Brief Answer:
You can go for semen analysis

Detailed Answer:
Hello,

Thanks for writing to us.

You of course can go for semen analysis. You need to avoid sex or masturbation for 3 days and then can go for semen analysis. Give sample in laboratory if feasible or just note that sample should be reached to laboratory within half an hour to laboratory.

For early ejaculation I need more information.


What is frequency of sex or masturbation per week or per month?

How much duration do you last before ejaculation? Do you ejauclate before your partner reaches orgasm?

I will be happy to help further after your response.

Regards,
Dr Chintan Solanki.

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Brief Answer:
you have premature ejaculation and it can be treated

Detailed Answer:
Hello,

Thanks for information.

Treatment for Premature ejaculation:

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 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. Sometime use of condom, while sex, helps in delaying ejaculation by reducing sensitivity of glans penis.

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

Let me know if you have any doubt or query.

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