Hi,I am Dr. Alexander H. Sheppe (Psychiatrist). I will be looking into your question and guiding you through the process. Please write your question below.
Dear Dr, im men 38 years old from Maldives male’ I have problem from the day I start sex since now past more than 25 years I have same problem when I have sex I have over very fast I cant hold only just 5to 10 second ! I got treat meant from india to 4 time but I cant get any imprument so if I come you place can you fix my problem ?
Thu, 18 Sep 2014
General & Family Physician, Dr. Nishad BN's Response
Hi Thank you for asking HCM I have gone through your query.You should get rid off anxiety including performance anxiety and stress as those are main offenders in premature ejaculation.You can practice squeeze and stop technique and pelvic floor exercises like kegels.You can stimulate your partner to maximum before getting yourself stimulated.You can deviate your thought to something nonsexual when you about to near ejaculation.You can put on a condom or condom with anesthetic which will decrease the stimulation on penis and there by prevent premature ejaculation.You can also try different positions which you can withstand more.If all these not helping then you can approach an Urologist or sex therapist or psychiatrist for behavioral therapy and medicinal management like anti depressants. SSRIs like paroxetine is gives good results in any.Short acting SSRI Dapoxetine can be used when needed also.Hope this may help you. Let me know if you have any further query.
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Suggest Remedy For Premature Ejaculation
Hi Thank you for asking HCM I have gone through your query.You should get rid off anxiety including performance anxiety and stress as those are main offenders in premature ejaculation.You can practice squeeze and stop technique and pelvic floor exercises like kegels.You can stimulate your partner to maximum before getting yourself stimulated.You can deviate your thought to something nonsexual when you about to near ejaculation.You can put on a condom or condom with anesthetic which will decrease the stimulation on penis and there by prevent premature ejaculation.You can also try different positions which you can withstand more.If all these not helping then you can approach an Urologist or sex therapist or psychiatrist for behavioral therapy and medicinal management like anti depressants. SSRIs like paroxetine is gives good results in any.Short acting SSRI Dapoxetine can be used when needed also.Hope this may help you. Let me know if you have any further query.