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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Premature Ejaculation

Hello Dr, I get discharge within 30 seconds whenever I kiss or hug a girl. Even without undressing. If pennis is inserted in her, ejaculation occurs in few seconds as well. One more thing that I also get discharge with full orgasm whenever I am sitting in any written exam and remaining time becomes very short. Ejection are normal I m 28 year old. And my weight is 56 kg and height is 5.7. Why is it so?
Fri, 4 Sep 2015
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General & Family Physician,  's  Response
Hi,

Thanks for posting in HCM.

Well, from your description, it appears that you are having 'premature ejaculation'. But this more of psychological problem than physical illness.

Hence, before going in for medications, it is recommended to try 'behavioral therapy'. in about 80% of men of your age, this works. You can practice 'pause-squeeze technique' and look for improvement in holding time by about 3 to 6 months. If your confidence increases, you can continue to do so without any medication.

Otherwise, try to add medication along with behavioral therapy. You can use local anesthetic cream or sprays, which would decrease the sensations and allows you to hold longer. Also you can take selective serotonin reuptake inhibitors (SSRIs) drugs such as sertraline or paroxetine or fluoxetine (Prozac, Sarafem) to delay the release time.
Counseling also to helps when it's used in combination with behavioral and drug therapy.

Hope the information provided is useful to you. All the best.
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Suggest Treatment For Premature Ejaculation

Hi, Thanks for posting in HCM. Well, from your description, it appears that you are having premature ejaculation . But this more of psychological problem than physical illness. Hence, before going in for medications, it is recommended to try behavioral therapy . in about 80% of men of your age, this works. You can practice pause-squeeze technique and look for improvement in holding time by about 3 to 6 months. If your confidence increases, you can continue to do so without any medication. Otherwise, try to add medication along with behavioral therapy. You can use local anesthetic cream or sprays, which would decrease the sensations and allows you to hold longer. Also you can take selective serotonin reuptake inhibitors (SSRIs) drugs such as sertraline or paroxetine or fluoxetine (Prozac, Sarafem) to delay the release time. Counseling also to helps when it s used in combination with behavioral and drug therapy. Hope the information provided is useful to you. All the best.