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How To Deal With Masturbation Addiction And Premature Ejaculation?

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Posted on Fri, 20 May 2016
Question: hi sir i m 30 years old and i m doing masturbate daily 3 to 4 times a day from last so many years , so i want to know that is this effect in to born a child and how i can cure this i m getting marry after a month please help . and last thing i discharge too early while during sex. please hel me
doctor
Answered by Dr. Chintan Solanki (57 minutes later)
Brief Answer:
it will not affect your child

Detailed Answer:
Hello XXXXXXX

Thanks for writing to us. I can understand your concern.

First of all I want to clarify about the masturbation.
Masturbation is natural and normal thing. It is done by 95% of the males in the world, mostly before marriage as well as when wife is away, in menses or pregnant after marriage. It is not at all harmful. Frequency of masturbation done by an individual varies from once a day to once a week. It depends upon individual libido, wish and timing. It neither causes any weakness nor any problem in sexual activity. No need to worry about your habit of masturbation.

If you are comfortable and enjoying your frequency of masturbation without any problem, no need to worry. It will not create any bad effect on your post marital sex life or your future child.

Your early ejaculation may be premature ejaculation.

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.

You are not married but you have experienced sex. Let me know with whom you enjoy the sex and what exactly happens during sex?

For your information I am providing details about treatment of PME.

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 20-30 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 2 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 2 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. For this you have to consult doctor.

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

Hope I have answered your query, I will be happy to help further.
Regards,
Dr.Chintan Solanki.

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2406 Questions

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How To Deal With Masturbation Addiction And Premature Ejaculation?

Brief Answer: it will not affect your child Detailed Answer: Hello XXXXXXX Thanks for writing to us. I can understand your concern. First of all I want to clarify about the masturbation. Masturbation is natural and normal thing. It is done by 95% of the males in the world, mostly before marriage as well as when wife is away, in menses or pregnant after marriage. It is not at all harmful. Frequency of masturbation done by an individual varies from once a day to once a week. It depends upon individual libido, wish and timing. It neither causes any weakness nor any problem in sexual activity. No need to worry about your habit of masturbation. If you are comfortable and enjoying your frequency of masturbation without any problem, no need to worry. It will not create any bad effect on your post marital sex life or your future child. Your early ejaculation may be premature ejaculation. 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. You are not married but you have experienced sex. Let me know with whom you enjoy the sex and what exactly happens during sex? For your information I am providing details about treatment of PME. 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 20-30 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 2 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 2 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. For this you have to consult doctor. In ayurvedic products confido can be used for premature ejaculation. It is likely available over the counter without prescription. Hope I have answered your query, I will be happy to help further. Regards, Dr.Chintan Solanki.