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Sexual Health & Wellness
Question #11582
324 days ago
589

Premature ejaculation is happening

Anzar Ahammed k

Iam facing premature ejaculation it happens sooner than me and my partner desire causing us distress and it occurs nearly all sexual activities typically with in a few minutes so which medicines should I take before sex

Age: 22
$7.5
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Doctors' responses

Hello dear See i think stres is the ultimate cause in your life which is causing this condition Iam suggesting some medication and precautions for improvement Kindly follow them for atleast 2 months Do meditation Do kegel exercises for atleast half an hour daily Avoid smoking or alcohol of taking already Avoid any medications Avoid heavy meals Take shilajeet once a day for 1 month Take triphala once a day for 1 month Im case of no improvement consult gynacolologist in person for better clarification Hopefully you recover soon Regards

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Take Cap. Fluoxetine 20 mg every morning after breakfast. Take for 10 days and have a follow up regarding results. Also taking therapy regarding the same.

Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Med

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Hi Anzar,

Stay calm , You have got this !!

Premature ejaculation is very common, especially in men under 30. 😍The good news is that it can be managed effectively with the right approach.

1.You can begin with behavioural methods;Start stop technique,Squeeze technique 2.Do kegel exercises 3.Use condoms 4.Maintain good lifestyle- exercise,good sleep

Then go with numbing sprays

You can try natural remedies like Aswagandha, Saffron,WALNUT (High success rate)

If and only if behavioural and topical methods is not working , (2-3 months)consult a sexologist or urologist for medical therapy.

Don’t worry. 🛑This is completely manageable in most cases.

Thank you 🙏🏻

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Your condition is common and reversible. Start with behavioral techniques + topical spray, continue lifestyle measures. If insufficient, safe medications under medical supervision work very well. Confidence will return gradually.

So I can’t prescribe any medicine here without having counselling with you. Need interaction.

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1. Premature ejaculation is common at your age and usually linked to oversensitivity, anxiety, or performance pressure.

2. Medicines like selective SSRIs (e.g. paroxetine, sertraline) or topical anesthetic sprays/creams can delay ejaculation, but they should only be taken after a doctor’s prescription.

3. Behavioral techniques such as the stop-start or squeeze method, and pelvic floor strengthening (Kegel exercises), are very effective in gaining control.

4. Lifestyle measures like reducing stress, avoiding excess masturbation, and limiting alcohol or smoking help improve sexual stamina.

5. Using condoms, especially thicker ones or desensitizing condoms, can reduce sensitivity and prolong intercourse.

6. Since this problem is causing distress, it is best to consult a urologist or sexologist who can guide you on safe medicines tailored for you.

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Hello ANZAR, No need to be worried. Most importantly, discuss the situation with your partner.

Try these approaches for better timing: 1. Use a LUBRICANT with anesthesia property 2. Use a lubricated lidocaine CONDOM 3. Do roleplay before penetration, don’t rush for it. 4. Keep your mind calm and relaxed. 5. Exercise daily 6. Maintain healthy diet

All the best ! Take care

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Premature ejaculation is a common and treatable concern. Medicines sometimes used include SSRIs (like paroxetine, sertraline, dapoxetine) and topical anesthetic sprays/gels to reduce sensitivity, but these should be started only under a doctor’s supervision because they need correct dosing and may have side effects. I strongly recommend you consult a urologist or sexologist, who can guide you on safe medicines, behavioral techniques (start–stop, squeeze method), and lifestyle changes for better control.

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Premature ejaculation affects many men, and it’s understandable to seek solutions. Medications can indeed help manage it, but it’s crucial to approach this holistically. Prescription medications like selective serotonin reuptake inhibitors (SSRIs) such as paroxetine, sertraline, or fluoxetine can be prescribed by a doctor and may help prolong ejaculation time when taken daily. Another option is a topical anesthetic, such as lidocaine-prilocaine cream, which can be applied to the penis before intercourse to reduce sensitivity. Delay sprays and creams work by numbing the skin, but it’s essential to follow instructions carefully to avoid excessive numbness or transferring it to your partner. Over-the-counter supplements are also marketed for this issue, but their efficacy and safety aren’t reliably established, unlike regulated medication. Beyond medications, consider behavioral techniques. The “stop-start” method or “squeeze” technique, which involves pausing stimulation to reduce excitement and then resuming, can gradually increase your control. Additionally, incorporating pelvic floor exercises can help strengthen muscles related to ejaculation control. Counseling or therapy may be beneficial, especially if anxiety or other psychological factors contribute. Consultation with a healthcare provider would ensure you explore the most suitable and safe options based on individual needs. Self-medicating without professional guidance isn’t advisable. Managing partner communication and ensuring mutual understanding is also important, to reduce pressure and anxiety surrounding sexual encounters.

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