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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Premature Ejaculation Of Semen

Hii...my name iz veer.m 23 year old.i hv a problem in sex.i get regular erectness even sperm r good in amount but i cnt last longer den 3 to 5 minits.i try my best but alyz i get n early ejuclation.m rlly scard abt it pliz tell me wat can i do.i wnt to last long in bed...and yaah i used to masturbate iz dt effecting my penis....dnt knw y.....pliz suggest me the best..thnk you
Fri, 10 Oct 2014
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General & Family Physician '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 many.You can do squeeze and stop technique.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 excessive stimulation on
penis and there by prevent premature ejaculation.If all these not helping then you can approach an Urologist or sex therapist or psychiatrist for behavioral therapy and medicinal management like antidepressants. SSRIs like Paroxetine clomipramine or dapoxetine are usually prescribed for this.Hope this may help you.
Let me know if you have any further query.
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Psychiatrist Dr. Abhijit Chakraborty's  Response
Hi..veer, welcome to healthcaremagic.
Premature ejaculation might occur due to number of reasons.your detailed sexual history including sexual desire, any erectile problem, any history of Diabetes melitus, any problem in urogenital tract,abnormality in lipid profile should be searched for. But in many of the cases premature ejaculation is psychogenic. Underlying performance anxity should be treated in these cases.SSRI like Tab Paroxetine 12.5 mg or Dapoxetine in low dose like 5mg will help you. If your cardic profile is ok..then you might try Phosphodiasterese V inhibitor like Tadalafil 20mg about 30 min before sexual intercourse.
BUT DON'T WORRY....And masturbation is not affecting you.. wishing you a happy sexual life.
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Suggest Treatment For Premature Ejaculation Of Semen

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 many.You can do squeeze and stop technique.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 excessive stimulation on penis and there by prevent premature ejaculation.If all these not helping then you can approach an Urologist or sex therapist or psychiatrist for behavioral therapy and medicinal management like antidepressants. SSRIs like Paroxetine clomipramine or dapoxetine are usually prescribed for this.Hope this may help you. Let me know if you have any further query.