Concluded Case

PREMATURE EJACULATION (PME)

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Counselling and reassurance first line. It will resolve with time. If persists then SSRIs paroxetine 10 mg hs , they delay ejaculation.
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PREMATURE EJACULATION (PME) --- First of all, many people remain in wrong impression that they are suffering with PME. So, first of all, everybody should know the definition of premature ejaculation. A persistent or recurrent pattern of ejaculation occurring during partnered sexual activity WITHIN APPROXIMATELY 1 MINUTE following vaginal penetration and before the individual wishes it. Yes, U have truly heard, It is 1 MINUTE ONLY. If U ejaculate after 1 minute of vaginal penetration, U are perfectly normal. Also, for being diagnosed with PME, one should ejaculate within one minute, for about 6 MONTHS, always whenever sex occurs. So, if u r not suffering continuously for SIX months, U are perfectly OK. Don't worry. So ejaculating after 1 minute is perfectly NORMAL. Though in India, the average time for ejaculation is LESS THAN SEVEN MINUTES. But the normal time is MORE THAN 1 MINUTE. It may be 3 minutes, 8 minutes, 1/2 an hour, depending upon the person and state of mind at that time. But all are normal. The good news is that even if u are suffering with PME, it can be easily treated by we Psychiatrists. If PME is really present, the drug of choice is DAPOXETINE.
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Hyperexcitation and apprehensions are the psychological causes for premature ejeculation Counseling Low dose tranquillisers Or local anaesthetic applications or sprays will delay the ejeculation Alternatively you can use tentax royal or spemen
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Reassurance and counciling required. It is more due to psychological factors than any disease .
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Counselling and reassurance first line. It will resolve with time. If persists then SSRIs paroxetine 10 mg hs , they delay ejaculation.
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Counsling
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Medications, counselling and sexual techniques that delay ejaculation-or a combination of these-can help Anesthetic creams and sprays containing a numbing agent are sometimes used 10 to 15 minutes before sex to reduce sensation and to treat premature ejaculation
ADVISABLE.. 1. CALMNESS ,2. SUPPLEMENTS 3. MASSAGE. FOR. MUSCLE. WEAKNESS ,4. HEALTHY. LIFE. STYLE
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* ASSURANCE..WITH.. PROPER..COUNSELING.. * HERBAL MEDICINES.. CONFIDO ( HIMALAYA).. 2 HS ..
Tnx Dr Shivraj Agarwal sir
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Premature ejaculation happens out of hyper-excitement or over apprehension in young males It requires Reassurance & Counselling Relieving the stress factors
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Couselling and Psychoeducation. Along with short term benzodiazepines to release his anxiety. Also couple therapy which is very helpful.
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