Help me Premature Ejaculation


Q: Hi am troubling with premature ejaculation, when i engage in sexual intercourse i ejaculate fewer than 2 minutes. What are some Best medications for premature ejaculation. Please assist me.

Symptoms:  When i engage in sexual intercouse i ejaculation fewer than 2 minutes.

A:   Hello,
Thanks for the query to ATD for an opinion,
Premature ejaculation is infact a coomon manifestation which is seen in men and unfortunately the cause cannot be pinpointed but there can be varied reasons for the same. The factors that can play a role in causing premature ejaculation include:

Erectile dysfunction.
Relationship problems.
A number of biological factors may contribute to premature ejaculation, including:

Abnormal hormone levels
Abnormal levels of brain chemicals called neurotransmitters
Abnormal reflex activity of the ejaculatory system
Certain thyroid problems
Inflammation and infection of the prostate or urethra
Inherited traits
Nerve damage from surgery or trauma (rare).

Common treatment options for premature ejaculation include behavioral techniques, topical anesthetics, oral medications and counseling. Keep in mind that it may take a little time to find the treatment or combination of treatments that will work for you.

Behavioral techniques

In some cases, therapy for premature ejaculation may involve taking simple steps, such as masturbating an hour or two before intercourse so that you're able to delay ejaculation during sex. It may be recommended that avoiding intercourse for a period of time and focusing on other types of sexual play so that pressure is removed from your sexual encounters.

The pause-squeeze technique

Begin sexual activity as usual, including stimulation of the penis, until you feel almost ready to ejaculate.
Have your partner squeeze the end of your penis, at the point where the head (glans) joins the shaft, and maintain the squeeze for several seconds, until the urge to ejaculate passes.
After the squeeze is released, wait for about 30 seconds, then go back to foreplay. You may notice that squeezing the penis causes it to become less erect, but when sexual stimulation is resumed, it soon regains full erection.
If you again feel you're about to ejaculate, have your partner repeat the squeeze process.
By repeating this as many times as necessary, you can reach the point of entering your partner without ejaculating. After a few practice sessions, the feeling of knowing how to delay ejaculation may become a habit that no longer requires the pause-squeeze technique.

Topical anesthetics

Anesthetic creams and sprays that contain a numbing agent, such as lidocaine or prilocaine, are sometimes used to treat premature ejaculation. These products are applied to the penis a short time before sex to reduce sensation and thus help delay ejaculation. A lidocaine spray for premature ejaculation (Promescent) is available over-the-counter.

Although topical anesthetic agents are effective and well-tolerated, they have potential side effects. For example, some men report temporary loss of sensitivity and decreased sexual pleasure. In some cases, female partners also have reported these effects. In rare cases, lidocaine or prilocaine can cause an allergic reaction.

Oral medications

Many medications may delay orgasm. Although none of these drugs is specifically approved by the Food and Drug Administration to treat premature ejaculation, some are used for this purpose, including antidepressants, analgesics and phosphodiesterase-5 inhibitors. These medications may be prescribed for either on-demand or daily use, and may be prescribed alone or in combination with other treatments.

Antidepressants. A side effect of certain antidepressants is delayed orgasm. For this reason, selective serotonin reuptake inhibitors (SSRIs), such as sertraline (Zoloft), paroxetine (Paxil) or fluoxetine (Prozac, Sarafem), are used to help delay ejaculation. If SSRIs don't improve the timing of your ejaculation, your doctor may prescribe the tricyclic antidepressant clomipramine (Anafranil). Unwanted side effects of antidepressants may include nausea, dry mouth, drowsiness and decreased libido.
Analgesics. Tramadol (Ultram) is a medication commonly used to treat pain. It also has side effects that delay ejaculation. It may be prescribed when SSRIs haven't been effective. Unwanted side effects may include nausea, headache and dizziness.
Phosphodiesterase-5 inhibitors. Some medications used to treat erectile dysfunction, such as sildenafil (Viagra, Revatio), vardenafil (Levitra, Staxyn), also may help premature ejaculation. Unwanted side effects may include headache, facial flushing, temporary visual changes and nasal congestion.
( All these medications have to be prescribed by a physician, please note)

This approach, also known as talk therapy, involves talking with a mental health provider about your relationships and experiences. These sessions can help you reduce performance anxiety and find better ways of coping with stress. Counseling is most likely to help when it's used in combination with drug therapy.

Now i have mentioned the facts and treatment modalities in detail, but you have to get yourself assessed and examined thoroughly with a physician and he shall decide which is the best modality of treatment for you.
Wishing you speedy recovery and good health,

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