Suggest Treatment For Erectile Dysfunction And Premature Ejaculation

Dear service user, Thank you for writing to Healthcaremagic. I can understand your concerns about erectile dysfunction and premature ejaculations. Cause of erectile dysfunction should be ruled out for proper treatment. Mostly it is due to stress and anxiety. Situational reasons like fatigue, tension or own pressure to perform rather to enjoy is very common. This seems more likely in your case. When individuals are highly concerned about their performance and unfortunately focus on their penis for performance, it leads to erectile failure or weak erections. First erectile failure due to any reason leads one to be worried about next sexual encounter. One focuses constantly on how do i perform . This leads to anxiety and difficulty in erection in subsequent sexual activities. One’s anxiety goes on increasing with every ‘failure’. Discuss in detail about your problems with your treating Doctor. Following methods, 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. One can lead the partner to orgasm by stimulating other erogenous zones rather than vaginal containment only. I recommend you to consult psychiatrist trained in psychosexual medicine, who will guide you how to utilize all these techniques effectively best suited for you. Warm regards.