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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

sir i am facing the problem of premature ejaculation. please help me. i think so it is due to mastrubation. now i am 33 years old and recently married just 5 months ago. I am not able to control it more than one minute. Just after entrace within few seconds. i discharge. please help me. i belong to Pakistan. Please tell me about any medicine which is available in pakistan

Mon, 18 Aug 2014
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Psychiatrist 's  Response
first of all, premature ejaculation is not a side effect of masturbation..masturbation is not bad habit..it does not cause any problem, so remove all the myths and misbeliefs from your mind...

most of the males who practice masturbation face this problem of premature ejaculation after marriage...

sometimes it is psychological but if u can not control your anxiety then u can go for some behavioral techniques and after that u can go for meds...

behavioral techniques are:
squeeze technique
start and stop technique
interruption method

i can not explain it here because it becomes much lengthy, u can read it from internet, it is easily available on net..

medications: there are medications like SSRI antidepressants, these meds causes delayed ejaculation as a side effect, so they are used in the treatment of premature ejaculation..
paroxetine[25mg] once day,
sertraline [100mg] once a day
fluoxetine [20mg] once a day
these meds u have to take daily on a regular basis for long duration, u ll find response within 20 days..

another medication is dapoxetine which can be taken on as and when required basis, half an hour before the sex.. i think that all of these meds are available in pakistan...
i hope that u ll find this advice helpful..best of luck
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Suggest Treatment For Premature Ejaculation Of Semen

first of all, premature ejaculation is not a side effect of masturbation..masturbation is not bad habit..it does not cause any problem, so remove all the myths and misbeliefs from your mind... most of the males who practice masturbation face this problem of premature ejaculation after marriage... sometimes it is psychological but if u can not control your anxiety then u can go for some behavioral techniques and after that u can go for meds... behavioral techniques are: squeeze technique start and stop technique interruption method i can not explain it here because it becomes much lengthy, u can read it from internet, it is easily available on net.. medications: there are medications like SSRI antidepressants, these meds causes delayed ejaculation as a side effect, so they are used in the treatment of premature ejaculation.. paroxetine[25mg] once day, sertraline [100mg] once a day fluoxetine [20mg] once a day these meds u have to take daily on a regular basis for long duration, u ll find response within 20 days.. another medication is dapoxetine which can be taken on as and when required basis, half an hour before the sex.. i think that all of these meds are available in pakistan... i hope that u ll find this advice helpful..best of luck