Brief Answer:
I recommend climax delay spray

Detailed Answer:
Hello,

Thanks for writing to us.

Both spray contains lignocaine, a drug used for topical anesthesia. It works by reducing sensation of skin. I recommend climax spray.As such such spray is safe to use. Some points to keep in mind are mentioned below.

Some people are allergic to such topical anesthetic. To check this side effect, first apply only small amount of spray on glans and wait for an hour. If there is itching, burning or pain, one should not use it. Wash immediately with plane water on that case. If there is no symptom one can use it.
In any case if person has symptoms like dizziness, drowsiness, lightheadedness,tinnitus, blurred or double vision, vomiting, sensations of heat, cold or numbness, twitching, tremors; chances of systemic absorption are there and one should consult doctor immediately.

In some people it reduces erotic sensation also and person cannot achieve orgasm.
One must be careful that it should not be applied on damaged skin. With absorption in circulatory system it may cause low blood pressure and low heart rate.

Such spray should be used with local doctor's prescription; by chance any side effect occurs doctor can help immediately.
Hope I have answered your query, I will be happy to help further.

Regards,

Dr.Chintan Solanki.

---

Brief Answer:
yes medicines and behavioral approaches are there

Detailed Answer:
Hi,

Thanks for follow up.

I want to describe brief details about the treatment of PME.

According to the latest diagnostic criteria by DSM 5, premature ejaculation should be defined when there is ejaculation within one minute after entering tin to vagina or even before penetration.

Treatment for PME:

Medicines:
Clomipramine and paroxetine are choice of medicines which are used as antidepressants (For depression dose is higher).
I prefer clomipramine for PME. No significant side effects with these medicines. Initially say for 0-30 days daily after dinner and later on just on the day when you do the sex.
Paroxetine is more potent but it may cause side effects like headache, gastric discomfort, giddiness and sedation. In patients with blood pressure it should be used in consultation with physician/cardiologist.

One molecule called depoxetine has been used specifically for PME and should be taken before hours of sex when required.
These medicines are prescription medicines and you need to consult doctor/psychiatrist/sexologist for prescription.


Behavioral approaches are as follows for your information:

1. Stop and Squeeze technique can be applied which you can learn from internet and ask me if any query in that.(In brief, method suggests that you should try to divert your mind for a moment when you feel ejaculation arousal and penis should be tightly squeezed with hand inwards by your partner preferably).

2. Kegel exercise also helps in some cases. You can learn the same from internet.

3. Sex counselling of your sexual behavior and methods. Like if you are down and female partner on top, gravity is going to help you for lengthening the time.

4. You should do masturbation before sex (at least hours before). It will make seminal vesicles somewhat empty and at time of sex semen will take more time to come out.

Another approach:
-Use of condoms. It reduces sensitivity of glans penis and delays the ejaculation.

--Topical application of lignocaine anesthetic gel/spray. We have already discussed about this.

In ayurvedic products confido can be used for premature ejaculation. It is likely available over the counter without prescription.

Yes premature ejaculation can be cured with application of mixed approach of medicines and behavior modifications.

Take care.

---