Need work up. Meds & cbt often helpful but start with urology eval.
See below. Go slow use condom and lots of lubricant slide in stop move very slow think of somethi. Ng else if u have to relax.
There are specific. Techniques that a sex therapist can teach you. Check w/your doc to make sure you are ok medically and he/she may have a referral. Some clinical psychologists specialize in sex therapy. Please check the background of the person you go to, i.e., look for license. Peace and good health.
Hello doctor how can I prevent premature ejaculation (for having more joy)? does returning sperm in to prostate zone have harmful side effects? (i am 25)
Premature. Ejaculation is sometimes called ill-timed ejaculation. It is a subjective evaluation. You may orgasm too quickly and not satisfy your partner. If you have concerns you can see your doc or a licensed sex therapist. It is not an illness. Peace and good health.
Various Treatments. Premature ejaculation (pe) can be treated with certain medications and by specific physical techniques. First and foremost it is important to discuss this issue with your primary care giver. She/he will take a good history and perform a physical examination to see if there is any underlying medical condition contributing to pe. Thanks for this excellent question as others likely need this info.
Sexual Dysfunction. The mainstay of medical treatment for premature ejaculation has been ssri type antidepressants. Paxil (paroxetine) 10-20mg is most often used. It can be taken about an hour before sex or or on a daily basis. It stays in your system for a few days and can have other side effects as a result. In the usa watch for a new drug (dapoxetine) this year. It will be just for premature ejaculation. Already in europe.
Slow down. Behavioral sex therapy techniques like 'stop start' exercises can be effective, especially when employed with an understanding supportive partner. Ssri medication often delays ejaculation. This side effect of the antidepressant can be used for therapeutic benefit in premature ejaculation.
Different strokes? Distract by thinking nonsexual thoughts. "stop and start": stop stimulation before ejaculation for 30 seconds and restart. Repeat as desired. "squeeze" method: man or partner gently squeezes the end of penis (where the glans meets the shaft) for several seconds. Stop stimulation for 30 seconds, and restart. repeat as desired. Ssris such as prozac (fluoxetine). Use a condom and/or local anesthetic cream.
Some. Counseling with a sex therapist or sexuality counselor may help. The therapist may recommend 1 or 2 techniques (stop-start and squeeze techniques). Some doctors prescribe antidepressants for premature or rapid ejaculation.
Yes. See video: http://www. Youtube. Com/watch? V=pxd-2vzjz4y.
PE. I have tried a few strategies for my patients to help delay the pe. Using a condom with a numbing medication inside the condom desensitizes the the penis and will help to delay the time till ejaculation. Once the condom is off, the medication wears off in about 1/2 an hour. Another approach is using the side effect of a prescription medication such as zoloft or Paxil (paroxetine) to delay the ejaculation.
Within the last year I have started suffering from premature ejaculation, but have never had issues before. How can I prevent this? What caused it?
Some ideas. A condom or a dab of a topical anesthetic on your glans may do the trick. Your physician can offer a very low dose of a selective serotonin reuptake inhibitor. Or you and your partner (s) can learn and practice the squeeze technique -- this is fun, will let you reprogram your nervous system to make you a superlatively excellent lover, and is your best long-term solution. Best wishes.
PE. Ssris like Prozac can help those with premature ejaculation. Viagra, (sildenafil) etc may also help.
Premature. It can't hurt.
Possibly. Tricyclic antidepressives can delay ejaculation. However, technique of stopping sex or stimulation by partner or self squeezing the penis at earliest hint of impending ejaculation. Then starting again the feeling has gone. Time + multiple repetition of this maneuver is the best way to overcome premature ejaculation rather than medication.
It may. Low dose clomipramine can significantly increase time to ejaculation. Might have some other side effects for the first week or two. Its not an unreasonable thing to try. Consider a thick condom, using 2 condoms, desensitizing creams and squeeze method too.