PREMATURE EJACULATION with short erection time. Treatment?

Resolved Question:

Hi, I am on 30, I have premature ejaculation, I tried kegel exeercise and some other exercises. Also erection time is very short, ejaculated or not, it will shrink after short time. less than br greater than I don't have any other deseases or not having any medical treatments. Not using any tablets. Once I used one ayurvedic tablet (3 months before) for premature ejaculation, but no improvement. less than br greater than less than br greater than Currently not using any medicine for any deseases


Category: Sexologist

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Category: Sexologist
Dr. Srikanth Reddy is online now

Expert:  Dr. Srikanth Reddy replied 4 Days.

Hello
Thanks for using DoctorSpring.com for posting your query.
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 but it seems they have not helped in your case.
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 this helps,
In case if you have any further query, do let me know.
Kind regards
Dr. Srikanth Reddy


Patient replied :

Hi Doctor, Thanks for your reply, Aplogies for the delay, I haven't internet though. I don't have any type of past medical history, but since 2 days I have a mior pain on the tip of the skin of my penis, something like swelling, not all the time but almost on day time. And If I use this medicine Paroxetine, any side effects? also please explain how I can consume, 12.5mg or 25mg. Also you said about Dapoxetine, could you please tell me how I can use either of these medicines if the Perineal excercise is not good for me? Also one other important issue is, Penis is not erecting for long time, just for maximum 5 minutes, after that I feel like I have no more strength to erect it.This is disappointing me.
Thank you Verymuch


Expert:  Dr. Srikanth Reddy replied 3 Days.

I advise my patients to start with 12.5mg of paroxetine to be taken daily at night adn if dapoxetine is being used, it needs to be used in the dise of 30mg 1 hour before sex as and when required.
However we are not allowed to prescribe without examining your personally and hence get it prescribed by your local doctor.
Regarding the loosening of your penis, it points towards psychological causes and may have something to do with the low confidence. If you start having proper sex with the premature ejaculation treated, the erection time will also increase with time.
Kind regards
Dr. Srikanth Reddy MD


Dr. Srikanth Reddy
Category: Sexologist
Experience: 
Doctor of Medicine (MD), Psychiatry Residency Program,2001 – 2012
M.B.B.S,Mahatma Gandhi Institute Of Medical Sciences, Sevagram

Certificate Course in sex Therapy and Counselling, Sexology and Counselling, A
Sexology,Medikon Sexual Sciences, Mumbai

Training in Advanced Neurology at a leading corporate hospital (CARE hospital) in Hyderabad

Child Psychiatry Training in National Institute of Mental Health and Neuro-Sciences, Bangalore

Sex Therapy and Counsellingat MEDIKON Sexual Sciences, Mumbai.
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