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Suggest Treatment For Delayed Ejaculation

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Posted on Wed, 19 Aug 2015
Question: I can get hard easy , but can not ejaculate unless i finish my self off . Ive been like this since i started taking valium for anxiety 7 years ago . Wot do i do
doctor
Answered by Dr. Shubham Mehta (1 hour later)
Brief Answer:
determining the cause is important.

Detailed Answer:
Hello
Welcome to HCM.
I understand your concerns.

You are facing the problem of delayed ejaculation.

In my opinion, the probable cause for this could be anxiety.

Do you smoke or drink alcohol?
This could be another cause for your problem.

Do you take any other medicines except valium?
Some drugs like antidepressants, antihypertensives and opioid analogs can delay ejaculation.

The important thing is to first determine the cause of problem. Treatment of the cause will treat the problem.

Hope to hear from you soon.

Take care.
Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shubham Mehta (20 minutes later)
Yes i take oxycontin and endone for crohns disease , 40 ml a day of oxy and 15 ml of endone . When im of this its good so i thought the pain meds are the cause. Any way around this? Dont smoke and dont drink , also take zoloft for deppression but tryed heaps of anti depprests and they dont do anything? Are there better antidepprests ?
doctor
Answered by Dr. Shubham Mehta (10 hours later)
Brief Answer:
reduce the dose to minimum possible.

Detailed Answer:
Hi again.
Sorry for late response.

Pain meds which you are taking can cause delayed ejaculation.
The way out is to reduce the dose to minimum possible.
Changing the drugs may cause relapse of pain symptoms.

Zoloft can cause delayed ejaculation as well.
The antidepressants which are safe in this regard are bupropion, mirtazapine and tianeptine.
If you have not tried these, you can talk to your doctor about using one of these antidepressants.

Hope this helps.
Feel free to ask further.

Thanks.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Shubham Mehta

Psychiatrist

Practicing since :2008

Answered : 2145 Questions

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Suggest Treatment For Delayed Ejaculation

Brief Answer: determining the cause is important. Detailed Answer: Hello Welcome to HCM. I understand your concerns. You are facing the problem of delayed ejaculation. In my opinion, the probable cause for this could be anxiety. Do you smoke or drink alcohol? This could be another cause for your problem. Do you take any other medicines except valium? Some drugs like antidepressants, antihypertensives and opioid analogs can delay ejaculation. The important thing is to first determine the cause of problem. Treatment of the cause will treat the problem. Hope to hear from you soon. Take care. Thanks.