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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

Hi myself Danish,i'm 26 years old, 55kg weight. I'm suffering from premature ejaculation. When i have intercourse with my wife, within a second i got discharged . And my wife is dissatisfied with me. I can't seduce her. I have consulted several doctors of alopethic,ayurbedic etc. no results found. Recently for last one year i'm using paxideep cr 39:5. But no results. So please prescribe me some medicines that i can overcome these huge problem.
Mon, 20 Jul 2015
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Psychiatrist 's  Response
Hello,
Welcome to healthcaremagic.com,
From you complaints it seems like you might have premature ejaculation (PE). It is one of the common sexual problem encountered in men.

Premature ejaculation (PE) is defined as persistent pattern of ejaculation within approximately 1 minute of vaginal penetration and before the individual wishes it to occur.
It is determined by intravaginal ejaculatory latency time (IELT)-
-Mild when IELT is between 30 sec to 1 min;
-Moderate when IELT is 15-30 sec;
-Severe when IELT is

Treatment goal for PE are to increase the latency for ejaculation and to increase sexual satisfaction for both partners. treatment modalities are: somatic/ psychosocial methods.

1. Somatic: includes medications -
-Numbing agents such as Lidocaine for local application to reduce the stimulation.
-Psychotropic agents to reduce the neurotransmitter level, such as Paroxetine.
-Dapoxetine can also be used.

2. Psychosocial methods includes various techniques such as
- stop -squeeze;
- start-stop method,
- slowing down the speed of thrusting,
- changing intercourse positions.

I would advice you to first assess the IELT for yourself along with your partner, depending on that you'll require the treatment.
Mild to Moderate cases can be treated with psychosocial methods, however severe case may require pharmacotherapy.
Thank you
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Suggest Treatment For Premature Ejaculation

Hello, Welcome to healthcaremagic.com, From you complaints it seems like you might have premature ejaculation (PE). It is one of the common sexual problem encountered in men. Premature ejaculation (PE) is defined as persistent pattern of ejaculation within approximately 1 minute of vaginal penetration and before the individual wishes it to occur. It is determined by intravaginal ejaculatory latency time (IELT)- -Mild when IELT is between 30 sec to 1 min; -Moderate when IELT is 15-30 sec; -Severe when IELT is Treatment goal for PE are to increase the latency for ejaculation and to increase sexual satisfaction for both partners. treatment modalities are: somatic/ psychosocial methods. 1. Somatic: includes medications - -Numbing agents such as Lidocaine for local application to reduce the stimulation. -Psychotropic agents to reduce the neurotransmitter level, such as Paroxetine. -Dapoxetine can also be used. 2. Psychosocial methods includes various techniques such as - stop -squeeze; - start-stop method, - slowing down the speed of thrusting, - changing intercourse positions. I would advice you to first assess the IELT for yourself along with your partner, depending on that you ll require the treatment. Mild to Moderate cases can be treated with psychosocial methods, however severe case may require pharmacotherapy. Thank you