
Suggest Treatment For Premature Ejaculation While Treating Hypertension

Yes medicines are therefor early ejaculation
Detailed Answer:
Hello Mr. XXXX,
Thanks for writing to us.
Premature Ejaculation (PME) or early ejaculation defined when male partner ejaculates early before the female partner reaches to orgasm. There is no absolute time by which we can diagnose PME. It is relative term and female partner is the best judge.
There are few behavioral approaches as well as medicines which can help to treat PME.
If you would not go for behavioral approches and counseling for PME, you can start medicine. 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. I do not prefer it in patients with hypertension to treat PME.
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.
Another option is ayurvedic medicines. You can get them over the counter mostly.
Tentex royale and confido are the products which are used for PME and no side effects have been observed.
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. Master and XXXXXXX technique can also be learnt from qualified sexologist/Psychiatrist which includes sessions in couple as it is couple sex therapy. It can help in prolongation of time.
3. Sex counselling of your sexual behaviour 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.
Hope I have answered your query.
Feel free to discuss further.
Regards,
Dr.Chintan Solanki.


ayurvedic medicines will take time to show effects
Detailed Answer:
Hello,
Thanks for follow up.
Clomipramine is the generic drug name of medicine.
Depoxetine can be taken whenever required you can take up to 2-3 times per week according to requirement.
However again I want to clarify that though these drugs are relatively very safe without significant side effects better to take it after taking prescription with doctor.By chance any side effect occurs doctor can help you immediately.And specifically when you are already on treatment for hypertension.
Ayurvedic medicines I mentioned are safe but they will be effective after 10-15 days.I got results in my patient with allopathic medicines so I use ayurvedic medicines less. No specific studies have been done to check side effects.
I prefer allopathy medicines.
Hope this answers your query.
Feel free to discuss further.


you can consult me!
Detailed Answer:
Hello XXXX,
Thanks for follow up.
Luckily I am from XXXXXXX also.You can consult me. My XXXXXXX number is 0000 and you can call me tomorrow morning after 9.30. I will give you appointment at suitable place and discuss further.
Regards,
Dr.Chintan Solanki.

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