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Suggest Treatment For Premature Ejaculation

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Posted on Mon, 7 Mar 2016
Question: How do I deal with premature ejaculation? It occurs in under a minute. Before recently I used to be able to last typically as long as I wanted and now it has become embarrassing to say the least.
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (36 minutes later)
Brief Answer:
Questions for you:

Detailed Answer:
Hello and welcome,

This is really a rather common problem. There is help. First, though, if you can provide me with some more info:

- Does this happen only with intercourse or also with masturbation?
- Did this start when you started with a new sex partner?
- Do you think you are nervous about being able to perform sexually?

Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Bonnie Berger-Durnbaugh (25 hours later)
It started with just intercourse but now it has become a problem during masterbation also. Yes it did start with a new sexual partner. I definitely think I am nervous about my performance.
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (4 hours later)
Brief Answer:
Here is some information:

Detailed Answer:
Well some bad experiences can make a person anxious for the future, but the problem can be helped and if you didn't have this problem before, there's good chance you'll be able to get over it quickly with a little help.

And, since you didn't have this problem before, and you are 19 (rather than an aging man), less chance that the problem is hormonal or physiological.

Stress and anxiety can interfere with a person's ability to relax and focus during intercourse.

One of the most commonly used behavioral techniques for getting over premature ejaculation is the pause-squeeze technique.
1. Begin foreplay until you feel near orgasm.
2. Stop and have your partner squeeze the penis where the head meets the shaft.
3. Squeeze several seconds until the urge to ejaculate passes.
4. Wait 30 seconds. It's ok that the penis becomes less erect.
5. Resume foreplay.

Repeat this 1 or 2 times.

You can also do this with yourself.

Practicing this technique will train your body and mind regarding how to delay ejaculation so that you no longer require the pause-squeeze technique.

Another thing to do, if this is a new partner and you feel somewhat uncomfortable is just have mutual masturbation (rather than intercourse) for a few times until you feel more comfortable in the relationship.

If these techniques don't work, there are medications you can try.

Topical anesthetics can numb physical sensation somewhat and delay ejaculation because of it.

SSRI antidepressants have a side effect of delayed ejaculation.

Medications that treat erectile dysfunction, such as Viagra, can also delay ejaculation.

But given that you have some performance anxiety, I think the place to start would be with the behavioral techniques rather than the meds.

I hope this information helps. Please let me know if I can provide further information or clarification.

In the future, if you want me specifically to answer a question, you can put my name in the first line of your question and it will be routed to me.

Best regards,
Bonnie Berger-Durnbaugh, MD



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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3134 Questions

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Suggest Treatment For Premature Ejaculation

Brief Answer: Questions for you: Detailed Answer: Hello and welcome, This is really a rather common problem. There is help. First, though, if you can provide me with some more info: - Does this happen only with intercourse or also with masturbation? - Did this start when you started with a new sex partner? - Do you think you are nervous about being able to perform sexually? Thanks.