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Premature ejaculation and associated medicine

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Hello doctor, I am 32 years old. But now I am located . I am suffering from premature ejaculation. It also affects my beautiful sexual time. My sperm is released within seconds of time on sex. Due to this me and my partner, we both are dissatisfied. I heard that there is a large number of medicines now available in market which offers a long period of sexual time. But my friends said that some of these medicines have some side effects. Because of this I need your advice immediately. Can you please advise me of some medicine to increase my sexual time? I kindly request you please dictate a medicine without side effects for me which will also available in Saudi Arabia. Thank you for your pleasure time.

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Category: Internal Medicine Specialist
 20 Doctors Online

Thank you for your concern, I understand your worries associated with dysfunction. Decreased libido, erectile dysfunction, and ejaculatory dysfunction are the three major forms of male sexual dysfunction. Finding out the etiology is the first step in the treatment of male sexual dysfunction.  Appropriate laboratory tests and certain clues in the history can commonly demonstrate the primary cause. Psychogenic is the most common induce of premature ejaculation (PE). There are some other factors also affect premature ejaculation. Increased stress, anxiety and depression may cause premature ejaculation. Certain neurogenic and vascular diseases such as hypertension and diabetes also arecontributing factors for premature ejaculation.  It is very important to determine the cause of premature ejaculation earlier starting any therapy. Decreasing anxiety and stress and speaking more with your wife about your fears and concerns will help. Pharmacotherapy is the next better option incase these measures do not help. Combination of psychotherapy with psychoactive drugs or psychotherapy may be useful in men whose erectile dysfunction is induced by anxiety or depression. Yohimbine hydrochloride may be used as a cure for men who were suffering with psychogenic erectile dysfunction. Yohimbine hydrochloride is analpha adrenergic blocking factor. I think your problem is more physiological than physical. It is better to consult your physician, if these symptoms are badly affecting. Your physician can help in advising you better options and medicines also. Otherwise they can help in suggesting remedies in the form of medicine or some other method. I think I have answered your query well. Good luck.

Dr. Steve Merris
Category: Internal Medicine Specialist
Medical School - New York University
Internship in Internal Medicine - Beth Israel Medical Center
Residency in Internal Medicine - Beth Israel Medical Center
Fellowship in Pulmonary and Critical Care Medicine - Columbia University Medical Center
Dr. Steve Merris and 4 other Medical Specialists are ready to help you

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