HomeAnswersSexologypremature ejaculationWhat solution is available for my premature ejaculation?

Why do I have quick ejaculation?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Sneha Kannan

Published At March 3, 2016
Reviewed AtFebruary 23, 2024

Patient's Query

Hi doctor,

I am a 48 year married male suffering from quick ejaculation. I do not have diabetes or BP issue. Please help.

Hello,

Welcome to icliniq.com.

Premature ejaculation is defined as ejaculation with minimal sexual stimulation, before the patient desires and before or within one minute of penetration. Frequently, performance anxiety could be a cause of premature ejaculation. In that case, you can take deep breathing for two minutes before sex. It will relax you enough.

If you still feel anxious, you can take tablet Alprazolam 0.5mg half an hour before sexual activity. Remind yourself that you are having sex for mutual pleasure and relaxation. It is not an ordeal or duty where you are supposed to be the performer.

There are many ways to treat premature ejaculation if it is not possibly due to anxiety.

1) The first technique is known as squeeze technique. In it, when you reach close to orgasm, you or your partner should squeeze on the ridge between the glans and the shaft of penis till the erection subsides. Then begin with your sexual activity once again. Repeat this a few times before you finally ejaculate. This will increase your time of ejaculation and also give you some voluntary control.

2) The second option is you can use Lignocaine spray (Shotmax spray). Spray once on the glans penis 15 minutes before sexual activity. It will reduce the extra sensitivity of the glans to normal level. You can also use 2% Lignox jelly (Lignocaine) instead of spray.

3) The third option is you can take tablet Dapoxetine 30 mg one hour before sexual activity. These techniques are sufficient to treat majority cases of premature ejaculation.

The Probable causes

1. Anxiety. 2. Sensitive glans.

Probable diagnosis

Premature ejaculation.

Treatment plan

1. Treat performance anxiety. 2. Squeeze technique. 3. Lignocaine spray. 4. Tablet Dapoxetine.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Saraswat Kumarshri Shriniwas
Dr. Saraswat Kumarshri Shriniwas

Psychiatry

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