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I am 35 year old male married from last 1 year suffering from early ejection due to the masturbation (hand job) due to this penis skin become thik and early ejection happens during intercourse. Unable hold it for more than 1 minute. Have not taken any medication for this. please suggest suitable medication for this.
Don't let ailments and problems affect your relationship, rather discuss about your concerns and get treated. Premature ejaculation is often defined as the ejaculation, which is uncontrolled and takes place either prior to or just after a sexual penetration. This happens much before a person desires for an ejaculation. It can also take place with minimum stimulation and is quite unsatisfactory for both the partners. This often leads to anxiety and other problems and can affect any man at any point of his life. This is known to be the most common form of male sexual dysfunction (lear more about the healthy sexual life)
Causes of premature ejaculation: The particular cause of premature ejaculation is believed to happen due to the physical factors of weakness in muscles and nerves of the penis due to past history of masturbation (learn more about masturbation), thinning and ejaculation of semen soon and some psychological factors such as depression, guilt, and anxiety. In some cases, it might be related to a medical cause such as the side effect of medications, injury and hormonal imbalance or problems.
Symptoms of premature ejaculation: One of the main and most concerned symptoms is that there is uncontrolled ejaculation prior to or shortly after the intercourse. This often takes place with a minimum sexual pleasure of both partners and before a person desires, resulting in dissatisfaction in sex.
Diagnoses of premature ejaculation: The doctor usually discusses medical history along with sexual history. A thorough physical examination might be done. Some lab tests might be ordered by the doctor to rule out the cause of premature ejaculation, as it can have any cause.
Treatment of premature ejaculation: Many times, premature ejaculation can get better over a period of time and treatment might not be needed. Often distraction methods or relaxation techniques are helpful in delaying an ejaculation. Abstinence or lowering the use of tobacco, alcohol, and illegal drugs might help in controlling ejaculation in some men.
Doctor might recommend you and your partner some techniques, which help in delaying an ejaculation. Different positions can be tried or communicate with the partner to stop or slow down the stimulation. Also, one can start identifying the sensations which build up an ejaculation. If this does not work then behavioural therapy and counselling might help.
Sometimes antidepressants like anafranil (clomipramine) and priligy (dapoxetine) might be given to treat premature ejaculation. These drugs are used because one of the side effects of these is delayed ejaculation. Tramadol a medication for pain can also be used to delay ejaculation. Also, there are gels, creams, and sprays which can be used to reduce the sensations and in turn delay the ejaculation. These are lidocaine and lidocaine-prilocaine and are often applied on the penis before a sexual act. However, the flip side of these is that it might affect the sex partner as well by reducing their sensation as well.
However, if the premature ejaculation persists and hampers sexual satisfaction of partner, it should be consulted via sexologist for proper guidance and complete treatment.