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What Causes Premature Ejaculation?

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Posted on Mon, 21 Apr 2014
Question: After marriage I have discovered that I am getting pre-mature ejaculation. The moment I increase the speed of inter course I ejaculate. Initially for 1 month, I was getting proper erection although the problem of pre-mature ejaculation had existed. Nowadays I am not even getting a proper erection. More-over while inter course , the erection is subsiding. The condom is losing its grip over my penis because of loss of erection. My wife is co-operative and she is not yet upset with this matter. But I feel down and my sexual desires are decreasing. Presently I am not taking any medicine. Kindly advise.
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Answered by Dr. V. Sasanka (26 minutes later)
Brief Answer: Can use tab dapoxetine to control ejaculation Detailed Answer: Hi What you have described is a fairly common scenario especially among Indian men who have been recently married. We do achieve significant success with use of medication like Dapoxetine which at a starting dose of 30mg to be taken approximately one hour before intercourse regards ejaculation. You can combine it with Tab. Tadalafil which improves the quality of erections as well. This could also be taken initially on an on-demand basis about one hour before intercourse. Avoid it daily. I suggest you try this combination not more than twice in a week initially. In patients whom I see personally I teach them a method of squeezing the glans penis gently when they sense an ejacilation coming on but this needs practice and willpower for success. You also use some condoms which have lining with a local anaesthetic to last extra and these are widely available in the market. You also need to be patient initially and I am glad your site is very understanding. Sometimes you should try only foreplay and avoid intercourse for several occasions- this is called sensate focus. It could be several days before these medicines start showing their effect. Do not worry. I am sure you will be alright soon. You might need to consult a local Urologist for prescribing these drugs. Hope I have been of help. Best wishes.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. V. Sasanka

Urologist

Practicing since :1995

Answered : 529 Questions

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What Causes Premature Ejaculation?

Brief Answer: Can use tab dapoxetine to control ejaculation Detailed Answer: Hi What you have described is a fairly common scenario especially among Indian men who have been recently married. We do achieve significant success with use of medication like Dapoxetine which at a starting dose of 30mg to be taken approximately one hour before intercourse regards ejaculation. You can combine it with Tab. Tadalafil which improves the quality of erections as well. This could also be taken initially on an on-demand basis about one hour before intercourse. Avoid it daily. I suggest you try this combination not more than twice in a week initially. In patients whom I see personally I teach them a method of squeezing the glans penis gently when they sense an ejacilation coming on but this needs practice and willpower for success. You also use some condoms which have lining with a local anaesthetic to last extra and these are widely available in the market. You also need to be patient initially and I am glad your site is very understanding. Sometimes you should try only foreplay and avoid intercourse for several occasions- this is called sensate focus. It could be several days before these medicines start showing their effect. Do not worry. I am sure you will be alright soon. You might need to consult a local Urologist for prescribing these drugs. Hope I have been of help. Best wishes.