Hello
Thanks for using doctorspring for posting your query.
I have gone through your details and I can understand what you are going through.
The condition that you are suffering is called premature ejaculation. Now its a type of anxiety disorder and the person normally suffers from performance anxiety where in he is anxious if he can perform or not.
First you can try the start stop technique. Your wife is supposed to start stimulating you and the moment you are about to ejaculated she is supposed to stop all the stimulaton and and hold your penis head hard. Now this should be repeated.
Perineal exercises also help. These are the muscle exercises that occur when you contract the perineal muscles like when you are trying to stop the urine or feces. You have to do this contrations repeatedly daily to tone up the perineal muscles.
One solution is medications. Some patients are not willing to wait for these acts to produce results and instead demand medicines. I prescribe them 12.5 mg paroxetine at night and they are doing good. Normally one should try until 25mg of Paroxetine. If paroxetine is not effective then Dapoxetine is an option. It has to be given 1 hour before having sex and will prolong the sexual interval.
There is no sureshot immediate cure but with time this problem settles down.
Hope I am able to help with your concerns. If you have any further queries I would be more than happy to help you.
Kind regards
Dr. Srikanth Reddy
Psychiatrist and Sexologist
Patient replied :
Hello doc thanks for the reply i tried to buy these medicines from a pharmacy they need to know the brand name and also i would need a prescription for the same.
my problem is bit sever PE OCCURS WITHIN 5-6 SEC OF INTERCOURCE.
Hello
The brand names for paroxetine are pari or pexep or paroxet and for dapoxetine it is Sustinex.
As DoctorSpring is an online forum, legally we are not supposed to prescribe medications without physically examining you. Such regulation are primarily meant for the safety of the patients as well as the Doctor. Further any prescription given in E-mail will not be honored by the pharmacy in your country. Sincere apologies for the same.
Regards
Dr. Srikanth Reddy
Patient replied :
Hello doc thanks for the reply i tried to buy these medicines from a pharmacy they need to know the brand name and also i would need a prescription for the same.
my problem is bit sever PE OCCURS WITHIN 5-6 SEC OF INTERCOURCE.
Hello
The brand names for paroxetine are pari or pexep or paroxet and for dapoxetine it is Sustinex.
As DoctorSpring is an online forum, legally we are not supposed to prescribe medications without physically examining you. Such regulation are primarily meant for the safety of the patients as well as the Doctor. Further any prescription given in E-mail will not be honored by the pharmacy in your country. Sincere apologies for the same.
Regards
Dr. Srikanth Reddy
Patient replied :
Hello doc thanks for the reply i tried to buy these medicines from a pharmacy they need to know the brand name and also i would need a prescription for the same.
my problem is bit sever PE OCCURS WITHIN 5-6 SEC OF INTERCOURCE.
Hello
The brand names for paroxetine are pari or pexep or paroxet and for dapoxetine it is Sustinex.
As DoctorSpring is an online forum, legally we are not supposed to prescribe medications without physically examining you. Such regulation are primarily meant for the safety of the patients as well as the Doctor. Further any prescription given in E-mail will not be honored by the pharmacy in your country. Sincere apologies for the same.
Regards
Dr. Srikanth Reddy