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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

I have a sexual problem...
                                   
i am 30 year old and get married on feb 2010. i am not able to do intercorse successfully . i am a patient of immeadiatly discharge without touching orgasm. two times i get discharge even before penitration of penis. When I had first three times I had orgasam after continuously I ejaculated but no orgasam then I went to homeopathy doctor and I am having that treatment for one and half month after I had 2 times that orgasam but now I ejaculated but no orgasam and premature ejaculation also there. very shortly I finished.i donâ??t have sex before marriage. Now I am frustrated and my sexual desire coming low also then when I start for intercourse I am having errection 3 or 4 minitues only after there is no errection totally down. Now my mind is not interested in anything I am thinging this only. Any treatment available? thanks and regards

               
Tue, 30 Sep 2014
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Psychiatrist 's  Response
Hi,

I can understand your distress. You seem to be suffering from premature ejaculation which is bound to cause sexual dissatisfaction in you and your sexual partner.

You should seek a psychiatric consultation for treatment of your problem. Your condition is amenable to treatment. Treatment with combination of both medications and behavior therapy will be helpful.

Medications include selective serotonin reuptake inhibitors like paroxetine (daily) or dapoxetine on as required basis. These medications are safe and effective.

Behavior therapy sessions would include relaxation training, sex education and learning methods like squeeze technique, start-stop method and distraction. Attending sessions together with your wife will enhance the chances of improvement.

Hope this information was helpful.

Best wishes.

Dr. Sunil Gupta
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Suggest Treatment For Premature Ejaculation Of Semen

Hi, I can understand your distress. You seem to be suffering from premature ejaculation which is bound to cause sexual dissatisfaction in you and your sexual partner. You should seek a psychiatric consultation for treatment of your problem. Your condition is amenable to treatment. Treatment with combination of both medications and behavior therapy will be helpful. Medications include selective serotonin reuptake inhibitors like paroxetine (daily) or dapoxetine on as required basis. These medications are safe and effective. Behavior therapy sessions would include relaxation training, sex education and learning methods like squeeze technique, start-stop method and distraction. Attending sessions together with your wife will enhance the chances of improvement. Hope this information was helpful. Best wishes. Dr. Sunil Gupta