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Suggest Treatment For Premature Ejaculation

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Posted on Tue, 5 May 2015
Question: Sexual Erection problem. I have tried homeopathy but it did not cure.

My erection does not stay for long time. Also sticky fluid comes out while penis is erected.
doctor
Answered by Dr. Chintan Solanki (1 hour later)
Brief Answer:
treatment for your problem is there

Detailed Answer:
Hello XXXXXXX

Thanks for writing to us.

I can understand your concern.

First of all clarification regarding sticky fluid.

Whenever penis erect for sex there is clear sticky water like discharge comes out from penis.This is normal lubrication fluid from couper's gland of penis. This is secreted to prevent friction between penis and vaginal wall and smooth intercourse.
If your discharge is without excitation/erection and associated with burning or foul smell there may be possibility of infection. otherwise no need to worry.

Now problem of not able to erect for long.This may be premature ejaculation.

Premature Ejaculation (PME) or early ejaculation 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.

There are few behavioral approaches as well as medicines which can help to treat PME.

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.

Another option is ayurvedic medicines. You can get them over the counter mostly.
Tentex royale and confido are the products which are used for PME and no side effects have been observed.

Behavioral approaches are as follows for your information.

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.

Hope I have answered your query.

Feel free to discuss further.

Regards,
Dr.Chintan Solanki.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chintan Solanki (11 minutes later)
Thank you for your immediate reply.

Please advice name of medicine which does not have side effect and easily available at the shop.

Also write to me dose how to take this medicine.

My age is 32 and my weight is 74

Regards
XXXX
doctor
Answered by Dr. Chintan Solanki (1 hour later)
Brief Answer:
better to consult doctor for prescription

Detailed Answer:
Hi XXXXXXX

I can understand your concern.

Online prescription is not valid according to laws.I am sorry for limitation from our side.It is not possible that I can treat you online.And it is also better to take medicines after consulting doctor as any side effect occurs by chance your treating local doctor can help immediately.

If I were your treating doctor, I would like to start clomipramine 10 mg at night which is with the least side effects.Please consult doctor to get prescription of the same.

Hope you got the answer of your concern.

All the best.


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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2406 Questions

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Suggest Treatment For Premature Ejaculation

Brief Answer: treatment for your problem is there Detailed Answer: Hello XXXXXXX Thanks for writing to us. I can understand your concern. First of all clarification regarding sticky fluid. Whenever penis erect for sex there is clear sticky water like discharge comes out from penis.This is normal lubrication fluid from couper's gland of penis. This is secreted to prevent friction between penis and vaginal wall and smooth intercourse. If your discharge is without excitation/erection and associated with burning or foul smell there may be possibility of infection. otherwise no need to worry. Now problem of not able to erect for long.This may be premature ejaculation. Premature Ejaculation (PME) or early ejaculation 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. There are few behavioral approaches as well as medicines which can help to treat PME. 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. Another option is ayurvedic medicines. You can get them over the counter mostly. Tentex royale and confido are the products which are used for PME and no side effects have been observed. Behavioral approaches are as follows for your information. 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. Hope I have answered your query. Feel free to discuss further. Regards, Dr.Chintan Solanki.