Treatment Premature Ejaculation Sexologist

Date last updated: July 16, 2017



Best treatment for PE. 

Treatment Premature Ejaculation Sexologist

QUESTION ON Premature Ejaculation


i have prmajor ejacultion. I am young. I married before 1 year
The following is based on Dr. Ashok Koparday's answer at

http://answers.webmd.com/



  1. FIRST: DIAGNOSIS OF PE
  2. SECOND: METHODS TO DELAY EJACULATION WITHOUT MEDICINES
  3. THIRD: MEDICINES TO CURE PE


Having premature ejaculation can be very unnerving for a 'man'.

1st FIRST DIAGNOSIS OF PE

First one should confirm whether he does have 'premature ejaculation'. 2nd Next he can try those methods that do not require medication and are safe. 3rd After that, if need be, he may contact a Sex Therapist for further guidance.
1st
FIRST
A
Premature ejaculation is when the discharge is before penis enters vagina or soon after entering in two to three strokes or within one minute. When this causes dissatisfaction to him or his partner or both then you can call it premature ejaculation.
B
The man who complains of premature ejaculation has a nagging thought at the back of his mind that he is not satisfying his partner. This aspect, the secrets of giving maximum sexual pleasure to a woman is not discussed here. It is a separate topic. This topic has to be considered when treating people who ejaculate rapidly.
Why is it important to know if you really have Premature Ejaculation?
Unrealistic expectations is an important and common reason why people seek treatment for premature ejaculation. Porn movies or stories overheard from friends make them believe that they should be doing sexual intercourse for fifteen, twenty or thirty minutes. These people will be ever dissatisfied with treatment as their expectation is weird.
Moreover, there is no single universally accepted definition of what Intra Vaginal Ejaculation Latency Time
IELT 'Intravaginal Latency Time' what different authorities in sexology define as time for PE premature ejaculation and normal time.
(medical word for time of discharge) is premature.
Based on my clinical experience of over fifteen years in the field of Sexual Medicine I consider normal duration from insertion to discharge as one minute to three minutes. Discharge can sometimes be sooner and at other times longer than this time in the same individual.
Bond with the Best Sexologist Mumbai, Dr. Ashok Koparday
Google plus + Linkedin Facebook Twitter YouTube Samadhan Health Studio

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  11. Premature Ejaculation References
  12. Best Foreplay
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  15. For people with PE do not skip Foreplay


  1. SHIGRAPATAN HINDI


SECOND: 

METHODS TO DELAY EJACULATION WITHOUT MEDICINES [click here]



THIRD MEDICINES TO CURE PE

3rd Rx PE

 

1. Antidepressants 

  1. Dapoxetine

  2. SSRI

    Paroxetine, Sertraline, Fluoxetine
    The selective serotonin reuptake inhibitors can increase the delay in discharge by * 6 to 20 folds
  3. TCA Clomipramine

    Tricyclic antidepressant clomipramine (Anafranil) (marketed as nasal spray)

2. Local anesthetics 

Desensitizing local anesthetics
Lignocaine, lidocaine, prilocaine (Promescent)
Available as 
  • spray, 
  • gel, (Lignocaine 2% gel)
  • condom 
Extra long condoms are condoms containing local anesthetic desensitiser lignocaine.

3. Tramadol (Ultram)

Atypical analgesic

 

There are some people who benefit from medicines.
The SSRI Paroxetine Paroxetine delays ejaculation seven folds.

Selective Serotonin Reuptake Inhibitors are a group of anti-depressants that are used by Sex Therapists to treat premature ejaculation. Of these, Dapoxetine is the only one which has been approved by FDA (2004) as treatment for premature ejaculation. You will have to meet a qualified health care professional and under the doctor's guidance you can begin medical treatment.

Use of anesthetics (in the form or spray or gel) is not my treatment of choice. What is the fun if your sensations are gone?
I hope this answers your query, If you have additional doubts please feel free to ask us.
Dr. (Mr.) Ashok Koparday
M.B.B.S., F.C.S.E.P. (International)
Accreditation:
Ex. Teaching Faculty

& and

&
,
Consultant
Psycho-Sexual Medicine Marriage counselor
Member:
Fellow:
Published by Ashok Koparday
for Best Treatment Center for Sexual Health
Senior Sexologist (Experience 20 years) Consulting Hours: Samadhan Health Studio
A1, Namdeep, Barrister Nath Pai Road,
Near Vikrant Circle, Barrister Nath Pai Nagar,
,
Mumbai , Maharashtra, India400077
09867788877

You will find here treatment of premature ejaculation given by Sexologist at webMD
premature ejaculation treatment answer by sexologist webMD
Rx PE
Premature Ejaculation Treatment.
Do you really have PE?
Safe cure PE by methods not requiring medicines.
Dapoxetine and SSRI antidepressants
Rx PE

References
*
en.wikipedia.org/wiki/Premature_ejaculation Source Copyright Reference: By Ashok Koparday for
webMD http://answers.webmd.com/answers/5019648/i-have-prmajor-ejacultion-for-when-i-am-yong-now-i-marrid-berfor-1-year-now-i-also-prmatur-ejacultion-is-there-some?pagenumber=1

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