Brief Answer:
Is it early ejaculation?

Detailed Answer:

Hi,

I guess you want to convey that you have early ejaculation. Your semen comes out before your partner is satisfied. It is Premature Ejaculation. If I am not getting you please clarify.

I am sending you treatment aspect of the same. It can be treated with medicines and behavioral modifications.

Behavioral approaches are as follows to prevent early ejaculation

1. Stop and start 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 . even condom with anesthetic gel is also available - long lasting condom.

-Topical application of Lidocaine anesthetic gel/spray.


Medicines for premature ejaculation :

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.


One molecule called Dapoxetine has been used specifically for PME and should be taken before 2 hours of sex when required.

One Ayurvedic supplement Confido is also helpful in some patients.

Hope I have answered your query.

Regards,
Dr. Chintan Solanki
Psychiatrist

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