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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Premature Ejaculation

i am married before 5 years my age is 35 and girl babies are there but past 2 years i am affected with premature ejaculation that is within few seconds
and erection also very rare . before that for the last 6 years i used some medicine for heart disease medicines like inderal and alprax can you tell me if these medicines causes any side effects and pleas tell the remedy for my premature sexual problem
                                                  
Tue, 3 Feb 2015
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Psychiatrist 's  Response
Hi, thank you for using health care magic.
I can understand your concern.
Use of inderal (propranolol) some times may produce sexual dysfunction. But as you reported you have sexual dysfunction since 2 year while medicines were used in last six year , medicines may not be the reason behind sexual dysfunction.
For premature ejaculation use following technique which is helpful in most persons.
Use condom having gel which can reduce excessive sensation from top of the penis(glans penis).
There are techniques called start -stop technique , and squeeze technique which can offer you more control over ejaculation. This will delay ejaculation over time. This techniques works by changing the conditional reflex of early ejaculation.
Medicine like sertraline , escitalopram,peroxatine, clomipramine are also helpful in delaying ejaculation , this medicines are usally prescribed by psychiatrist for treatment of depression but for your condition they are also useful.
I would suggest you to consult psychiatrist for further help if needed. Psychiatrist can also help you out through behavioral therapy in your condition. You should also consult your treating physician before making any decision about your drugs of heart condition.
I hope this will help you.
Regards.
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Suggest Remedy For Premature Ejaculation

Hi, thank you for using health care magic. I can understand your concern. Use of inderal (propranolol) some times may produce sexual dysfunction. But as you reported you have sexual dysfunction since 2 year while medicines were used in last six year , medicines may not be the reason behind sexual dysfunction. For premature ejaculation use following technique which is helpful in most persons. Use condom having gel which can reduce excessive sensation from top of the penis(glans penis). There are techniques called start -stop technique , and squeeze technique which can offer you more control over ejaculation. This will delay ejaculation over time. This techniques works by changing the conditional reflex of early ejaculation. Medicine like sertraline , escitalopram,peroxatine, clomipramine are also helpful in delaying ejaculation , this medicines are usally prescribed by psychiatrist for treatment of depression but for your condition they are also useful. I would suggest you to consult psychiatrist for further help if needed. Psychiatrist can also help you out through behavioral therapy in your condition. You should also consult your treating physician before making any decision about your drugs of heart condition. I hope this will help you. Regards.