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Dr. Somanath Sethi

MD

General Physician, Kurukshetra

38 Years Experience  ·  150 at clinic
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Dr. Somanath Sethi MD General Physician, Kurukshetra
38 Years Experience  ·  150 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Somanath Sethi
Dr. Somanath Sethi is a renowned General Physician in Amin road, Kurukshetra. He has helped numerous patients in his 38 years of experience as a General Physician. He studied and completed MD . He is currently associated with Sethi Nursing Home in Amin road, Kurukshetra. Save your time and book an appointment online with Dr. Somanath Sethi on Lybrate.com.

Lybrate.com has a nexus of the most experienced General Physicians in India. You will find General Physicians with more than 25 years of experience on Lybrate.com. You can find General Physicians online in Kurukshetra and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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MD - Government Medical College, Patiala - 1980
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English
Hindi

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Sethi Nursing Home

Red Raod kurukshetraKurukshetra Get Directions
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All You Need to Know About Premature Ejaculation Part - 4

MD-Pharmacology, MBBS
Sexologist, Delhi
All You Need to Know About Premature Ejaculation Part - 4

My last article gave insight on the non-medical methods of controlling premature ejaculation Now, as a wrap up on this topic, I will highlight the options of medical treatments available for managing P.E. However, take it as a warning that you must consult a doctor before trying out any of these methods and medicines, because more often than not, such drugs and medicines have their side effects that can adversely bother your health.

By now we know that Premature ejaculation (PE) occurs when a man reaches peak of sexual excitement and ejaculates before he actually wants it to happen, thus, leaving his partner deprived of the sexual pleasure that she deserves. Even the most empathetic female partner would not like his man to leave her unsatisfied in bed.  Sooner or later this problem becomes a medical problem, reduces the warmth in their relationship.

Several factors including psychological problems such as anxiety; biological problem like penile hypersensitivity, hormonal imbalance (e.g. thyroid problem); behavioural problem like, habituation of quick sex/masturbation, etc may be held responsible for causing PE.

Medical (Allopathic) therapy for PE treatment:

Drugs used for managing premature ejaculation reduce sensitivity and anxiety, improve blood flow and even affect some chemical mediators present in the brain. These class of drugs include local anaesthetics, antidepressants and phosphodiesterase-5 inhibitors.

Anaesthetic compounds were the first medical treatment proposed for PE management. They were applied topically to the surface of skin. Lidocaine-prilocaine sprays or creams decrease the sensation of the penis and increase the time taken to ejaculate during vaginal penetration. These sprays/ creams are applied 10 to 20 minutes prior to sexual activity. Side effects of topical agents include partial loss of sensation of penis, absorption in vagina resulting in vaginal numbness and irritation.

Earlier agents like Alpha Amino Benzoate and Phenoxybenzamine were used to prolong duration of intercourse, but they were associated with severe side effects.

It has been found that Serotonin (a chemical in brain) levels were deficient in PE patients. Treatment medications include Selective Serotonin Reuptake Inhibitors (SSRIs), which interact with a receptor (5-HT2C) present in brain and increases the production of Serotonin. They also help in reducing anxiety and depression associated with PE. Through this mechanism, they prolong the time to reach ejaculation. Several SSRIs have increasingly become used as 'off-label' for PE.

Among the available SSRIs, Paroxetine-Dapoxetine is more beneficial with lesser side effects as compared to other SSRIs. These medications are associated with sexual side effects including decreased fertility and erectile dysfunction. Dapoxetine is a recent SSRI which acts quickly and cleared rapidly from the body. Adverse effects with SSRIs are usually minor and include fatigue, mild nausea, loose stools and sweating. Other side effects may include decreased sexual urge and increased tendency to suicide, especially with long-term use of Paroxetine.

Another potential medical treatment option for PE are class of medications which increase the blood flow by dilating the blood vessels of penile region and prolong the PE. But headache, dizziness, flushing, body-ache associated with them have limited their use in PE.

At present, clinicians need to consider all treatment modalities when evaluating a man with PE, as each patient may respond differently and experience variable side effects. Additional and more effective therapies need to be developed having least side effects.

Ayurvedic therapy for PE treatment:

Vajikaran in Ayurveda is an important treatment modality which increases sexual capacity and improves health. In Sanskrit, Vaji means horse, the symbol of sexual potency and performance thus Vajikaran means producing a horse's vigour, particularly the animal's great capacity for sexual activity in the individual. Vajikaran therapy reenergizes all the seven dhatus (body elements), and restores equilibrium and health. It also offers a solution to minimize the shukra (sperm and ovum) defects.

