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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Recommend Treatment For Premature Ejaculation

Hello. My name is Nasim. I m 25 yeas old. I m single and I never sex before. I did masterbating and I watched porn. Now I leaved. I m planning get married but I m worried about sexual life I m worried do I come early(premature ejaculatino). Can u give some advice please. Thanks
Mon, 6 Jun 2016
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Psychiatrist 's  Response
Dear Nasim,
Thank you for contacting Healthcaremagic.
I have gone through your question and understand your concerns to delay the ejaculation as you are going to marry and will have sex life with your partner ahead.
Masturbating and porn watching itself does not lead to premature ejaculation.
However, it has been believed by several experts that some masturbation practices cause one to 'learn' ejaculate soon. For example, when boys masturbate in group, there is often 'race to ejaculate faster'. Masturbation is done in privacy and one often have concern 'to finish it fast' for fear of breach in privacy. So one's mind learns to ejaculate soon unconsciously. This does not apply to all. So don't be in apprehension about premature ejaculation.
Following strategies, in combination often help to delay the climax.
1. Stop-start technique of behavior therapy.
2. Female on top with active role.
3. Double condom
4. Medicines like Fluoxetine 20 mg day or Paroxetine CR 25 mg per day.
(To be taken under medical supervision only)
5. Pelvic muscle strengthening exercise. (As if try to hold urine intermittently during voiding)
6. Penile squeeze technique applied at the point of ejaculatory inevitability.
7. Applying a local anesthetic ointment to glans penis prior to penetration.
I hope this will help you.
Wish you good sex life ahead.
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Psychiatrist Dr. IJ Ratnani's  Response
Hello
Thank you for posting question.
Having fear about sexual performance is common before marriage. Premature ejaculation is common in newly wed men. Do not get worried about it. It can easily get manged now a days. Go ahead. Wish you happy married life.
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Recommend Treatment For Premature Ejaculation

Dear Nasim, Thank you for contacting Healthcaremagic. I have gone through your question and understand your concerns to delay the ejaculation as you are going to marry and will have sex life with your partner ahead. Masturbating and porn watching itself does not lead to premature ejaculation. However, it has been believed by several experts that some masturbation practices cause one to learn ejaculate soon. For example, when boys masturbate in group, there is often race to ejaculate faster . Masturbation is done in privacy and one often have concern to finish it fast for fear of breach in privacy. So one s mind learns to ejaculate soon unconsciously. This does not apply to all. So don t be in apprehension about premature ejaculation. Following strategies, in combination often help to delay the climax. 1. Stop-start technique of behavior therapy. 2. Female on top with active role. 3. Double condom 4. Medicines like Fluoxetine 20 mg day or Paroxetine CR 25 mg per day. (To be taken under medical supervision only) 5. Pelvic muscle strengthening exercise. (As if try to hold urine intermittently during voiding) 6. Penile squeeze technique applied at the point of ejaculatory inevitability. 7. Applying a local anesthetic ointment to glans penis prior to penetration. I hope this will help you. Wish you good sex life ahead.