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Dr. Andrew Rynne

Family Physician

Exp 50 years

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I am suffering from premature ejaculation. Kindly suggest

Hi Dr, i am 21 years old. i am suffering from premature ejacuation. i can control for abt 10-15 sec only. what should i do. any treatment?? if i need medical checkup done then whom do i consult regarding this?? wch spclst deals with this kind of problem?? any suggstn for treatment in kolkata??
Wed, 18 May 2011
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Internal Medicine Specialist 's  Response
Hello,

Thanks for your query. Premature ejaculation(PE) is not uncommon and depends on multiple factors , the most common being psychological factors. The psychological factors may include stress and anxiety in daily life and depression due to personal, professional , financial and other social issues. Medical causes of premature ejaculation include abnormal hormone level, reflex activity of ejaculatory system, thyroid problems, diabetes, hypertension and neurological causes.

Try distracting yourself when you feel you are about to ejaculate. Take a deep breath and stay relaxed during intercourse. Also do not worry about performance and talk to your partner openly about any apprehensions if you have. Other treatment methods which can be followed are stop-start or squeeze-pause technique. In stop start technique, near ejaculation withdraw from your partner and relax and think about something else. In 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. If the symptoms persist then desensitizing creams and SRRI (selective serotonin reuptake inhibitors) may need to be prescribed for which you have to consult a urologist. A urologist will be the best person to guide you through this. You may need to undergo certain medical tests like for diabetes, thyroid profile and hormonal assay.

Any good urologist in one of the good hospitals in Kolkata can be consulted.


Hope this information helps you. If you have additional questions regarding these recommendations, you should not hesitate to contact Doctor at HealthcareMagic, who is in contact with me. Wishing you good health.
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