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Suggest treatment for premature ejaculation

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Posted on Mon, 30 Nov 2015
Question: Doctor my penis isn't work properly during sex sperm was release before sex tell me the solution
doctor
Answered by Dr. Harish Naik (56 minutes later)
Brief Answer:
PME, self resolving, try behavioral approaches

Detailed Answer:
Hi
Welcome to HCM
I have gone through your query.

You are facing Premature Ejaculation (PME)
Provide additional information
Is it recently that you started having intercourse or is it with new partner.
The commonest cause of premature ejaculation is the anxiety of performance.

Most of the PME, will resolve on its own, without any intervention.

There are two treatment options available 1. Behavioral 2. Pharmacological.

Behavioral approaches includes
Stop and Squeeze technique -- 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.
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.
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.
You can try longlast condom, which is helpful in same cases.

There are drugs like clomipramine, Paroxetine, These medicines are prescription medicines and you need to consult doctor for prescription.

I would have suggested you to go for behavioral approach and feel you will be fine with that measures.

Hope this helps
Take care
Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Harish Naik (20 hours later)
Doctor I already done behavioral activity but when I can do other activity like kissing & sucking with my partner so in that time sperm release before doing inter course so I am very tensioned please help me doctor
doctor
Answered by Dr. Harish Naik (25 hours later)
Brief Answer:
Masturbation before sex, use of long last condoms

Detailed Answer:
Hi
Good to hear from you.
First of all you have to be relaxed, anxiety increase the PME. Have you tried masturbation before having intercourse, if not try this. Have you tried long last condoms.
When did you start having intercourse, if it is the beginning, then with time you will be fine.
If the behavioral technique does not work out, then you should go for prescription based drugs.

Hope this helps.
Take care
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Harish Naik (4 hours later)
Doctor if I take prescription based drugs it effects my body or not ( either some side effect)
It will take permanently or some time ( during sex)
Tell me that medicine that effect permanently
doctor
Answered by Dr. Harish Naik (4 hours later)
Brief Answer:
Drugs are safe if taken in right doses

Detailed Answer:
Hi
Good to hear from you.
All medicine are external substance, they can produce side effects but when taken at right doses they are less likely to cause any harm.
I would not have directly jumped to the medication, kindly provide the information that I had asked for
1. When did you start having sex
2 Have you tried masturbation before sex
3. Long last condoms
4. Is this happening with new partner

PME is common and most of the time it resolves on its own with time, you appear to be very anxious, that is main cause, you have to relax and give some time.

Hope this helps.
Take care
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Harish Naik

General & Family Physician

Practicing since :2008

Answered : 2621 Questions

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Suggest treatment for premature ejaculation

Brief Answer: PME, self resolving, try behavioral approaches Detailed Answer: Hi Welcome to HCM I have gone through your query. You are facing Premature Ejaculation (PME) Provide additional information Is it recently that you started having intercourse or is it with new partner. The commonest cause of premature ejaculation is the anxiety of performance. Most of the PME, will resolve on its own, without any intervention. There are two treatment options available 1. Behavioral 2. Pharmacological. Behavioral approaches includes Stop and Squeeze technique -- 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. 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. 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. You can try longlast condom, which is helpful in same cases. There are drugs like clomipramine, Paroxetine, These medicines are prescription medicines and you need to consult doctor for prescription. I would have suggested you to go for behavioral approach and feel you will be fine with that measures. Hope this helps Take care