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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Premature Ejaculation?

Hi, I am bob, a 24 year old man in the states. i am 6 2 amd weigh 175lbs. I have a wife and two children. for the past two years I haven t been able to hold off from ejaculating for more than five minutes. sometimes I only last a matter of seconds. this has led me to become depressed and not want to have sex. so I masturbate more frequently, everyday, sometimes twice a day. this cronic masturbation makes me last less time during sex also. I feel like my relationship is falling apart due to my inability to perform like a could only a couple of. years ago. please help ...
Fri, 19 Sep 2014
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Psychiatrist 's  Response
hi..BOB, thanks for writing.. i have understood your concerns..

premature ejaculation can result from anxiety and stress person faces in daily routine life..particularly important is anxiety related to sexual performance and partner satisfaction..this is started after first failure in the bed..so it converts the worry in ruminating thought and finally depression...

so, do not think that you have any problems and perform like you were unmarried person ...try to control your anxiety , by exercise, meditation and relaxation exercises..

masturbating frequently also causes the conditioning in which person develops a habit of ejaculating early..this is because of the technique of masturbation with rapid strokes which stimulates strongly..so avoid masturbating daily, keep it 2 times in a week..

premature ejaculation can be treated with behavioral techniques and drugs..i feel you shud consult a psychiatrist and ask for help..tell your problems in detail and he will guide you through the treatment..

behavioral techniques give long lasting effects but you have practice it regularly..for drugs you shud ask to psychiatrist..

i hope this will be helpful to you..best of luck..
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What Causes Premature Ejaculation?

hi..BOB, thanks for writing.. i have understood your concerns.. premature ejaculation can result from anxiety and stress person faces in daily routine life..particularly important is anxiety related to sexual performance and partner satisfaction..this is started after first failure in the bed..so it converts the worry in ruminating thought and finally depression... so, do not think that you have any problems and perform like you were unmarried person ...try to control your anxiety , by exercise, meditation and relaxation exercises.. masturbating frequently also causes the conditioning in which person develops a habit of ejaculating early..this is because of the technique of masturbation with rapid strokes which stimulates strongly..so avoid masturbating daily, keep it 2 times in a week.. premature ejaculation can be treated with behavioral techniques and drugs..i feel you shud consult a psychiatrist and ask for help..tell your problems in detail and he will guide you through the treatment.. behavioral techniques give long lasting effects but you have practice it regularly..for drugs you shud ask to psychiatrist.. i hope this will be helpful to you..best of luck..