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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Premature Ejaculation And Suggest Treatment?

hai i am naresh i have some problem in the sex time i do sex with my wife but in starting time may be just 2-3 minutes my sperm is out what i have to do please suggest to me my wife is very disappoint she need more time sex.
Your valuable suggestion please sen the below mentioned mail id: YYYY@YYYY
Fri, 18 Jul 2014
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Psychiatrist 's  Response
Dear Naresh,

Hi,

You seem to be suffering from Premature Ejaculation. It is a condition characterized by early ejaculation causing lack of satisfaction in self or partner.

The best course of action will be to seek a psychiatric consultation for starting treatment in form of both medications and behavior therapy. Medications would include selective serotonin reuptake inhibitors like paroxetine (daily) or dapoxetine on as required basis.

Behavior therapy sessions would consist of 1-2/week for 6-8 weeks. It would incorporate relaxation training, sex education and learning methods like squeeze technique, start-stop method and distraction. Both medications and behavior therapy together gives better results. The outcome will be even more favorable if your wife participates in the behavior therapy sessions.

Hope this information was helpful. Best wishes.
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What Causes Premature Ejaculation And Suggest Treatment?

Dear Naresh, Hi, You seem to be suffering from Premature Ejaculation. It is a condition characterized by early ejaculation causing lack of satisfaction in self or partner. The best course of action will be to seek a psychiatric consultation for starting treatment in form of both medications and behavior therapy. Medications would include selective serotonin reuptake inhibitors like paroxetine (daily) or dapoxetine on as required basis. Behavior therapy sessions would consist of 1-2/week for 6-8 weeks. It would incorporate relaxation training, sex education and learning methods like squeeze technique, start-stop method and distraction. Both medications and behavior therapy together gives better results. The outcome will be even more favorable if your wife participates in the behavior therapy sessions. Hope this information was helpful. Best wishes.