PATIENT PROFILE
Age: 31
Gender: Male
Topic: Sexology
SubTopic: Premature Ejaculation
Location: India
errectile dysfunction and early ejaculation
Dr.
Hello DocsApp User, Welcome to DocsApp! I am the doctor’s assistant. Before your consultation with the doctor starts, it is important that you answer the following questions.
Dr.
Does this problem occur when you are with a specific person, If yes please select below:
  • Wife
  • Girlfriend
  • Others
  • Submit
Does this problem occur when you are with a specific person, If yes please select below: Wife
Dr.
How frequently does this happen, when you engage in Sexual activity?
  • 1 in 10 times
  • 1 in 5 times
  • 1 in 2 times
  • Everytime
  • Submit
How frequently does this happen, when you engage in Sexual activity? Everytime
Dr.
Do you have any of the following (Stress, Anxiety, Depression etc.)?
  • Stress
  • Anxiety
  • Depression
  • None
  • Submit
Do you have any of the following (Stress, Anxiety, Depression etc.)? Stress
Dr.
Do you have any of the conidtions (Hypertension, Diabetes, Thyroid, Cardiac problems)?
  • Hypertension
  • Diabetes
  • Thyroid
  • Cardiac problems
  • None
  • Submit
Do you have any of the conidtions (Hypertension, Diabetes, Thyroid, Cardiac problems)? None
Dr.
Do you take any allergy medication for cold and cough?
  • Yes
  • No
  • Submit
Do you take any allergy medication for cold and cough? No
Dr.
Do you have any of the following habits?
  • Smoking
  • Alcohol consumption
  • Recreational drugs
  • None
  • Submit
Do you have any of the following habits? None
Thanks! Doctor has received your payment
Dr.
Good Afternoon xxxx!
Dr.
Do you want to discuss on call or chat?
this is xxxx I want to chat
Dr.
ok
Dr.
I need more information.
Dr.
Please answer few questions so I can guide you in right direction for your sex related problem. 1..Are you married? If yes duration of marriage? If not married, provide details about sex life with girlfriend. Where and which circumstances you do sex? 2..How did problem start? Any specific incidence was there? 3...Do you pay more attention to erection while trying for intercourse/sex? 4..Do you have any physical illness?if yes, Any medication? 5..How is relationship with your partner? Any emotional or social problem is there? 6..Is morning erection present when you wake up from sleep ? 7..Is smoking or alcohol?if yes, duration you are taking, frequency per week or per month and quantity? 8..Is there any difficulty in urinating? 9...When did you do successful intercourse last? 10...Is there any history of masturbation? If yes, how was pleasure/orgasm during masturbation? 11...How many time you do sex and masturbation per week or per month? 12..How much duration do you last before ejaculation? Do you ejaculate before your partner reaches orgasm?
Dr.
Are you there? I am waiting for your response.
1 yes married 3years completed 2 no specific,but was not able to last even for a sec.since 3 years
3 yes 4no 5 relation is super but coming to this point I lack 6 yes sometimes 7 no 8 I even can't stop my urine if I am very urgent to urinate 9 1year back for a max of 3 mins 10yes during my teen age I used to masturbate daily for almost 3 to 4 times
Dr.
last two answers?
Dr.
currently
Dr.
How many times you do sex per week?
Dr.
How many times you masturbate per week?
Dr.
How much duration do you last before ejaculation after insertion of penis in vagina?
Dr.
Do you ejaculate before your partner reaches orgasm?
weekly once we have intercourse
masturbation now I am not doing
before insertion only I ejaculate
Dr.
Thanks for information.
Dr.
your problem is Premature ejaculation and performance anxiety
Dr.
Presence of morning erection and normal masturbation habit suggest that there is no physical problem.
Dr.
Brain has sex centre which sends signals to penis for erection. This sex center is stimulated by any visual stimuli, fantasies or with partner touch. Erection to be remaining constant sex center should be in stimulated mode. While doing sex if any kind of thoughts like “Will I be able to satisfy my partner today? Will my erection be last proper? Is my erection is there or not? Is it proper erection?” etc as well as more than 30-45 seconds transition time from foreplay to insertion penis is there then sex center loses its stimulation due to lack of arousal. So signals for erection to penis are also lost and penis becomes loose.
Dr.
