Should I Take Medication For Severe Premature Ejaculation?

Posted on Tue, 7 Jan 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 7 Jan 2014 Answered on

Mon, 27 Jan 2014 Last reviewed on

Question : I am suffering from severe premature ejaculation since long, means i come within 1 minute during vaginal intercourse. I'm 172 cms, 68 kg, male with no such disease like hypertension or diabetes. I have tried condoms, several related exercise but nothing resulted well. I dont even have erectile dysfunction. After primary PE its like, I could last for 5 mins without condom and can last longer with condom.. Do i need medication?

Answered by Dr. Dr.Saatiish Jhuntrraa (53 minutes later)

Brief Answer: You may need medicines Detailed Answer: Hello Long standing Premature ejaculation ,if present since beginning, generally needs help of medications. I usually prescribe an SSRI like Paroxetine CR 12.5 mg daily for a month. This is in addition to the pelvic floor muscle exercise and usual sex therapy sessions. Results are good. Any more queries are welcome Dr Saatiish Jhuntrraa

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Dr.Saatiish Jhuntrraa (6 hours later)

Respected Doc, What shall i do if it wont show good result.. i mean (i) Increase the dose or continue the paroxetine with same dose and for how long? (ii) Do i need any laboratory tests? (iii) Any alternative medication.. Plz doc, dont misunderstand me.. i have full confidence in you.. Actually the discussion will end within two days.. Plz inform me how can I contact you again if problem arises..

Answered by Dr. Dr.Saatiish Jhuntrraa (4 hours later)

Brief Answer: Have confidence in medicine Detailed Answer: Hello I can understand your concern and apprehension. The dose of Paroxetine can be increased to 50 mg or even higher for 2-3 months but very high doses some times cause reduced desire for sex . There are many other medications which can be used. I can't ethically prescribe medicine on line but only suggest. As for as contacting me again is concerned, you can either contact through this same web site or search my name on google.You need no lab test if your erection is optimally rigid. Good Luck DR SAATIISH JHUNTRRAA

Above answer was peer-reviewed by : Dr. Vaishalee Punj