Suggest Remedies For Premature Ejaculation

Brief Answer:
no need to worry, it happens initially

Detailed Answer:
Hello XXXXXXX

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

Many young men like you suffer from this problem during initial sex life and almost more than 90% of them do not have any physical problem.
When any person attempts sex first time or he is not involved in regular sex/masturbation there is more semen in seminal vesicles. With some excitation ejaculation occurs in such persons. This is completely normal. You are doing masturbation only once or two times in a month and that is the reason of your early ejaculation. Next time when you attempt sex, try to do masturbation at least before 2 hours or a day before. This will reduce semen content of seminal vesicles and you can last longer. Just relax, try to enjoy sex and you will succeed.

In any case after 3-4 attempts your problem persist , let me know. It is completely treatable situation.

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

---

Brief Answer:
masturbation is normal and safe thing, start confido

Detailed Answer:
Hi,

Thanks for follow up. It happens initially. No need to worry if you have faces this problem twice. Just try what I have told and you will succeed. Otherwise treatment is there.

Masturbation is safe. Masturbation is natural and normal thing. It is done by 70-95% of the males and 30-45% females in the world. 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. In your case doing masturbation will rather help in premature ejaculation.So no need to worry about your habit of masturbation.

For your information I am mentioning treatment aspect 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. Sometime use of condom while sex helps in delaying ejaculation by reducing sensitivity of glans penis.

--Topical application of anesthetic gel/spray. For this you have to consult doctor.

In ayurvedic products confido or tentax royale can be used for premature ejaculation. They are likely available over the counter without prescription.

In my opinion confido with behavioral approaches will be good option for you among these. You can take it daily one tablet.

Hope this will help.

---