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Taking medicine for depression. Suffering from erectile dysfunction. Required treatment?

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Practicing since : 2004
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sir i am mentioning following symptoms-------------
1.i am 31 male,weight-101kg
2.married 6 years ago
3.When i am fully aroused then it hardly takes6 or8 seconds to ejaculate.
4.the pleasure at ejaculation which was earlier longer and stronger has drastically reduced.
5.however i still get aroused seeing beautiful women
6.erection time has also reduced
7.i am also on medication since last 4 months----------Rozavel-F 10mgfor controlling tryglyserides and duvanta 30 for depression
8.if anything else ,please ask me?
Sat, 2 Feb 2013 in Erectile Dysfunction
Answered by Dr. Ashish Mittal 1 hour later
Thanks for your query.

Your ejaculation time (6-8 seconds) is less. This condition is called premature ejaculation.
Premature ejaculation is diagnosed when ejaculation time is less than 3 Min, or both partners are not satisfied with sex.

Premature ejaculation (PE) is common problem and depends on multiple factors like:
*Psychological factors: most common. The psychological factors may include stress, performance anxiety and depression. As you are already on treatment for depression, which may be cause of your problem. Depression also lead to poor erection and less sexual orgasm.

*Medical causes: Reflex activity of ejaculatory system, thyroid problems, diabetes, hypertension and neurological causes.

Following steps will be helpful for treatment:

-Treatment of above conditions (if present) after examination. So, it is better to continue duvanta. Duvanta also increases ejaculation time in many cases. You can also inform your psychiatrist for premature ejaculation, so that he can do some treatment modification to reduce sexual problems.

-Start jogging in morning as it reduces stress, depression and performance anxiety.

- Try distracting yourself when you feel you are about to ejaculate. Take a XXXXXXX breath and stay relaxed during intercourse.

- Do not worry about performance and talk to your partner openly about any apprehensions if you have. Conversation with partner during sex also delay ejaculation.

- Stop-start or squeeze-pause technique- In stop start technique, near ejaculation stop all movements, relax and think about something else. Then wait for 1 minute before starting movements. According to number of stops, ejaculation time will come under your control.

-Squeeze- pause technique: squeeze the end or the tip of the penis for 10 to 20 seconds when you are close to ejaculation and then resume stimulation after withholding for half a minute.

-In many persons woman on top position increases ejaculation time.

- If the symptoms persist then condoms with desensitizing creams (marketed as Kohinoor extra time) and tablet like dapoxetine will be helpful, which you can get after prescription from physician.

Follow all these above methods regularly and your problem will solve in few weeks.

Wish you good health.
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