Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
152 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest Remedy To Cure Premature Ejaculation

Dear Doctor,
Me Syed Ziaul Houqe, Age : 40, Sex : M, I got married more than 10 yrs, My wife age is 39 yrs, I have a son, his age 8 yrs. My sexual problem is that " I Sex with my wife 4-5 time in a months. But when I meet with my wife I can not continue my sex. At first I kiss my wife then kiss in her boof and at the last time when I push my dig in her points 2 seconds to 5 seconds my jelly has been out. For this reason my wife can not satisfy and also me, it is a big problem for us, plz advice us.
Thanks
Ziaul Hoque
Mon, 13 Jun 2016
Report Abuse
Psychiatrist 's  Response
Dear service user,
Thanks for contacting Healthcaremagic.
I have gone through your question and understand your concerns.
When one's arousal level is very high so he reaches orgasm quickly and emission occurs. However the ejaculatory control can be achieved by behaviour techniques such as 'stop-start technique'.
When clients with similar problems approach me, I recommend them a behavior exercise called start-stop technique.
The man starts masturbation and stops just prior to orgasmic inevitability. He allows arousal level to decline and re-stimulates. One should continue this 'start-stop' sequence for about 15 minutes. Later on he may fantasize about partner during the start-stop hence learns to be in the situation when he actually will confront female partner.
In this method, man learns to identify or feel the point of ejaculatory inevitability (The point of NO RETURN) and gains voluntary control of ejaculation gradually over a period of time.
There are medications like Paroxetine or Depoxetine which helps to delay orgasm. They can be taken in combination with Sildenafil. They should be taken under medical supervision.
I hope this will surely help you.
Feel free to ask anything again if you have any queries.
Warm regards.
I find this answer helpful
General & Family Physician Dr. Dholariya Sagar Jayantilal's  Response
Hello dear
Understand your concern,
Hello dear
Understand your concern
First you have to find the causes of premature ejaculation.
It is due to:
Psychological cause: Stress, anxiety, relation problem
Medical cause: Fatigue, diabetes, overweight, enlarged prostate, hypertension and drugs used for it, smoking, alcohol consumption, damage to back nerves, decreased testosterone.
You should consult the psychiatric and require following investigation: Blood glucose, CBC, ESR, testosterone, cortisol, semen analysis, urea, creatinine.
Following are advice for you:
Psychological treatment:
cognitive behavioral therapy, squeeze treatment, Use stop and start treatment: stop sex at the time of ejaculation and divert your mind from sex, use comfortable method for sex, women on top position,hold urination before urination, masturbation before sex, and kegel's exercise,
Medical treatment:
Start regular exercise like walking and yoga daily 30-45 minutes in morning, avoid smoking and alcohol, use double condoms or condom with lidocaine jelly that decreased sensation of penis, take fresh fruits and anti oxident like co Q.
You can use sildenafil plus paroxentine 30 minutes before sex but after proper evaluation
Hope this may help you
Best regards
Dr. Sagar
I find this answer helpful
Psychiatrist Dr. Bajrang Lal Dhaka's  Response
Hi dear , don't take it as a big problem.it happens when your frequency of sex is less or when you go for sex after a gap of 7 to 10 days.don't go for sex when you are in hurry.you should be relaxed while going for sex , never think about your previous failure. sometime just do fore play,start light exercises in morning.if problem continues you can consult a psychiatrist.
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 
Loading Online Doctors....
Suggest Remedy To Cure Premature Ejaculation

Dear service user, Thanks for contacting Healthcaremagic. I have gone through your question and understand your concerns. When one s arousal level is very high so he reaches orgasm quickly and emission occurs. However the ejaculatory control can be achieved by behaviour techniques such as stop-start technique . When clients with similar problems approach me, I recommend them a behavior exercise called start-stop technique. The man starts masturbation and stops just prior to orgasmic inevitability. He allows arousal level to decline and re-stimulates. One should continue this start-stop sequence for about 15 minutes. Later on he may fantasize about partner during the start-stop hence learns to be in the situation when he actually will confront female partner. In this method, man learns to identify or feel the point of ejaculatory inevitability (The point of NO RETURN) and gains voluntary control of ejaculation gradually over a period of time. There are medications like Paroxetine or Depoxetine which helps to delay orgasm. They can be taken in combination with Sildenafil. They should be taken under medical supervision. I hope this will surely help you. Feel free to ask anything again if you have any queries. Warm regards.