HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 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

What Causes Excessive Pre-ejaculation?

I m a 30 years old, single male and have had a problem with excessive pre ejaculation. Sometimes I can have very little to none throughout the day and other times it can be so much that it can stain my underwear and be seen through the underwear. Started about 2 weeks ago so, I sought my physician and he ran a urine test as well as examined my penis and testicles. He found nothing wrong. What could be causing this?
Wed, 7 Oct 2015
Report Abuse
General & Family Physician 's  Response
Hi,
Thanks for posting in HCM.
I understand your concern.
Since you have already been examined by Physician and found no abnormality, it appears that your problem is more of psychological.
You can try following things, which should work out.
Before going for medications, practice 'pause and squeeze technique'.
You need to press the base of the penis during erection when you are about to ejaculate and hold it on till the desire goes and your penis becomes flaccid. This can be tried for about 5 to 6 times regularly.
You can use a topical lignocaine gel locally, half an hour before sexual activity. It reduces the sensitivity of glans and somewhat delays the ejaculation.
If these things are not working well, combine above with Serotonin uptake inhibitors (SSRIs) medications like fluoxetine, which are effective in premature ejaculation.
Kindly consult Psychiatrist/Sexologist in this regard for appropriate management.
Wish you all the best.
I find this answer helpful

Note: For further follow up on related General & Family Physician Click here.
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
 

Related questions you may be interested in


Loading Online Doctors....
What Causes Excessive Pre-ejaculation?

Hi, Thanks for posting in HCM. I understand your concern. Since you have already been examined by Physician and found no abnormality, it appears that your problem is more of psychological. You can try following things, which should work out. Before going for medications, practice pause and squeeze technique . You need to press the base of the penis during erection when you are about to ejaculate and hold it on till the desire goes and your penis becomes flaccid. This can be tried for about 5 to 6 times regularly. You can use a topical lignocaine gel locally, half an hour before sexual activity. It reduces the sensitivity of glans and somewhat delays the ejaculation. If these things are not working well, combine above with Serotonin uptake inhibitors (SSRIs) medications like fluoxetine, which are effective in premature ejaculation. Kindly consult Psychiatrist/Sexologist in this regard for appropriate management. Wish you all the best.