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Premature Ejaculation Treatment

Premature ejaculation refers to uncontrolled ejaculation just before or after sexual penetration. This can occur with little sexual stimulation. Premature ejaculation can often lead to unsatisfactory experiences for both partners involved. This can further cause anxiety which can aggravate the problem. Though the exact cause of this problem is not known, it can lead to sexual dysfunction in many men. When an individual ejaculates before they want to, they may have questions about delaying the ejaculation and treating the condition. Given below are some of the common questions that have been answered by Experts.

What is the treatment for premature ejaculation?

There are different treatment options for premature ejaculation. Some of these are prescription medications such as serotonin reuptake inhibitors like sertraline, paroxetine or fluoxetine, the squeeze technique, psychotherapy, masturbation 30 minutes before the actual intercourse and topical anesthetic creams.

How does the squeezing technique help in controlling premature ejaculation?

The squeezing technique can be helpful in delaying ejaculation temporarily by stimulating a nerve reflex that starts the ejaculation. The individual who has the condition can begin sexual activity like always. When they think they are about to ejaculate, their partner can squeeze the end of the penis till its head touches the shaft. This will have to be done for a few seconds till the urge to ejaculate passes. Once the urge goes, the squeeze can be released and the individual can go back to foreplay after about 30 seconds. The partner may have to squeeze the penis if the individual gets the urge to ejaculate again.

Can anesthetic creams be used to treat premature ejaculation?

Anesthetic creams such as Lidocaine 4% or Prilocaine can be used to control premature ejaculation temporarily. These creams can help dull the sensation on the penis to delay ejaculation. They can be bought on the internet and applied to the entire penis 15 minutes before intercourse and washed off just before penetration.

Can Paxil be used to treat premature ejaculation and what are its side effects?

Paxil is one of the most common SSRI (Selective serotonin reuptake inhibitor) classes of anti-depressants that are used to treat premature ejaculation. Some of the common side effects of this medication are nausea, sleepiness, diarrhea and headaches. The nausea can go away if the medication is used continuously for a certain period of time. The diarrhea, however, can be a continuous side effect in about 5% of people who use this medication.

Will medication taken to treat a prostate infection cause premature ejaculation?

Medications that are used to treat prostate infections may not lead to premature ejaculation.

Can injections help in treating premature ejaculation?

Injections may not be helpful in treating premature ejaculation. The condition can be treated using a medication like Paxil in small doses.

What can be done if a medication does not help control premature ejaculation and weak erections? Will penile surgery help treat this condition?

If medications do not help control premature ejaculation and weak erections, the individual may have to first get blood tests done to check cholesterol and testosterone levels. Weight loss and exercises can help increase the effect of these medications. If the levels of testosterone are low, the individual can be given testosterone supplements. If they have been taking a medicine like Viagra, the dosage can be increased. Penile surgery or penile implant prosthesis may not help in treating premature ejaculation.

How do SSRI medicines help treat premature ejaculation?

SSRI medications work centrally in the brain and delay ejaculation though there is no information about how exactly they work. However, these medicines can lead to side effects like gastro-intestinal upset, increased appetite and headaches.

How can psychotherapy help in delaying ejaculation?

Psychotherapy, also known as counseling or talk therapy can sometimes be used to treat premature ejaculation. The affected individual may talk to a mental health provider about their relationships and experiences. These sessions can help to reduce performance anxiety and find new ways to dealing with stress and solving problems.

Premature ejaculation can lead to a lot of sexual dissatisfaction among people. This in return can have an adverse effect on a person’s psychology and can affect their confidence. Not finding enough information or answers to questions can lead to further frustration. At such times, it can be a great relief to get answers from someone who knows about the condition and can guide with treatment options. One may speak to an Expert and get information about premature ejaculation and its treatment.
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