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.
My name is Jeremy Thompson. I have a problem with premature ejaculation and it has come to the point where my wife doesn't want to be married with me anymore she is giving me chances to correct it however, the Prozac 20 mg my Dr put me on did not seem to help at all. He has upped it to 40 mg and after a week of taking it my libido has decreased quite noticeably.
My erections are not as hard however I do have the desire to have sex. Is there some other pill I can ask my Dr to put me on to help my libido come back to life and help with my premature ejaculation?
Thanks, Jeremy Thompson
Tue, 23 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 can be main offenders.You can do squeeze and stop technique.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 excessive stimulation on penis and there by prevent premature ejaculation.If all these not helping then you can approach a sex therapist or psychiatrist for behavioral therapy and medicinal management like antidepressants.SSRIs like paroxetine or Dapoxetine is the usually prescribed drugs for this.But if you not getting normal erections then phosphodiesterase inhibitors like sildenafil may help.Hope this may help you. Let me know if you have any further query.
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Suggest Therapy 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 can be main offenders.You can do squeeze and stop technique.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 excessive stimulation on penis and there by prevent premature ejaculation.If all these not helping then you can approach a sex therapist or psychiatrist for behavioral therapy and medicinal management like antidepressants.SSRIs like paroxetine or Dapoxetine is the usually prescribed drugs for this.But if you not getting normal erections then phosphodiesterase inhibitors like sildenafil may help.Hope this may help you. Let me know if you have any further query.