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 Premature Ejaculation?

Hello Doc, I'm male, age 27.
During intercourse i face the situation where i ejaculate may be within a minute. I dont understand why ejaculation happens so early and after long time when i get erection again it doesnt come so tight. basically not happy with over all sex life.
I do masturbate in regular fashion in a frequency of 3 to 4 times a week (alternate day),Where during standing position i ejaculate around in 2 minutes but during actual intercourse i lie over body then ejaculation happen so fast. Kindly help suggest what could be the case.
I am otherwise feel healthy, sporty in nature. My sexual desires remain high most of times quiet high.

Looking forward for your response.
Mon, 25 Aug 2014
Report Abuse
Psychiatrist 's  Response
hi.. i have understood your concerns..

the causes for premature ejaculation are mostly psychological like, anxiety about the sexual performance particularly when u have failed in satisfying your partner, continuous worry for partner satisfaction, shameful feeling and guilt, past experiences of sexual encounter in which one has to run for sex and ejaculate early [during sex with prostitute or girlfriend], sex in feared situation..where there are chances of being caught.. all these are the possible causes for premature ejaculation...

the marital disharmony and misunderstanding between the partners is also a big cause for it..lack of foreplay before sex is also a causative factor..

i am suggesting the treatment option here..

Premature ejaculation can be treated or controlled with the help of behavioral methods and the drugs..

The behavioral techniques u have to practiced during sex and does not expect the benefit from the first day.. it will take time.. your partner can also help u by participating in the behavioral intervention..these techniques are very difficult to explain here in detail…material is easily available on the internet. U can google the names of techniques, I am about to mention.
Techniques are:
1.     Squeeze technique
2.     Start- stop method
3.     Interruption technique

U can perform these behavioral methods, they are easy to understand..

Premature ejaculation can be controlled by drugs..

SSRI antidepressant drugs cause delayed ejaculation as a side effect, and this side effect is used therapeutically in the treatment of premature ejaculation..these drugs are as following:
Tablet. Paroxetine [paxil 25 mg] at night or
Tablet. Fluoxetine [Prozac 20 mg] in the morning after the breakfast.. or
Tablet. Sertraline [Zoloft 50 mg] at night. Increase the dose to 100 mg after 15 days..

U have to take this drug regularly and its effect will appear only after 15 to 20 days. So be patient for that..

Another strategy is to take drug one hour before sex..the another antidepressant drug dapoxetine [sustinex 30 mg] is given one hour before sex and it cause delayed ejaculation and sexual pleasure to both..

U shud practice the behavioral techniques first..

I hope u ll find this advice helpful..best luck..
I find this answer helpful

Note: For further guidance on mental health, 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 Premature Ejaculation?

hi.. i have understood your concerns.. the causes for premature ejaculation are mostly psychological like, anxiety about the sexual performance particularly when u have failed in satisfying your partner, continuous worry for partner satisfaction, shameful feeling and guilt, past experiences of sexual encounter in which one has to run for sex and ejaculate early [during sex with prostitute or girlfriend], sex in feared situation..where there are chances of being caught.. all these are the possible causes for premature ejaculation... the marital disharmony and misunderstanding between the partners is also a big cause for it..lack of foreplay before sex is also a causative factor.. i am suggesting the treatment option here.. Premature ejaculation can be treated or controlled with the help of behavioral methods and the drugs.. The behavioral techniques u have to practiced during sex and does not expect the benefit from the first day.. it will take time.. your partner can also help u by participating in the behavioral intervention..these techniques are very difficult to explain here in detail…material is easily available on the internet. U can google the names of techniques, I am about to mention. Techniques are: 1. Squeeze technique 2. Start- stop method 3. Interruption technique U can perform these behavioral methods, they are easy to understand.. Premature ejaculation can be controlled by drugs.. SSRI antidepressant drugs cause delayed ejaculation as a side effect, and this side effect is used therapeutically in the treatment of premature ejaculation..these drugs are as following: Tablet. Paroxetine [paxil 25 mg] at night or Tablet. Fluoxetine [Prozac 20 mg] in the morning after the breakfast.. or Tablet. Sertraline [Zoloft 50 mg] at night. Increase the dose to 100 mg after 15 days.. U have to take this drug regularly and its effect will appear only after 15 to 20 days. So be patient for that.. Another strategy is to take drug one hour before sex..the another antidepressant drug dapoxetine [sustinex 30 mg] is given one hour before sex and it cause delayed ejaculation and sexual pleasure to both.. U shud practice the behavioral techniques first.. I hope u ll find this advice helpful..best luck..