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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Premature Ejaculation?

I am 37 years old male and married for the last 6 years. Whenever I have sex with my wife I face the problem of premature ejaculation i.e. within 1-2 minutes. My sperm count is also very low. It is very embarrassing. I suffer from low self esteem due to this. I have no history of any medical ailments. But I used to masturbate a lot when I was in my twenties. Please advise and help.
Wed, 17 Dec 2014
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Psychiatrist,  's  Response
Hello thanks for asking from HCM

You are 37 years old and have complaints of premature ejaculation and low sperm count. First of all I would like to know if you underwent semen analysis test to find out sperm count or are referring low volume of semen?

Low sperm count can occur due to a number of reasons like hormonal, genetic etc. Coenzyme-Q have good results in improving the counts in various studies. You can consult a fertility specialist for that.

For premature ejaculation consult a psychiatrist. Several psychological methods like Kegel's Exercise or pelvis muscle strengthening exercise have excellent roles in delaying ejaculation.
Start-stop technique by Master's and Johnson's also have good efficacy.

If condition doesn't improve with these methods then SSRIs can prove useful. Dapoxetine is a drug when used about one hour before intercourse help to delay ejaculation. Consult a psychiatrist for prescription of this drug.

Herbal medicines like Tantex Royal, CONFIDO also have good results though these medicines are not supported by studies. These are ayurvedic medicines and need no prescription.

Thanks, hope this helps you.

Take Care.
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How To Treat Premature Ejaculation?

Hello thanks for asking from HCM You are 37 years old and have complaints of premature ejaculation and low sperm count. First of all I would like to know if you underwent semen analysis test to find out sperm count or are referring low volume of semen? Low sperm count can occur due to a number of reasons like hormonal, genetic etc. Coenzyme-Q have good results in improving the counts in various studies. You can consult a fertility specialist for that. For premature ejaculation consult a psychiatrist. Several psychological methods like Kegel s Exercise or pelvis muscle strengthening exercise have excellent roles in delaying ejaculation. Start-stop technique by Master s and Johnson s also have good efficacy. If condition doesn t improve with these methods then SSRIs can prove useful. Dapoxetine is a drug when used about one hour before intercourse help to delay ejaculation. Consult a psychiatrist for prescription of this drug. Herbal medicines like Tantex Royal, CONFIDO also have good results though these medicines are not supported by studies. These are ayurvedic medicines and need no prescription. Thanks, hope this helps you. Take Care.