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Overview

Sate 50 MG Tablet

Sate 50 MG Tablet

Manufacturer: Theo Pharma Pvt. Ltd
Medicine composition: Sertraline
Prescription vs.OTC: Prescription by Doctor required

Sate 50 MG Tablet is used for treating obsessive compulsive disorder, major depressive disorder, post-traumatic stress disorder, panic disorder, social anxiety disorder and premenstrual dysphoric disorder (feeling of depression and irritability before menstruation). Belonging to the drug group of selective serotonin reuptake inhibitors (SSRIs), the medication helps to increase the serotonin amount (a natural substance) in the brain that maintains the mental health. This improves the symptoms of anxiety and depression.

The dosage of Sate 50 MG Tablet will depend on your age, your health condition, the problem you are suffering from, and the way your body reacts to the first dose. It is available both in tablet and liquid form. You can take the medicine as prescribed by your doctor, with or without food. Generally, the capsule form of this medicine is taken along with food after breakfast or the evening meal.

Your doctor must be informed if you have a medical history of bleeding, liver problems, thyroid disease, seizure disorder or a family medical history of glaucoma (eye disorder). Also if you are pregnant, planning for pregnancy or a breastfeeding mother, your doctor must have prior knowledge about the same before prescribing the medication as it may affect the baby.

Sate 50 MG Tablet can have some common side effects like drowsiness, dizziness, nausea, upset stomach, trouble sleeping, loss of appetite and excessive sweating. You can consult your doctor if these conditions persist or even get worse. However, you must inform your doctor immediately if you face any of the following serious side effects:

  • Unusual weight loss
  • Redness, swelling or pain in the eyes, widened pupils or blurred vision
  • Stiff or twitching muscles and muscle tremors
  • Black stools accompanied with blood
  • Lack of coordination, restlessness, hallucinations or seizures

As Sate 50 MG Tablet can make you feel drowsy or dizzy, it is better to avoid activities that require your concentration like driving until you are sure how your body reacts to the initial doses. Try to avoid alcohol as it can increase your sleepiness and affect your ability to think and perform clearly.

