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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedies For Premature Ejaculation

Dear Dr,

I am 28yrs married male.

My main problem is my wife not satisfied with our sexual relationship due to my "Quick Discharge Problem".

For your information dr, I had habit of "Masturbation" from last 12yrs. Every week I had made this proses 2-3 times. Even presently some times I have done this.

At present I am very confused & depressed about my these problem.

Now I need your help. Please suggest/advise me and give me some homely proses to avoid these problem.

Thanks,


Santu Barman

Mon, 1 Sep 2014
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Psychiatrist 's  Response
hi..Mr santu..thanks for writing...i have understood your concerns...

masturbation is not a bad habit and it does not cause any sexual or physical weakness..the symptoms of depression and weakness have developed because u think that u have developed some sexual problems and u are worried...

Premature ejaculation can be treated or controlled with the help of behavioral methods and the drugs..

The behavioral techniques u have to practiced during sex and does not expect the benefit from the first day.. it will take time.. your partner can also help u by participating in the behavioral intervention..these techniques are very difficult to explain here in detail…material is easily available on the internet. U can google the names of techniques, I am about to mention.
Techniques are:
1.     Squeeze technique
2.     Start- stop method
3.     Interruption technique

U can perform these behavioral methods, they are easy to understand..

Premature ejaculation can be controlled by drugs..

SSRI antidepressant drugs cause delayed ejaculation as a side effect, and this side effect is used therapeutically in the treatment of premature ejaculation..these drugs are as following:
Tablet. Paroxetine [paxil 25 mg] at night or
Tablet. Fluoxetine [Prozac 20 mg] in the morning after the breakfast.. or
Tablet. Sertraline [Zoloft 50 mg] at night. Increase the dose to 100 mg after 15 days..

U have to take this drug regularly and its effect will appear only after 15 to 20 days. So be patient for that..

Another strategy is to take drug one hour before sex..the another antidepressant drug dapoxetine [sustinex 30 mg] is given one hour before sex and it cause delayed ejaculation and sexual pleasure to both..

U shud practice the behavioral techniques first..

i hope u ll find this advice helpful.. best luck...
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Suggest Remedies For Premature Ejaculation

hi..Mr santu..thanks for writing...i have understood your concerns... masturbation is not a bad habit and it does not cause any sexual or physical weakness..the symptoms of depression and weakness have developed because u think that u have developed some sexual problems and u are worried... Premature ejaculation can be treated or controlled with the help of behavioral methods and the drugs.. The behavioral techniques u have to practiced during sex and does not expect the benefit from the first day.. it will take time.. your partner can also help u by participating in the behavioral intervention..these techniques are very difficult to explain here in detail…material is easily available on the internet. U can google the names of techniques, I am about to mention. Techniques are: 1. Squeeze technique 2. Start- stop method 3. Interruption technique U can perform these behavioral methods, they are easy to understand.. Premature ejaculation can be controlled by drugs.. SSRI antidepressant drugs cause delayed ejaculation as a side effect, and this side effect is used therapeutically in the treatment of premature ejaculation..these drugs are as following: Tablet. Paroxetine [paxil 25 mg] at night or Tablet. Fluoxetine [Prozac 20 mg] in the morning after the breakfast.. or Tablet. Sertraline [Zoloft 50 mg] at night. Increase the dose to 100 mg after 15 days.. U have to take this drug regularly and its effect will appear only after 15 to 20 days. So be patient for that.. Another strategy is to take drug one hour before sex..the another antidepressant drug dapoxetine [sustinex 30 mg] is given one hour before sex and it cause delayed ejaculation and sexual pleasure to both.. U shud practice the behavioral techniques first.. i hope u ll find this advice helpful.. best luck...