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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

Sir, I suffer from premature ejaculation for the past 4 years. Comparitively I am not fully satisfied with the erection what I had years back. After udergoing unani treatment for the past 1 year, I feel the erection better at times (not always) but I feel the premature ejaculatin getting worse day by day. For ex. while driving 2 wheeler , if I tried to mastubrate without the help of hands, but making use of the vibration of the vehicle alone, then too I get the semen ejaculated. Is musli power extra solve the problem ? Plz advice. I am from coimbatore.
Mon, 13 Jun 2016
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Psychiatrist 's  Response
Hello,
Welcome to HCM.

Normal ejaculation time is more than 3 min. It usually increase with experience, confidence and reduction in performance anxiety. Ejaculation time can be increase by behaviour intervention like stop-start technique. In drug treatment with SSRIs medicines (prescription medicine) are helpful, which you can get after prescription from nearby psychiatrist.

Musli power is ayurvedic medicine. You can consult Ayurvedic doctor (BAMS) regarding this.

Take care,
www.99doctor.com
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Psychiatrist Dr. Chintan Raval's  Response
Dear service user,
Thank you for writing to Healthcaremagic.
I have gone through your question and understand your concerns to delay the ejaculation.
Unani medicines are just like placebo for your problem. It is rarely effective.
Following strategies, 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.

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 sex life ahead.
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