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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Prevent Premature Ejaculation?

Hello Doc.I have a problem with my sexual life,that is to say i ejaculate just under one minute and is really affecting me in my relationship.What should i do.ThanksEmmanuelAgain i have this uncontrollable Acne all over my face making it impossible for me to go out in public.Please help me doctor.Worried Emmanuel.
Fri, 8 May 2015
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Psychiatrist,  's  Response
HELLO,
THANKS FOR PUTTING YOUR QUERY ON HCM.I CAN COMPLETELY UNDERSTAND WHAT YOU ARE GOING THROUGH.
IF I HAD SIMILAR PATIENT IN MY CLINIC, I WOULD HAVE STARTED HIM WITH PAROXETINE CONTROLLED RELEASE 12.5 MG AND GRADUALLY INCREASED TO 25 MG IF REQUIRED.THIS DRUG SHOULD BE CONTINUED FOR 4 TO 5 MONTHS BEFORE TAPERING OFF.IF PAROXETINE DOESNT WORK,DAPOXETINE 30 MG IS GOOD ALTERNATIVE.
ACNE HAPPENS DUE TO HORMONAL IMBALANCE OR PUBERTY RELATED HORMONAL INCREASE.IT SHOULD SUBSIDE WITH TIME.MEANWHILE YOU CAN USE ANTIBIOTIC CREAM LIKE CLINDAMYCIN 5% OVER AFFECTED AREA.ALSO MAINTAIN FACE HYGIENE BY KEEPING IT CLEAN AND NOT BREAKING ACNE WITH FINGERS.WORRYING ABOUT IT WILL INCREASE THEM.
HOPE I COULD SOLVE YOUR QUERY.IF YOU HAVE ANY OTHER QUERY PLEASE FEEL FREE TO ASK.
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How To Prevent Premature Ejaculation?

HELLO, THANKS FOR PUTTING YOUR QUERY ON HCM.I CAN COMPLETELY UNDERSTAND WHAT YOU ARE GOING THROUGH. IF I HAD SIMILAR PATIENT IN MY CLINIC, I WOULD HAVE STARTED HIM WITH PAROXETINE CONTROLLED RELEASE 12.5 MG AND GRADUALLY INCREASED TO 25 MG IF REQUIRED.THIS DRUG SHOULD BE CONTINUED FOR 4 TO 5 MONTHS BEFORE TAPERING OFF.IF PAROXETINE DOESNT WORK,DAPOXETINE 30 MG IS GOOD ALTERNATIVE. ACNE HAPPENS DUE TO HORMONAL IMBALANCE OR PUBERTY RELATED HORMONAL INCREASE.IT SHOULD SUBSIDE WITH TIME.MEANWHILE YOU CAN USE ANTIBIOTIC CREAM LIKE CLINDAMYCIN 5% OVER AFFECTED AREA.ALSO MAINTAIN FACE HYGIENE BY KEEPING IT CLEAN AND NOT BREAKING ACNE WITH FINGERS.WORRYING ABOUT IT WILL INCREASE THEM. HOPE I COULD SOLVE YOUR QUERY.IF YOU HAVE ANY OTHER QUERY PLEASE FEEL FREE TO ASK.