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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

Hi I am married to my girlfriend of 8 years. Our marriage has passed 6 months. Though we were in a relationship we never had sexual intercourse. Now I am facing problem of premature ejaculation. When she touches my Erect penis I get discharge. Oral sex lasts just for a few seconds and when I try to penetrate, as I touch her vagina entrance I discharge immediately. Please help
posted on Wed, 7 Dec 2016
Twitter Wed, 14 Dec 2016 Answered on
Twitter Thu, 15 Dec 2016 Last reviewed on
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General & Family Physician 's  Response
Hello dear
I understand your concern
Your symptoms could be due to medical cause and psychological issue
Medical cause like diabetes, hypertension, excessive smoking and alcohol, low testosterone, obesity.
But at your age, it is mainly due to psychological issues like -

anxiety about the performance failures
anxiety about partner's satisfaction,
ongoing stress at home and at work place(if any),
Excessive fatigue predispose to erectile dysfunction.

I would like to advice you for health check up and get the following test done to rule out any underlying medical concerns in the first place : Fasting and postprandial blood sugar, serum testosterone level, Ultrasound pelvis and scrotum.

If all of those investigation results comes within normal range, then you should go for sexual counselling and psychotherapy by visiting a psychiatrist

Meanwhile , following advises will help you:

Do regular exercise like walking, yoga, kegel exercise, breathing exercises.
Do ejaculation purposefully before the intercourse, use double condom or condom with lidocaine gel, try women on top position,
Free communication and mutual understanding with partner will help.
During sex, you have to give proper time for foreplay before going for penetration. Foreplay should continue even during the intercourse also.
Take high protein diet, drink plenty of water
If problem persists then
Medications like
Tetrafol plus: It can help in erection and should be taken after complete physical evaluation as mentioned above. It will give promising results with daily intake up to 2 months
Drug like Cialis can be useful too.
Hope this may help you

Contact HCM for further health query
Best regards
Dr. Sagar
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Suggest Treatment For Premature Ejaculation

Hello dear I understand your concern Your symptoms could be due to medical cause and psychological issue Medical cause like diabetes, hypertension, excessive smoking and alcohol, low testosterone, obesity. But at your age, it is mainly due to psychological issues like - anxiety about the performance failures anxiety about partner s satisfaction, ongoing stress at home and at work place(if any), Excessive fatigue predispose to erectile dysfunction. I would like to advice you for health check up and get the following test done to rule out any underlying medical concerns in the first place : Fasting and postprandial blood sugar, serum testosterone level, Ultrasound pelvis and scrotum. If all of those investigation results comes within normal range, then you should go for sexual counselling and psychotherapy by visiting a psychiatrist Meanwhile , following advises will help you: Do regular exercise like walking, yoga, kegel exercise, breathing exercises. Do ejaculation purposefully before the intercourse, use double condom or condom with lidocaine gel, try women on top position, Free communication and mutual understanding with partner will help. During sex, you have to give proper time for foreplay before going for penetration. Foreplay should continue even during the intercourse also. Take high protein diet, drink plenty of water If problem persists then Medications like Tetrafol plus: It can help in erection and should be taken after complete physical evaluation as mentioned above. It will give promising results with daily intake up to 2 months Drug like Cialis can be useful too. Hope this may help you Contact HCM for further health query Best regards Dr. Sagar