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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Reduce Premature Ejaculation?

Hi doctor, my problem is premature ejaculation. Once i started sex with my wife, i cannot control my self in between . Even if i try to control, suddently this happens.. I always spend more time on initial foreplay. still once when i try to do sex, soon after it happens. This is our fifth year after marriage and i have two kids.
Mon, 14 Apr 2014
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Psychiatrist 's  Response

Hello and welcome to Healthcare Magic. Thanks for your query.

I understand that you are quite distressed about your sexual problem. From the description of your symptoms, it appears that you may be suffering from premature ejaculation. Very often the cause is due to excessive anxiety and fear regarding sexual performance (what is called "performance anxiety").

Now, the first and most important step in management of this problem is proper evaluation. This will include a detailed medical, sexual, personal and social history, a thorough physical examination and certain investigations, as per the necessity. Only if the cause is identified correctly, appropriate treatment can be given.

So, I would advise you to see a psychiatrist in your place for a detailed evaluation and further treatment. Treatment will involve sexual counselling and in some cases, medication can also be helpful.

Wish you all the best.

Regards,
Dr. Jonas Sundarakumar
Consultant Psychiatrist
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How To Reduce Premature Ejaculation?

Hello and welcome to Healthcare Magic. Thanks for your query. I understand that you are quite distressed about your sexual problem. From the description of your symptoms, it appears that you may be suffering from premature ejaculation. Very often the cause is due to excessive anxiety and fear regarding sexual performance (what is called performance anxiety ). Now, the first and most important step in management of this problem is proper evaluation. This will include a detailed medical, sexual, personal and social history, a thorough physical examination and certain investigations, as per the necessity. Only if the cause is identified correctly, appropriate treatment can be given. So, I would advise you to see a psychiatrist in your place for a detailed evaluation and further treatment. Treatment will involve sexual counselling and in some cases, medication can also be helpful. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist