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What Is The Cause And Treatment For Premature Ejaculation?

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Posted on Tue, 11 Nov 2014
Question: Hi I am looking for answer for my pre-ejuclation problem anybody can guide me
doctor
Answered by Dr. Ravi Soni (1 hour later)
Brief Answer:
Many methods to deal with it

Detailed Answer:
Hi, XXXXXXX thanks for your query.

I think by pre-ejaculation problem you mean premature ejaculation. In premature ejaculation semen comes out rapidly before you desire it.

There many reasons for it but most common are psychological. Anxiety about past failures in the bed and partner satisfaction is the major cause. You should identify and deal with it.

Ejaculation can be delayed by behavioral techniques and drugs.

Behavioral techniques are easy to learn and perform during sex in which your partner can also help. These are squeeze and stop-start methods and there are other interruption methods also. These techniques inhibit the flow of semen while stimulation and you can have longer time before ejaculation. Effects are long lasting. It is difficult to describe in detail here. Details are easily available on the internet.

Apart from this you can use the position in which you have least stimulation to your penis. This depends upon your past experience but usually female on the top is best for it.
There condomes available with anesthetic agent, you can give it a try.

SSRI antidepressant drugs ae very effective. They cause delayed ejaculation as a side effect.
These are paroxetine, sertraline, fluoxetine. These drugs are to be taken on daily basis and effects will appear after 15 to 20 days.

Another strategy is to take dapoxetine, another SSRI, half an hour before sex. It will delay ejaculation.it should be taken on as and when required basis.

I here suggest you to go for sexual therapy and counselling which includes basic knowledge about sex, sexual organs, foreplay, art of love, how to identify sensitive parts on partner, various positions and their importance.

I hope that this will be helpful to you. Wishing you good health.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Ravi Soni (12 minutes later)
Please send me the prescription on my email id so I can buy these medicines
doctor
Answered by Dr. Ravi Soni (39 minutes later)
Brief Answer:
Giving prescription is not a policy

Detailed Answer:
hi, XXXXXXX thanks for writing again.

I am sorry to disappoint you here. Giving prescriptions is not policy of this site.
this site does not take any responsibility for the adverse effects of drugs prescribed and any medico-legal issues encountered.

You can read it in detail in the site.

But here I have given the names of the drugs. You can search about them on the internet and can easily get the dosage and side effects.

But before going for drugs i shall suggest you to visit a psychiatrist because premature ejaculation can be controlled with behavioral techniques effectively.
Drugs will be effective but on stopping them you might have same problem again.

I hope this will be helpful to you.
Don't rate negatively because this is my limitation imposed by site.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
Dr.
Dr. Ravi Soni

Psychiatrist

Practicing since :2010

Answered : 538 Questions

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What Is The Cause And Treatment For Premature Ejaculation?

Brief Answer: Many methods to deal with it Detailed Answer: Hi, XXXXXXX thanks for your query. I think by pre-ejaculation problem you mean premature ejaculation. In premature ejaculation semen comes out rapidly before you desire it. There many reasons for it but most common are psychological. Anxiety about past failures in the bed and partner satisfaction is the major cause. You should identify and deal with it. Ejaculation can be delayed by behavioral techniques and drugs. Behavioral techniques are easy to learn and perform during sex in which your partner can also help. These are squeeze and stop-start methods and there are other interruption methods also. These techniques inhibit the flow of semen while stimulation and you can have longer time before ejaculation. Effects are long lasting. It is difficult to describe in detail here. Details are easily available on the internet. Apart from this you can use the position in which you have least stimulation to your penis. This depends upon your past experience but usually female on the top is best for it. There condomes available with anesthetic agent, you can give it a try. SSRI antidepressant drugs ae very effective. They cause delayed ejaculation as a side effect. These are paroxetine, sertraline, fluoxetine. These drugs are to be taken on daily basis and effects will appear after 15 to 20 days. Another strategy is to take dapoxetine, another SSRI, half an hour before sex. It will delay ejaculation.it should be taken on as and when required basis. I here suggest you to go for sexual therapy and counselling which includes basic knowledge about sex, sexual organs, foreplay, art of love, how to identify sensitive parts on partner, various positions and their importance. I hope that this will be helpful to you. Wishing you good health.