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What Causes Premature Ejaculation?
Question: Hello Dr
I am 33 yrs old male having problem during sexual intercourse
ejaculation in less than 2 min
Not having any history of any illness or any mental stress
I am 33 yrs old male having problem during sexual intercourse
ejaculation in less than 2 min
Not having any history of any illness or any mental stress
Brief Answer:
Please provide more details
Detailed Answer:
Dear XXXXXXX
Thanks for using Healthcaremagic.
I read your query and understand your concerns.
Before we can make any conclusions I request you to provide following details so an impression can be made about the cause and solutions of the problem.
1. How long there is the problem?
2. How the problem started ? Whether it was all of sudden or build up gradually?
3. Whether it is present form the first day of sexual life?
4. What are the factors that increase the problem?
5. Factors that relieve the problem- thoughts, situations, partner, place etc.
6. Details of past medical illnesses, like duration, any complications, treatment received till date.
7. Investigations done till date and reports of most latest investigations- serum testosterone, TSH, T3, T4 and any other?
8.Any other problem you like to report
I must assure you that once we know the cause I can you guide you better in regard to treatment.
I look forward to see above details.
Thanks and regards
Please provide more details
Detailed Answer:
Dear XXXXXXX
Thanks for using Healthcaremagic.
I read your query and understand your concerns.
Before we can make any conclusions I request you to provide following details so an impression can be made about the cause and solutions of the problem.
1. How long there is the problem?
2. How the problem started ? Whether it was all of sudden or build up gradually?
3. Whether it is present form the first day of sexual life?
4. What are the factors that increase the problem?
5. Factors that relieve the problem- thoughts, situations, partner, place etc.
6. Details of past medical illnesses, like duration, any complications, treatment received till date.
7. Investigations done till date and reports of most latest investigations- serum testosterone, TSH, T3, T4 and any other?
8.Any other problem you like to report
I must assure you that once we know the cause I can you guide you better in regard to treatment.
I look forward to see above details.
Thanks and regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
1. It is from last 2 yrs
2. It built up gradually
3. might be
4. no specific factor
5. not known
6. no any illnesses in past no regular medication
7. No any investigation done but I will do all these blood test
8. no any specific problem as off now.
2. It built up gradually
3. might be
4. no specific factor
5. not known
6. no any illnesses in past no regular medication
7. No any investigation done but I will do all these blood test
8. no any specific problem as off now.
Brief Answer:
Please do following
Detailed Answer:
Dear XXXXXXX
Thanks for reverting back to me.
From the available description it appears secondary premature ejaculation which developed gradually over the last two years.
In this situation we need to rule out all major illnesses like hypertension, diabetes, renal and hepatic problem to name a few.
For doing same you are requested to get following tests from the nearby laboratory
1. Your blood pressure in sitting and standing position
2. Blood sugar
3. Blood urea
4. Serum creatinine
5. Liver function teests
6. ECG
7. Thyroid profile
I look forward to get the results of the above tests.
Thanks and regards.
Please do following
Detailed Answer:
Dear XXXXXXX
Thanks for reverting back to me.
From the available description it appears secondary premature ejaculation which developed gradually over the last two years.
In this situation we need to rule out all major illnesses like hypertension, diabetes, renal and hepatic problem to name a few.
For doing same you are requested to get following tests from the nearby laboratory
1. Your blood pressure in sitting and standing position
2. Blood sugar
3. Blood urea
4. Serum creatinine
5. Liver function teests
6. ECG
7. Thyroid profile
I look forward to get the results of the above tests.
Thanks and regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
dear Dr
As advised pls find attachment of reports
my blood pressure was 120/70 and 110/70
As advised pls find attachment of reports
my blood pressure was 120/70 and 110/70
Brief Answer:
There is need for treatment
Detailed Answer:
Dear XXXXXXX
Thanks for reverting back to me.
Fortunately there is no abnormality on any of the performed tests and we need to consider it as primary premature ejaculation (probably present from the first day of sex/masturbation).
We have the two options to treat Premature ejaculation which includes behavioral methods and the medications.
The behavioral techniques need to be practiced during sex and yield results over a time.
The techniques are difficult to explain here but you can just google 'kegel method ' to understand it. For good results it is recommended to have 100 contractions per day which can be divided in three to four times a day as per your convenience. It is also recommended to increase the duration of contractions over time to reach 10-12 seconds per contraction.
Another strategy is to take drug one hour before sex. The another medication called dapoxetine is given one hour before sex and it cause delayed ejaculation. Since it is prescription only medication you will need to see a doctor for getting the prescription to buy it from chemist.
I hope this answers your question.
If you need to know more feel free to contact me.
not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards
Dr Ashok Kumar
There is need for treatment
Detailed Answer:
Dear XXXXXXX
Thanks for reverting back to me.
Fortunately there is no abnormality on any of the performed tests and we need to consider it as primary premature ejaculation (probably present from the first day of sex/masturbation).
We have the two options to treat Premature ejaculation which includes behavioral methods and the medications.
The behavioral techniques need to be practiced during sex and yield results over a time.
The techniques are difficult to explain here but you can just google 'kegel method ' to understand it. For good results it is recommended to have 100 contractions per day which can be divided in three to four times a day as per your convenience. It is also recommended to increase the duration of contractions over time to reach 10-12 seconds per contraction.
Another strategy is to take drug one hour before sex. The another medication called dapoxetine is given one hour before sex and it cause delayed ejaculation. Since it is prescription only medication you will need to see a doctor for getting the prescription to buy it from chemist.
I hope this answers your question.
If you need to know more feel free to contact me.
not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards
Dr Ashok Kumar
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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