Hi XXXXXXX

Thanks for posting your query.

From your question I understand that you are having premature ejaculation which is the ejaculation of sperms soon after an erection. Premature ejaculation(PE) is not uncommon and depends on multiple factors , the most common being psychological factors. The psychological factors may include stress and anxiety in daily life and depression due to personal, professional , financial and other social issues.

Medical causes of premature ejaculation include abnormal hormone level, reflex activity of ejaculatory system, thyroid problems, diabetes, hypertension and neurological causes. But these should be ruled out by proper tests and investigations only if a urologist rules out psychological causes

Try distracting yourself when you feel you are about to ejaculate. Take a XXXXXXX breath and stay relaxed during intercourse. Also do not worry about performance and talk to your partner openly about any apprehensions if you have.

Other treatment methods which can be followed are stop-start or squeeze-pause technique. In stop start technique, near ejaculation withdraw from your partner and relax and think about something else. In squeeze- pause technique, squeeze the end or the tip of the penis for 10 to 20 seconds when you are close to ejaculation and then resume stimulation after withholding for half a minute.

If the symptoms persist then desensitizing creams and SSRI (selective serotonin reuptake inhibitors) may need to be prescribed for which you have to consult a urologist. A urologist will be the best person to guide you through this. You may need to undergo certain medical tests like for diabetes, thyroid profile and hormonal assay.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

---

Hi XXXXXXX

Thanks for getting back. The treatment of premature ejaculation is by using antidepressant drugs of the category SSRI (selective serotonin reuptake inhibitors) like clomipramine, fluoxetine and sertraline but they are not without side effects and hence should be taken under medical supervision.

Dapoxetine is another short-acting selective serotonin reuptake inhibitor (SSRI) and can be used after getting a prescription from your doctor.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

---