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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Premature Ejaculation?

Dear Respectful Doctor . Sadie Sheafe .
it has been so long i am having the Premature Enjaculation and beside this i am finishing so soon .. even in my 3rd or 4th time even .. i don,t know what is this ? is this kind a sickness or its a soluble problem .. i would be really pleased to understand what to do ?
Best regards
Arman ..
Thu, 28 Aug 2014
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General & Family Physician,  's  Response
Hi
Thank you for asking HCM
I have gone through your query.You should get rid off anxiety including performance anxiety and stress as those are main offender for many.You can try squeeze and stop technique.You can stimulate your partner to maximum before getting yourself stimulated.You can deviate your thought to some thing nonsexual when you about to near ejaculation.You can put on a condom or condom with anesthetic which will decrease the excessive stimulation on penis and there by prevent premature ejaculation.If all these not helping then you can approach a psychiatrist for behavioral therapy and medicinal treatment like anti depressants.SSRIs like Paroxetine and clomipramine are giving good results in many.Dapoxetine a short acting SSRI which can be given whenever needed also.Hope this may help you.
Let me know if you have any further query.
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What Causes Premature Ejaculation?

Hi Thank you for asking HCM I have gone through your query.You should get rid off anxiety including performance anxiety and stress as those are main offender for many.You can try squeeze and stop technique.You can stimulate your partner to maximum before getting yourself stimulated.You can deviate your thought to some thing nonsexual when you about to near ejaculation.You can put on a condom or condom with anesthetic which will decrease the excessive stimulation on penis and there by prevent premature ejaculation.If all these not helping then you can approach a psychiatrist for behavioral therapy and medicinal treatment like anti depressants.SSRIs like Paroxetine and clomipramine are giving good results in many.Dapoxetine a short acting SSRI which can be given whenever needed also.Hope this may help you. Let me know if you have any further query.