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Unable to do sex more than one minute. Help.

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I am 30 years old patientold, recently I got married. I have a problem which is related to sex. I unable to do sex more than one minute and some times it is not getting hard. Please help me in this issue.
Thanks for your help.

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
 22 Doctors Online

Thanks for posting your query at
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. Premature ejaculation reduces the confidence and this results in reduced erectile strength. If we treat the premature ejaculation part, the strength will improve by itself. 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 this helps,
In case if you have any further query, do let me know.
Kind regards
Dr. Srikanth Reddy

Patient replied :

Thank you for your suggestion, If I go for medication, how many days need to use and is there any side effects. Do I get permanent solution with medication? Thanks

It may take 4-5 days to start showing response. The medicine course has to be continued for 3-4 months. There is a 80-90% chance of not needing to continue the medicines and further. The time will show the way to continue further.

Dr. Srikanth Reddy MD

Patient replied :

Sorry for delay in response.. I didn't take any medication because my problem is reduced with muscle exercise. But, repeated the same problem now. Can take same medicine which you prescribed earlier, or not. My small request is that, please send me a scanned prescription copy, it is much helpful to take medicine from medical shop. Please suggest... Thank you for your help in advance

This consult is over an year old now, hence it has been automatically closed by the system.
If you want to consult the same physician, you would need to initiate a new query.
Also, we do not give prescriptions online, as it is not legal to give prescriptions without examining the patient directly.
InHouse Physician.

Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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