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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for premature ejaculation and erectile dysfunction

Answered by
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Dr. Ashok Kumar

Psychiatrist

Practicing since :2000

Answered : 2864 Questions

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Posted on Mon, 10 Sep 2018 in Mental Health
Question: sir my name is XXXXXXX my age 35 years from XXXXXXX my problem is premature ejaculation and small and thin size around 3 inch and not proper hardness I am very much depressed . I smoke 9-10 cigarettes per day and drink very rare twice a month
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Answered by Dr. Ashok Kumar 20 minutes later
Brief Answer:
Premature ejaculation is completely treatable condition

Detailed Answer:
Hi,

I read your query and understand your concerns.

First of all I would like to inform you that premature ejaculation can be treated adequately. Secondly there are multiple methods of treatment premature education including 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 XXXXXXX 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.

Regarding other part of question I like to inform you that average size of flaccid penis is 2-3 inch while the erect penis measures in between 3-6 inch. If your size falls in this range there is nothing to worry.

I also like to inform you that 3S (Smoking, Spirit, Stress) are biggest killers of your sex life and you need to keep them away.

I hope this answers your query.

Take care,
Dr. Ashok Kumar
Above answer was peer-reviewed by : Dr. Kampana
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