Resolved question:
Dear Sir
Greetings from this side. Let me share my cause of concern. I happened to lose virginity couple of months back and during that time I had multiple times encounter with ladies. The problem is that I pre ejaculate ( not able to control for more than 4-5 mins ) and as such it becomes difficult to have a great satisfaction. Regarding this, I have some queries where your kind advice/ suggestion would lend a helping hand.
Note : I used latex condom and i don't masturbate ( control myself )- sometimes in sleep
Not sexually active right now
My queries are :
1 ) How can i control late ejaculation , thus enjoying more ?
2 ) Are there sex stamina medicines that you can recommend to enhance my performance level ?
Looking forward for an early reply. Have a great day ahead
BR
Tuhin
Submitted:
4 Days
Category:
Sexologist
Hello,
Thanks for posting your query at DoctorSpring.com
I have gone through your question in detail 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 partner 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.
Regarding the sex stamina medicines, I would suggest that you should not interfere the natural capacities. Premature ejaculation is a disease and has to be treated. The sexual strength should br worked on only if there is an impotence. Othereise no need to worry.
Hope this helps,
In case if you have any further query, do let me know.
Kind regards
Dear Doctor
Thanks for your reply in short notice which was quite helpful. Regarding anti-depressant medicines that you prescribed, how it is going to help me ? Can you explain its working.
BR
Tuhin
Hello
Ejaculation of penis is guided by the brain. Paroxetine increases serotonine levels which in turn prolongs sex time. Its quite effective and safe.
Regards
Dr. Srikanth Reddy
Dear Doctor
Thanks for the reply. Surely would try to implement.
Have a Great Sunday
BR
Tuhin
No problem. You have a great day too. Take care
Dear Doctor
Greetings from this side. Just found desensitizing spray called promescent. How well it is effective ? Is it available in market in India ?
Looking for an early reply. Have a great day ahead
BR
Tuhin
Hello
Why do you need to use desensitizing spray? This will have only temporary relief. Better would be to get it treated well with sex therapies and medications as mentioned earlier.
Regards.