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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Masturbation Be Stopped?

HELLOW doctor.. I am 22 years old.. My height is 5 11 and weight is 75 kg. I have a bad habit of masturbation and due to this the problem of premature ejaculation has occured and my penis is not growing. I feel very tired and fatigue.. I do not concentrate properly on study and couldn t memorise my studies properly.. Plz help me to get rid of these..
Fri, 26 Apr 2019
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General & Family Physician 's  Response
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
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How Can Masturbation Be Stopped?

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