Brief Answer:
premature ejaculation can be treated, no need to worry much

Detailed Answer:
Hello,

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 approaches 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.
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.

I can understand your hesitancy to discuss problem with lady doctor. But you should at least consult one male psychiatrist for treatment.

At this age likely no pathological cause of premature ejaculation.No need to worry much. As your wife understands your problem you can come out of this problem easily. There is no likely danger to your married life.

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.

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