There are many formulations which are used in Vajikaran. Some of the commonly used formulations include Vrihani GutikaVrishya Gutika, Vajikaranam Ghritam and Upatyakari Shashtikadi Gutika.

Vrihani Gutika is one of the potent formulations while Vrishya Gutika is highly potent aphrodisiac used in treatment of PE. Vajikaranam Ghritam enhances the strength of penis. Upatyakari Shashtikadi Gutika is useful for the enhancement of the fertility.

Also, Chapdraprabha Vati and Kaunch Pak are known to increase sexual vigour and semen consistency by helping in increasing the sexual timing.

So, with this concluding article, I wrap up my knowledge and experience in treating patients suffering from premature ejaculation.  Take care, and stay healthy! If you wish to discuss about any specific problem, you can consult a sexologist.

6217 people found this helpful

I have problem of pre mature ejaculation And had done sex only once in my life After that meri himmat hi nhi hui I even do not dare to have sex cause of this.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Jodhpur
I have problem of pre mature ejaculation
And had done sex only once in my life
After that meri himmat hi nhi hui
I ev...
Pe is common problem and can be easily cured with proper guidance and ayurvedic medicines. Some of the common cause is excessive masterbation, over excitement, harmonal imbalance, side effects of some medicines etc. Consult to discuss your problem in details. We will educate you on sex, sexual issues its causes. Solution. Do not worry once treatment starts you will see results within 10 days.
5 people found this helpful
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I am suffering from dry cough for the last 2 weeks. Can you suggest what should be done.

BHMS
Homeopath, Secunderabad
You can try Homeopathy as it is safe and without any side effects. You can contact me for a private consultation if interested. Till then gargle everyday with warm salt water 3-4 times. Avoid outside food. Eat healthy food (fruits and vegetables) with lots of fluids and water.
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My friend had an ultra sound whole abdomen recently. Everything was normal except some liquid in pelvic area and 3-6 mm follicles in both ovary. She is worried. Is it normal or not?

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Ayurveda, Kanpur
My friend had an ultra sound whole abdomen recently. Everything was normal except some liquid in pelvic area and 3-6 ...
Sootshekhar Ras 125 Mg Twice a Day Gulmkalanal Avleh 10 Gm Twice a Day Relief In 5-6 Days and for Complete Cure Take it for 60 Days Only Avoid Oily and Spicy Food
1 person found this helpful
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I want to ask about my mother. She feels difficulty breathing especially from left nostril. So after check up it came out that mucus is build up in sinuses. What to do for it and why it happened?

DNB pulmonology, MBBS
Pulmonologist, Hyderabad
It could be because of infection or inflammation in sinus. So its better to have consultation with ent doctor. You can do steam inhalation for her which will help clear the mucus.
1 person found this helpful

I think I have normal excretions in the morning. But when I decided to go on travel or for exams or for any tour, I feel likely to excrete and I feel relax only after excretion. What is the cause and remedy for this?

MBBS
General Physician, Jalgaon
I think I have normal excretions in the morning. But when I decided to go on travel or for exams or for any tour, I f...
This all psychological, don't worry do meditation regularly do yogasanas and pranayam daily no need to take any medicine.
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I am having sex problem due to phimosis. So is this curable? And much time takes for the treatment?

MS-General Surgery, MBBS
General Surgeon, Hyderabad
I am having sex problem due to phimosis. So is this curable? And much time takes for the treatment?
permanent cure for tight foreskin is by circumcision surgery. it can be done as a day care without surgery.
1 person found this helpful
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Hello, My left testicle started paining all of a sudden. Don't know why but it is paining and also left leg started to pain. Please assist.

Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Sexologist, Lucknow
Hello, My left testicle started paining all of a sudden. Don't know why but it is paining and also left leg started t...
The testicles are very sensitive, and even a minor injury can cause testicle pain or discomfort. Testicle pain might arise from within the testicle itself or from the coiled tube and supporting tissue behind the testicle (epididymis). Sometimes, what seems to be testicle pain is caused by a problem that starts in the groin, abdomen or somewhere else — for example, kidney stones and some hernias can cause testicle pain. The cause of testicle pain can't always be identified. This problem is cureable in Ayurveda.
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I am 18 years old, I am suffering from viral fever as well as cough also from last 2 weeks please sir help me?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
I am 18 years old, I am suffering from viral fever as well as cough also from last 2 weeks please sir help me?
Take dolo 650 mg for fever .. Take syp Alex for cough Get xray chest done to rule out chest infection
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How I do for growth my hemoglobin, I lost my physical stamina too. For more your information my body is nature on cough.

MBBS
General Physician, Mumbai
To increase your Heamoglobin value apart from medication eat green vegetables, jaggery, carrots , beet etc
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