To overcome this problem you should not remove your underwear during foreplay. When you feel that there is sufficient erection or your partner feels the same just proceed for the insertion without delay after removing underwear. If you are using condom, keep condom in ready to wear position near to bed before starting the sex so no time is wasted in getting condom and opening it. After removing underwear, during wearing condom and till you insert completely and start stroking keep your sex center aroused by touching your partners parts(breast) or whatever the way you comfortable or your partner can do something like kissing you or touching your some body part by which you feel aroused. During this process try to enjoy and avoid thinking about erection or success of sex or watching erection consciously or feeling erection consciously with attention. Even after insertion of penis continue the same feelings and your both hands are free so you can have more chance to arouse yourself by touching your partner the way you like. After few strokes it will be easy to maintain erection. Ultimately try to enjoy without apprehension of erection or success of sex.
Dr.
premature ejaculation
Dr.
It means early ejaculation.. Means your ejaculation (coming out of semen /sperms) so early that the partner is not able to enjoy /satisfy
Dr.
It is not a pathological problem but it is only physiological problem.
Dr.
It can be treated with medicines and behavioural modifications.
Dr.
I am sending details about treatment aspect, after that ask query if any.
Dr.
Behavioral approaches are as follows to prevent early ejaculation 1. Stop and start and Squeeze technique can be applied which you can learn from internet and ask me if any query in that.(In brief, method suggests that you should try to divert your mind for a moment when you feel ejaculation arousal and penis should be tightly squeezed with hand inwards by your partner preferably).I will explain in next msg. 2. Kegel exercise also helps in some cases. You can learn the same from internet. 3. Sex counselling of your sexual behavior and methods. Like if you are down and female partner on top, gravity is going to help you for lengthening the time. 4. You should do masturbation before sex (at least 3 hours before or same day in morning). It will make seminal vesicles somewhat empty and at time of sex semen will take more time to come out. Another approach: -Use of condoms. Sometime use of condom, while sex, helps in delaying ejaculation by reducing sensitivity of glans penis . even condom with anesthetic gel is also available - long lasting condom.
Dr.
you can learn stop and start technique gradually
Dr.
After insertion of penis when you start stroking there will be feeling when you feel that ejaculation will be initiated soon. At that moment you have to stop stroking for 30 seconds, keep penis inside and divert your mind to something else other than sex. When you feel that ejaculation impulse gone you can restart stroking and same thing can be repeated again and again to extend the time. However for this you need to last at least 1 minute after insertion. It requires practice.
Dr.
Medicines for premature ejaculation : Clomipramine and paroxetine are choice of medicines which are used as antidepressants (For depression dose is higher). I prefer clomipramine for PME. No significant side effects with these medicines. Initially say for 0-30 days daily after dinner and later on just on the day when you do the sex. One molecule called dapoxetine has been used specifically for PME and should be taken before sex when required. One ayurvedic supplement confido is also helpful in some patients.
Dr.
Semen production occurs daily after adolescent age. Semen stored in seminal vesicles of prostate. When any kind of arousal or excitation is there it comes out. When frequency of sex or masturbation is relatively less, seminal vesicles will be full of semen so with some slight arousal it comes out fast during sex and premature ejaculation occurs. It is like when a glass of water is full completely and if you will shake it slight some water will be spilled out and if glass is half or less full some shaking will not spilled water and one has to bend the glass more to evacuate the water and same thing happen in ejaculation process. So increasing the frequency of masturbation or sex will automatically help to evacuate semen regularly and less chances of premature ejaculation.
Dr.
Considering your history I recommend
Dr.
dapxoetine and confido in your case
Dr.
Please read all msgs carefully and ask your queries if any. I will prescribe medicine after your all queries answered.
Dr.
I am prescribing for a while
Dr.
I will add one vitamin supplement for erection
Dr.
Tetrafol plus
Dr.
two times a day
Dr.
DocsApp prescription
Dr.
DocsApp prescription
Dr.
Not to worry Srinivas , take the medicines that I have prescribed. You will feel better. If you need any help, I am right here.
Dr.
After one month we can evaluate situation and decide further course of medicines.
Dr.
Thank you for consulting me through docsapp
Dr.
Please do not hesitate to ask your doubt or query.
I earlier used tentex royal for 1week from other doctor but when I take the medicine I used feel pain in the ribs
so I have stopped taking it
Dr.
I prescribed tentex forte
Dr.
not royale
k sir
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