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. 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.
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?
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.
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.