Hello,
The problems are you have like
tiredness,
fatigue, lack of concentration, unable to memorize your study, all these due to
premature ejaculation.
The treatment that I would like to give:
-
Clomipramine start with 25 mg/day orally once a day bedtime. Every 4 days, increase to 50 mg/day, 75mg/day, 100 mg/day. Suppose Monday 25mg/day then Friday 50mg/day, then Next Tuesday 75mg/day and then Saturday 100mg/day.
And then, continue this 100 mg/day for 2 months and after 2 months, if sufficient result is not achieved, then add another
Sertraline 25 mg orally once a day, increased after one week to 50 mg orally once a day and maintain these.
I also suggest some
behavioral therapy. Like when you understand you are about to ejaculate, try to stop there and squeeze your penis in order to stop the fluid from coming out. Wait for a few seconds and then masturbate. Try to do some exercise and good healthy foods. Try to hold your urge to masturbate. Take rest and sleep. Do not pressurize for your study but continue and concentrate on studies.
Hope I have answered your query. If have further query, please feel free to ask me.
Thank you and have a nice day!
Regards,
Dr. Dipan Samanta
General & Family Physician