Sate 50 MG Tablet is used to treat the symptoms of depression like feeling sad, irritable and devoid of energy.
Obsessive Compulsive Disorder
Sate 50 MG Tablet is used to treat the symptoms of obsessive-compulsive disorder like repetitive thoughts and behaviour.
Panic disorder
Sate 50 MG Tablet is used to treat the symptoms of panic disorder like sweating, breathing problem, weakness and numbness in hands.
Sate 50 MG Tablet is used to treat the symptoms of post-traumatic stress disorder which develop in a patient after a shocking or scary traumatic condition or an accident.
Sate 50 MG Tablet is used to treat the symptoms of premenstrual dysphoric disorder like severe depression, irritability, and tension before menstruation.
Social Anxiety Disorder
Sate 50 MG Tablet is used to treat the symptoms of social anxiety disorder like extreme fear of being watched, red face or blushing, avoiding social situations and staying quite.
This medicine is not recommended for use if you have a known history of allergy to Sertraline.
Monoamine oxidase inhibitors
Sate 50 MG Tablet is not recommended in the patients for at least 14 days after discontinuation of monoamine oxidase inhibitors.
In addition to its intended effect, Sate 50 MG Tablet may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Decreased interest in sexual intercourse Major Common
Abnormal ejaculation Major Common
Aggression or anger Major Less Common
Diarrhea Major Less Common
Drowsiness Major Less Common
Increased sweating Major Less Common
Trouble sleeping Minor Common
Weight loss Minor Common
Constipation Minor Less Common
Painful urination Minor Less Common
How long is the duration of effect?
The effect of this medicine lasts for an average duration of 2 to 3 days.
What is the onset of action?
The peak effect of this medicine can be observed in 4.5 to 8.4 hours.
Are there any pregnancy warnings?
This medicine is not recommended for use during pregnancy unless absolutely necessary. Consult your doctor about the potential benefits and risks before deciding to take this medicine.
Is it habit forming?
No habit forming tendencies were reported.
Are there any breast-feeding warnings?
This medicine is known to excreted through the breast milk. It is not recommended for breastfeeding women unless absolutely necessary. Occasional side effects like sleeplessness, restlessness should be monitored.
Below is the list of medicines, which have the same composition, strength and form as Sate 50 MG Tablet, and hence can be used as its substitute.
Zydus Cadila
Alkem Laboratories Ltd
Mankind Pharmaceuticals Ltd
Pfizer Ltd
Solvate Laboratories Pvt Ltd
Missed Dose instructions
Take the missed dose as soon as you remember. However, if it is almost time for the next scheduled dose then the missed dose should be skipped.
Overdose instructions
Contact a doctor immediately if an overdose is suspected. Symptoms of overdose may include a change in pulse rates, severe drowsiness, confusion, vomiting, hallucinations, convulsions, and fainting. Immediate medical intervention may be required if the overdose symptoms are severe.
India
United States
Japan
Whenever you take more than one medicine, or mix it with certain foods or beverages, you're at risk of a drug interaction.
Interaction with Disease
Depression Major
This medicine may increase the risk of suicidal thoughts in the patients with depression. Patients caretakers should be educated about these symptoms. Any changes in the behavior should be reported to the doctor immediately.
Glaucoma Moderate
This medicine should be used with caution in the patients with the history of glaucoma. Any symptoms of changes in the vision should be reported to the doctor immediately.
Interaction with Alcohol
Alcohol Moderate
Consumption of alcohol is not recommended in the patients receiving Sate 50 MG Tablet. Performing works that require mental alertness like driving vehicle or operating machinery is not recommended.
Interaction with Lab Test
Lab
Information not available.
Interaction with Food
Food
Information not available.
Interaction with Medicine
Ciprofloxacin Moderate
Sate 50 MG Tablet should be used with caution in the patients receiving medications that can cause irregular heart rhythm. Inform the doctor if you have a history of heart disease. An alternate medicine should be considered based on the clinical condition.
Clozapine Major
Report the use of either of the medicine to the doctor as the risk of adverse effects on the heart is very high if these medicines are administered together. You may require a dose adjustment and clinical safety monitoring while taking them together. In some cases, your doctor may prescribe an alternative medicine that does not interact.
Ondansetron Major
Combined use of these medications is not recommended due to the risk of seizures, confusion, fast and irregular heartbeat. You may require a dose adjustment and clinical safety monitoring while taking them together. In some cases, your doctor may prescribe an alternative medicine that does not interact.
Nonsteroidal anti-inflammatory drugs Moderate
Sate 50 MG Tablet should be used with caution in the patients receiving medications that affect the coagulation. Monitoring of blood platelet levels should be made. Any symptoms of swelling, weakness and abnormal bleeding should be reported to the doctor.

Popular Questions & Answers

My husband has a problem for premature ejaculation. He also has a problem for foreskin, he has extra foreskin which cannot be stretched down. Kindly guide me with both of this problem.

BAMS, MD, Panchakrma
Ayurveda, Nashik
My husband has a problem for premature ejaculation. He also has a problem for foreskin, he has extra foreskin which c...
Hi, I had gone through your question and understand your concerns, The ability to finish early and quickly can be advantageous in many areas in life, but not when it comes to sex. Premature ejaculation is a common and often distressing problem for couples who simply want to find ways to make sex last longer. Premature ejaculation is one of the most common sexual dysfunction in men, No one is born with the ability to control ejaculation. Men can learn to control ejaculation he has to slow down mentally, by diverting mind from situation, and learn ways how to delay his reflexes. One idea is to stimulate the partner by foreplay to near orgasm sate and penetrate. Count number of strokes if it is less than 45 plus minus 15. Means (30 to 60) Then seek medical advice. If satisfied ok otherwise consult. We have sex wellness package for him.

I am recently married and suffering from PE. Which is happening before penetration. Hope you suggest me something .is there any remedy to have long lasting intercourse.

