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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Premature Ejaculation

doctor, i have been suffering from premature ejaculation, sometimes i can last say 3mins but most times i dont in less than 2 mins, especially if i choose to thrust, have taken some drugs and used some ointment but non seems to assist or work for me, my family has a history of high blood pressure, will really need ur assistant on what to do
Wed, 15 Jun 2016
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Psychiatrist 's  Response
Dear service user,
Thanks for writing to healthcaremagic.
I read your concerns regarding premature ejaculations.
High blood pressure can cause erectile dysfunction not premature ejaculation. You can consult your family physician to check out your blood pressure and must treat it if you are hypertensive.
You have taken some drugs and used some ointment but all did not help you.
When clients with similar premature ejaculations, when clients approach me, I recommend them a behavior exercise called ''stop-start'' 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. This is how you can gain ejaculatory control gradually.
Female on top position with active role during coitus helps one to delay climax.
There are medications like Paroxetine or Depoxetine which helps to delay orgasm. They should be taken under medical supervision.
You should consult a psychiatrist well versed with psycho sexual therapy.
I hope this will help you.
If you have any further questions , I will be happy to help. Wish you good health.
I find this answer helpful
Psychiatrist Dr. Chintan Raval's  Response
Dear service user,
Thank you for writing to healthcaremagic.
I read your concerns regarding premature ejaculations.
Let me tell you that hypertension has nothing to do with premature ejaculation. So no need to worry about it.
You have taken some drugs and used some ointment but all did not help you.
When clients with similar problem come to my clinic, I recommend them following strategies which in combination often help them to delay the climax.
1. Stop-start technique of behavior therapy.
2. Female on top with active role.
3. Double condom
4. Medicines like Fluoxetine 20 mg day or Paroxetine CR 25 mg per day.
(To be taken under medical supervision only)
5. Pelvic muscle strengthening exercise. (As if try to hold urine intermittently during voiding)
6. Penile squeeze technique applied at the point of ejaculatory inevitability.
7. Applying a local anesthetic ointment to glans penis prior to penetration.
I recommend you to consult psychiatrist trained in psychosexual medicine, who will guide you how to utilize all these techniques effectively best suited for you.
I hope this will help you.
If you have any further questions I will be happy to help. Wish you good health.
I find this answer helpful
Psychiatrist Dr. Chintan Raval's  Response
Dear service user,
Thank you for writing to healthcaremagic.
I read your concerns regarding premature ejaculations.
High blood pressure does not cause premature ejaculation.

Following methods, in combination often help to delay the climax.
1. Stop-start technique of behavior therapy.
2. Female on top with active role.
3. Double condom
4. Medicines like Fluoxetine 20 mg day or Paroxetine CR 25 mg per day.
(To be taken under medical supervision only)
5. Pelvic muscle strengthening exercise. (As if try to hold urine intermittently during voiding)
6. Penile squeeze technique applied at the point of ejaculatory inevitability.
7. Applying a local anesthetic ointment to glans penis prior to penetration.

One can lead the partner to orgasm by stimulating other erogenous zones rather than vaginal containment only. I recommend you to consult psychiatrist trained in psychosexual medicine, who will guide you how to utilize all these techniques effectively best suited for you.
I hope this will help you.
Wish you good health.
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
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Suggest Treatment For Premature Ejaculation

Dear service user, Thanks for writing to healthcaremagic. I read your concerns regarding premature ejaculations. High blood pressure can cause erectile dysfunction not premature ejaculation. You can consult your family physician to check out your blood pressure and must treat it if you are hypertensive. You have taken some drugs and used some ointment but all did not help you. When clients with similar premature ejaculations, when clients approach me, I recommend them a behavior exercise called stop-start 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. This is how you can gain ejaculatory control gradually. Female on top position with active role during coitus helps one to delay climax. There are medications like Paroxetine or Depoxetine which helps to delay orgasm. They should be taken under medical supervision. You should consult a psychiatrist well versed with psycho sexual therapy. I hope this will help you. If you have any further questions , I will be happy to help. Wish you good health.