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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 there, im 23 year old male and i use to masterbate about 6 times a week and i just recently stoped last week, i have been doing it for when i was 15 years old, just recently i had sex with my partner and i faced 2 problems, the 1st is that it took a few seconds for my sperm to come out meaning i didnt last long and my partner was disatsfied and second problem is that only a tiny bit of sperm come out, can you please help
posted on Fri, 14 Mar 2014
Twitter Sat, 14 Mar 2015 Answered on
Twitter Mon, 16 Mar 2015 Last reviewed on
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Psychiatrist,  's  Response
HELLO,
Thanks for putting your query on HCM!
I have read your case thoroughly and I can understand what you are going through.You seems to be having Premature Ejaculation and it does not have relation to your frequency of previous masturbations.If I had similar patient I would have started him on Paroxetine Controlled Release 12.5mg at night ( one hour before intercourse)for 5 to 6 months before gradually tapering it off and stopping.One can go upto 25 mg dose.Other alternative Dapoxetine 30 mg can also be tried.Usually this dose treats the problem.In case drug therapy is not preferred you can ask your partner to perform start and stop technique where she would stimulate you and when you are about to ejaculate she will press you hard.This should be repeated.
Hope I have solved your query.If you have further query please dont hesitate to ask.
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Suggest Treatment For Premature Ejaculation

HELLO, Thanks for putting your query on HCM! I have read your case thoroughly and I can understand what you are going through.You seems to be having Premature Ejaculation and it does not have relation to your frequency of previous masturbations.If I had similar patient I would have started him on Paroxetine Controlled Release 12.5mg at night ( one hour before intercourse)for 5 to 6 months before gradually tapering it off and stopping.One can go upto 25 mg dose.Other alternative Dapoxetine 30 mg can also be tried.Usually this dose treats the problem.In case drug therapy is not preferred you can ask your partner to perform start and stop technique where she would stimulate you and when you are about to ejaculate she will press you hard.This should be repeated. Hope I have solved your query.If you have further query please dont hesitate to ask.