.

You are of 22 and at this age there is no likely any physical cause which can cause major disturbance in sex life.

Time for ejaculation has been reduced from 30 to 5 minutes it is likely early ejaculation relatively. However it is due to increase in sensitivity of glans penis.
Premature Ejaculation (PME) or early discharge defined when male partner ejaculates early before the female partner reaches to orgasm. There is no absolute time by which we can diagnose PME. It is relative term and female partner is the best judge.So there is need of evaluation in your case that there is PME or not.

I would like to give brief idea about treatment.
There are medicinal and non medicinal approaches to treat PME.

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.
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:

1. Stop and Squeeze technique 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 and penis should be tightly squeezed with hand inwards by your partner preferably).

2. Master and XXXXXXX technique can also be learnt from qualified sexologist/Psychiatrist which includes sessions in couple as it is couple sex therapy. It can help in prolongation of time.

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

4. 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.

Another approach:
-Use of condoms:Sometime using condom while sex helps in delaying ejaculation by reducing sensitivity of glans penis.

--Topical application of anesthetic gel/spray. For this you have to consult doctor.
Choice of treatment depends on your choice and discussion with your treating doctor.


There is no normal frequency of sex also. It varies widely from once a month to once a day. It depends on age, physical structure, mood, work and lifestyle of both partners.
So 2-3 times a day to once a week can not be called abnormal. Let me know if there is any specific difficulty with new girlfriend.

To increase the frequency of sex your mood and body should be healthy. For that regular exercise, healthy diet,timely sleep and avoidance of substances like smoke or alcohol are must.
There are some natural lifestyle measures which help to improve blood flow to penis and overall sexual performance.

- The most important factor is healthy heart. Blood is pumped in to body by heart.So regular exercise and avoidance of fatty fast food are important measures to prevent heart disease. Regular walking, swimming or running overall improves blood flow to whole body circulation including penis and keep the mind fresh.

- Good healthy food is also an important aspect. Bananas, Garlic, dry fruits(they contains vitamins), eggs, cow milk, cow butter are good food which may help in erectile dysfunction.

- Avoid smoking and alcohol. Low amount of alcohol can help in increasing blood flow but more amount can cause opposite effects. So better to avoid the same.

Hope I have answered your query, I will be happy to help further.

Regards,
Dr.Chintan Solanki.
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
doctor
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Follow up: Dr. Chintan Solanki (15 minutes later)
Will any of the medications show in a drug screening? I am in Army ROTC at the college level and they do drug checks
doctor
Answered by Dr. Chintan Solanki (1 hour later)
Brief Answer:
no nothing will show in drug screening

Detailed Answer:
Hi,

Thanks for follow up.

Medicines which I have mentioned and they are prescription drugs.You should take it with legal written prescription. As well as these drugs are not in their abused category.So no need to worry about them during drug screening.They do not appear in drug screening.

Good luck and take care.


Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2406 Questions

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Suggest treatment for low stamina during intercourse and premature ejaculation

Brief Answer: treatment for early ejaculation is there Detailed Answer: Hello Young man, Thanks for writing to us. You are of 22 and at this age there is no likely any physical cause which can cause major disturbance in sex life. Time for ejaculation has been reduced from 30 to 5 minutes it is likely early ejaculation relatively. However it is due to increase in sensitivity of glans penis. Premature Ejaculation (PME) or early discharge defined when male partner ejaculates early before the female partner reaches to orgasm. There is no absolute time by which we can diagnose PME. It is relative term and female partner is the best judge.So there is need of evaluation in your case that there is PME or not. I would like to give brief idea about treatment. There are medicinal and non medicinal approaches to treat PME. 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. 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: 1. Stop and Squeeze technique 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 and penis should be tightly squeezed with hand inwards by your partner preferably). 2. Master and XXXXXXX technique can also be learnt from qualified sexologist/Psychiatrist which includes sessions in couple as it is couple sex therapy. It can help in prolongation of time. 3. Sex counselling of your sexual behaviour and methods. Like if you are down and female partner on top, gravity is going to help you for lengthening the time. 4. 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. Another approach: -Use of condoms:Sometime using condom while sex helps in delaying ejaculation by reducing sensitivity of glans penis. --Topical application of anesthetic gel/spray. For this you have to consult doctor. Choice of treatment depends on your choice and discussion with your treating doctor. There is no normal frequency of sex also. It varies widely from once a month to once a day. It depends on age, physical structure, mood, work and lifestyle of both partners. So 2-3 times a day to once a week can not be called abnormal. Let me know if there is any specific difficulty with new girlfriend. To increase the frequency of sex your mood and body should be healthy. For that regular exercise, healthy diet,timely sleep and avoidance of substances like smoke or alcohol are must. There are some natural lifestyle measures which help to improve blood flow to penis and overall sexual performance. - The most important factor is healthy heart. Blood is pumped in to body by heart.So regular exercise and avoidance of fatty fast food are important measures to prevent heart disease. Regular walking, swimming or running overall improves blood flow to whole body circulation including penis and keep the mind fresh. - Good healthy food is also an important aspect. Bananas, Garlic, dry fruits(they contains vitamins), eggs, cow milk, cow butter are good food which may help in erectile dysfunction. - Avoid smoking and alcohol. Low amount of alcohol can help in increasing blood flow but more amount can cause opposite effects. So better to avoid the same. Hope I have answered your query, I will be happy to help further. Regards, Dr.Chintan Solanki.