Dear service user,
Thank you for writing to healthcaremagic.
I have gone through your question and understand your concerns about early ejaculations and
erectile dysfunction. I will definitely assist you for these issues.
Let me know whether you achieve and maintain a good quality of erection in sleep, in the early morning, during
masturbation but not at the time of coitus? If you are able to achieve and maintain erection in any one of the above mentioned situations than your problem is more likely psychological rather than physical. This can be treated by
psychological counseling with medications.
The premature ejaculations can be overcome by several methods; some of these are as follows:
1. Stop-start technique of behavior therapy.
2. Female on top with active role.
3. Double condom
4. Medicines like
Fluoxetine 20 mg day or Paroxetine CR 25 mg per day.
(To be taken under medical supervision only)
5. Pelvic muscle strengthening exercise. (As if try to hold urine intermittently during voiding)
6. Penile squeeze technique applied at the point of ejaculatory inevitability.
7. Applying a local anesthetic ointment to
glans penis prior to penetration.
What you need to do is to
consult a psychiatrist well versed with psycho sexual therapies. He will definitely assist you to come out of these problems.
If you are planning to have another kid, you may go for
artificial insemination method with trained obstetrician.
I hope this will help you.
Wish you good health ahead.