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What Is The Cause And Treatment For Premature Ejaculation?

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Posted on Mon, 4 Aug 2014
Question: I am 28 year old and having problem of premature ejaculation. I usually discharge within 1min during sex but there is no problem in erection and sperm count is also fine. I want to enjoy sex for atleast 20-30 minutes. Even after first sex round, I cannot do more round. I want to do atleast 3 rounds of sex, Please suggest best medicine or treatment.
doctor
Answered by Dr. Abhishek Kapoor (3 hours later)
Brief Answer:
You can try paroxetine

Detailed Answer:
HI
Thanks for choosing healthcare magic. I, Dr Abhishek Kapoor, would help you to solve your problem.

First of all, i would like to tell you about the basic things you need to get better sex, which includes sexual thoughts, chemical changes and proper blood circulation. When we have sexual thoughts in our mind, it cause the release of some chemical from brain, which lead to increase circulation in penis. This lead to erection of penis.

Premature ejaculation is commonest sexual dysfunction in male. There is nothing to worry about it.

You can do few things that would help in maintaining proper erection and duration:
1. Increase the duration of foreplay. That would help in increasing duration of sex and get proper erection that would last for longer time. After first round, keep during foreplay. That would help you to get good erection and would prepare you for further round.
2. You can use condom that would help to increase duration by delaying ejaculation.
3. You can also take some drugs like paroxetine which is antidepressant. That would help to decrease underline anxiety and delay the ejaculation. Means it would increase duration of sex. You can use sustain release form of this antidepressant. It is not available over the counter, so better to consult a doctor for treatment prescription.

I think with this answer you would be satisfied. In case you need further help, you can connect me.

Regards
Dr. Abhishek Kapoor
Psychiatrist
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Abhishek Kapoor (13 hours later)
Thanks. Please suggest can I take Priligy also. Which one is better priligy or paroxetine. Is viagra is available in XXXXXXX or equivalent to that? Also suggest some delay oil or medicine from homopathy or ayurvedic. Please suggest use of medicine and how to take them.
doctor
Answered by Dr. Abhishek Kapoor (12 hours later)
Brief Answer:
Try paroxetine or tadalafil

Detailed Answer:
Hi

Priligy contains depoxetine. It is useful drug for premature ejaculation. It has elimination half of 1.5 to 2 hours. That means, it would not stay effective for 24 hours. You have to take it repeated in a day. Paroxetine is better than depoxetine due to its longer half life (more than 14 hours). You can take paroxetine 12.5 mg once a day and gradually increase the dose up to 25 mg after two weeks. Paroxetine would take 4 to 5 days to maintain blood level and then to show response. Take it regularly. You would get the desired response.

I would suggest you to use paroxetine rather than depoxetine. Every time, you would not prepare yourself with tablet. With paroxetine, you can do sex at any time. Better to use it.

Viagra is available in XXXXXXX but better to use tadalafil. It has longer half life than sildenafil. One tablet of tadalafil works for 24 to 36 hours as compared to sidenlafil which works for 4 to 6 hours. If you want to use such tablet, better to use tadalafil. You can start it at low dose 10 mg half hour before sex. It would help to get sufficient erection.

There are certain drugs by himalaya which includes Tentex forte which contains natural ingredients that possess tonic and aphrodisiac properties, which enhance sexual desire, drive and performance. Another drugs include Confido helps in maintaining normal sperm production, inhibits premature ejaculation and nocturnal emission.

Better to consult a psychiatrist for prescription.

If you need further help, you can ask.

Regards
Dr. Abhishek Kapoor
Psychiatrist


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Abhishek Kapoor (14 hours later)
Many thanks for detailed suggestions. If I go to doctor for prescription, then I have to spent Rs 500-700 more that I have already spent on healthcare magic so what's the advantage of healthcare magic. Can't you prescribed so that I can purchase medicines suggested by you? Please give online prescription receipt so that I don't have to spend more on consultant and prescription.
doctor
Answered by Dr. Abhishek Kapoor (15 minutes later)
Brief Answer:
Message me on my ID

Detailed Answer:
Hi

Online prescription of healthcare magic is not valid. You can take my email ID. I would send you a prescription on your mail. That would help you to get medicine. Just send a massage on my id.

Regards
Dr. Abhishek Kapoor
Psychiatrist
YYYY@YYYY
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Abhishek Kapoor (4 hours later)
I have sent message on your Id please send prescription
doctor
Answered by Dr. Abhishek Kapoor (3 hours later)
Brief Answer:
Check your mail

Detailed Answer:
HI

I have mailed you the prescription. Check your mail.

Regards
Dr. Abhishek Kapoor
Psychiatrist
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Abhishek Kapoor

Psychiatrist

Practicing since :2007

Answered : 2496 Questions

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What Is The Cause And Treatment For Premature Ejaculation?

Brief Answer: You can try paroxetine Detailed Answer: HI Thanks for choosing healthcare magic. I, Dr Abhishek Kapoor, would help you to solve your problem. First of all, i would like to tell you about the basic things you need to get better sex, which includes sexual thoughts, chemical changes and proper blood circulation. When we have sexual thoughts in our mind, it cause the release of some chemical from brain, which lead to increase circulation in penis. This lead to erection of penis. Premature ejaculation is commonest sexual dysfunction in male. There is nothing to worry about it. You can do few things that would help in maintaining proper erection and duration: 1. Increase the duration of foreplay. That would help in increasing duration of sex and get proper erection that would last for longer time. After first round, keep during foreplay. That would help you to get good erection and would prepare you for further round. 2. You can use condom that would help to increase duration by delaying ejaculation. 3. You can also take some drugs like paroxetine which is antidepressant. That would help to decrease underline anxiety and delay the ejaculation. Means it would increase duration of sex. You can use sustain release form of this antidepressant. It is not available over the counter, so better to consult a doctor for treatment prescription. I think with this answer you would be satisfied. In case you need further help, you can connect me. Regards Dr. Abhishek Kapoor Psychiatrist