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Hi Doctor, My Age Is 34 Yrs And I Am

Posted on Mon, 27 May 2019

Question: Hi Doctor,
My age is 34 yrs and I am married for past 6 years and I have felt that my ejaculation time has decreased. Previously I was able to hold ejaculation for 4-5 min but, now it has decreased to less than 1 min. Sometimes I ejaculate just after penetration. Please suggest what shall I do to increase my ejaculatiom time?
I had got my health check done in Nov 2018. I am attaching the reports for the same. Though they are a bit old but, still you may have a look on the same.
Also, I am not on any medication. Please suggest what could be the cause and also the solution for the same. Thanks.

Regards,
Ankur

Answered by Dr. Dr. P. T. Patil (2 hours later)

Brief Answer:
You are facing problem of Premature Ejaculation.

Detailed Answer:
Hello
Thanks for query.Based on the facts that you have posted you seem to have been facing problem of Premature Ejaculation. It is a very common problem that every individual faces at some time or other during active sexual life and is due to what is called as Performance Anxiety.

Following general measures do help to resolve the issue to certain extent
1) Practice moderate exercise every day for 45 minutes.
2) Take 6-8 almonds every day
3) Take high protein diet rich in Vitamins A,E C and Zinc
4)Avoid alcohol and smoking
5) Spend more time in foreplay.

Consult qualified Sexologist along with wife to learn how to modify sex techniques like Start and Stop and Squeeze technique.

Taking Sildenafil( (Viagra) along with Paraxetine one hour before planned sex will help to delay ejaculation and to have enjoyable sex.

Hope I have answered your query.Please do write if you have more questions

Thanks and Regards
DrPatil

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. P. T. Patil (49 minutes later)

Hi Doctor,
Thanks for your reply.

I have already started exercising 2 weeks back and will try to continue it as suggested.

As I understand that almost all medicines comes with some side effects. So, just want to confirm the following:

1. What side effects could Sildenafil( (Viagra) and Paraxetine may have?

2. How frequently these medicines can be taken without any (or minor) side effects? I mean can it be taken let's say twice a week before planned sex? or shall it be consumed rarely? Please suggest.

Regards,
Ankur

Answered by Dr. Dr. P. T. Patil (8 hours later)

Brief Answer:
Viagra and Paroxetine do have some side effects like headache .

Detailed Answer:
hello
Thanks for follow up.

These drugs have side effects like mild headache and drowsiness that lasts for few hours which wanes away .
Normally one gets accustomed to it over a period of time .

They have to be taken one hour before only on a day of planned sexual activity .

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. P. T. Patil (5 hours later)

Hi Doctor,
Thanks again for your reply.

I checked and there medicines are available in different potencies.

For e.g. Sildenafil is available starting from 25 mg, 50 mg, 100 mg and Paroxetine is available starting from 10 mg, 12.5 mg, 37.5 mg etc.

Please suggest the potency for both the medicines. Thanks.

Regards,
Ankur

Answered by Dr. Dr. P. T. Patil (5 hours later)

Brief Answer:
Start with small doses and increase gradually depending upon response

Detailed Answer:
Hello
Thanks for writing again .

Start with 50 mg of Sildenfil and 10 mg Paroxetine and may increase up to 100 mg and 25 mg respectively depending upon the response
Thanks and Regards
Dr Patil..

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

Above answer was peer-reviewed by : Dr. Kampana