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Suggest Treatment For Premature Ejaculation

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Posted on Tue, 28 Jul 2015
Question: Hi, I am 41 years old. I am overall fit and having no issues of Blood Pressure, Blood Sugar or any thing. I have issues of Premature Ejaculation since last few months. Also I need at least 24 hours time between the two inter course. Please advise accordingly. I am taking Finax 1 Mg for treating Male pattern Baldness since long.
doctor
Answered by Dr. Seikhoo Bishnoi (47 minutes later)
Brief Answer:
Premature ejaculation can be treated with SSRIs

Detailed Answer:
Hello thanks for asking from HCM for your health related queries

I can understand your concern. You are 41 years old healthy male with no medical complications. There are two main issues which are you facing-

- Premature ejaculation
- Extended time between two intercourses or reduced libido

Premature ejaculation is one of important distressing psychosexual complaint. A lot of males suffer premature ejaculation due to anxiety. If the anxiety during intercourse is relieved they have extended time during intercourses. So I'd advise you to remain relaxed during intercourse and this will help a lot in delaying the time. Try to divert your attention during intercourses and this will also delay the time. If by relaxation time doesn't improve then medicines like SSRIs can help. Paroxetine or Sertraline if taken regularly can help to delay the ejaculation time. Newer SSRI drug like Dapoxetine can also help in delaying the ejaculation time. Dapoxetine is also an SSRI drug and if taken about half to one hour before intercourse the drug helps to delay ejaculation time. The drug can be used on SOS basis also. Please consult a psychiatrist for detailed prescription of these drugs. Don't remain worried about this thing, the time would increase with proper medicines.

Coming to your problems of reduced libido. Finax or Finasteride used in male pattern baldness is known to cause poor libido and reduction in levels of sex hormones. If the drug use can be avoided and other drug like Minoxedil can be used then that would be a good thing. Please consult your dermatologist and discuss about the sexual side effects you are having. Ask for substitution of drug if needed.

Thanks, Hope this helps you. Please don't hesitate to ask again for more doubts.

Take care
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Seikhoo Bishnoi (24 minutes later)
Please suggest the SSRI Dapoxetine medicine of proper dosage which is easily available in XXXXXXX Market ..

Thanks for detailed answer
doctor
Answered by Dr. Seikhoo Bishnoi (4 minutes later)
Brief Answer:
Dapoxetine is available as Dapox or Duralast

Detailed Answer:
Hello again and thanks for asking a follow up question

Dapoxetine is available as Duralast 30 mg doses with common chemists. Please take the drug with proper prescription only.

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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Seikhoo Bishnoi

Psychiatrist

Practicing since :2007

Answered : 5192 Questions

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Suggest Treatment For Premature Ejaculation

Brief Answer: Premature ejaculation can be treated with SSRIs Detailed Answer: Hello thanks for asking from HCM for your health related queries I can understand your concern. You are 41 years old healthy male with no medical complications. There are two main issues which are you facing- - Premature ejaculation - Extended time between two intercourses or reduced libido Premature ejaculation is one of important distressing psychosexual complaint. A lot of males suffer premature ejaculation due to anxiety. If the anxiety during intercourse is relieved they have extended time during intercourses. So I'd advise you to remain relaxed during intercourse and this will help a lot in delaying the time. Try to divert your attention during intercourses and this will also delay the time. If by relaxation time doesn't improve then medicines like SSRIs can help. Paroxetine or Sertraline if taken regularly can help to delay the ejaculation time. Newer SSRI drug like Dapoxetine can also help in delaying the ejaculation time. Dapoxetine is also an SSRI drug and if taken about half to one hour before intercourse the drug helps to delay ejaculation time. The drug can be used on SOS basis also. Please consult a psychiatrist for detailed prescription of these drugs. Don't remain worried about this thing, the time would increase with proper medicines. Coming to your problems of reduced libido. Finax or Finasteride used in male pattern baldness is known to cause poor libido and reduction in levels of sex hormones. If the drug use can be avoided and other drug like Minoxedil can be used then that would be a good thing. Please consult your dermatologist and discuss about the sexual side effects you are having. Ask for substitution of drug if needed. Thanks, Hope this helps you. Please don't hesitate to ask again for more doubts. Take care