MD - General Medicine
Sexologist, Nashik
I am recently married and suffering from PE. Which is happening before penetration. Hope you suggest me something .is...
. Hi, I had gone through your question and understand your concerns, The ability to finish early and quickly can be advantageous in many areas in life, but not when it comes to sex. Premature ejaculation is a common and often distressing problem for couples who simply want to find ways to make sex last longer. Premature ejaculation is one of the most common sexual dysfunction in men, However very few ever Talk about it due to embarrassments. No one is born with the ability to control ejaculation. Men can learn to control ejaculation similar to the way bladder control (toilet training) is learned at young age. Male and female differ widely in terms of of sexual responses, male gets quickly aroused and female takes longer time to get aroused, male reaches climax quickly, its physiological and normal, but not ideal ,to prolong sex duration man has to work hard, he has to slow down mentally, by diverting mind from situation, and learn ways how to delay his reflexes. One idea is to stimulate the partner by foreplay to near orgasm sate and penetrate. Count number of strokes if it is less than 45 plus minus 15. Means (30 to 60) Then seek medical advice. If satisfied ok otherwise consult.
40 people found this helpful

Hi sir My sexual life is not good. I am not given more time to my wife. What should i do?

MD - General Medicine
Sexologist, Nashik
Hi sir
My sexual life is not good.
I am not given more time to my wife. What should i do?
. Hi, I had gone through your question and understand your concerns, The ability to finish early and quickly can be advantageous in many areas in life, but not when it comes to sex. Premature ejaculation is a common and often distressing problem for couples who simply want to find ways to make sex last longer. Premature ejaculation is one of the most common sexual dysfunction in men, However very few ever Talk about it due to embarrassments. No one is born with the ability to control ejaculation. Men can learn to control ejaculation similar to the way bladder control (toilet training) is learned at young age. Male and female differ widely in terms of of sexual responses, male gets quickly aroused and female takes longer time to get aroused, male reaches climax quickly, its physiological and normal, but not ideal ,to prolong sex duration man has to work hard, he has to slow down mentally, by diverting mind from situation, and learn ways how to delay his reflexes. One idea is to stimulate the partner by foreplay to near orgasm sate and penetrate. Count number of strokes if it is less than 45 plus minus 15. Means (30 to 60) Then seek medical advice. If satisfied ok otherwise consult.
4 people found this helpful

I am 35 Yrs old woman. I am suffering from anxiety depression from the last 3-4 yrs. I was having meaningless thoughts and pulse rate high about 155bpm. I am under general physician. My pulse rate is under control. But sometimes I am having those previous thoughts in my mind. Can I be fully cured. Please suggest me some advice.

PhD, Human Energy Fields, Diploma in PIP, EFI, Aura scanning for Health evaluation; Energy field assessment, Fellowship Cardiac Rehabilitation, Cardiac Rehabilitation, MD (Ayur - Mind Body Med), Mind Body Medicine
Non-Invasive Conservative Cardiac Care Specialist, Pune
I am 35 Yrs old woman. I am suffering from anxiety depression from the last 3-4 yrs. I was having meaningless thought...
Dear please start yogasana and meditation to help improve mind sate and overall health as well. Medicines do not cure depression. Once your self worth us better, you will heal fully. It is best to take personal counselling.
2 people found this helpful

We had attempt sex and condom broke, but do not discharge sperm ,so any chances of pregnancy?

MBBS, DGO, MRSH, DGO,
Gynaecologist, Gurgaon
We had attempt sex and condom broke, but do not discharge sperm ,so any chances of pregnancy?
Yes there is a chance of pregnancy as per ejaculated fluid also has sperms which can lead to pregnancy.
1 person found this helpful

Popular Health Tips

Diet and Penis Function May Be Related

MD - General Medicine
Sexologist, Delhi
Diet and Penis Function May Be Related

There's a lot of truth in the old adage "you are what you eat," as it indicates that the food a person consumes has much more of an impact than simply sating the appetite. As surprising as it may seem, diet can indeed have an effect on a guy's penis health, including his penis function. And since the penis is one part of the body that a man clearly wants to keep functioning at the highest possible level, it's worth looking at how diet might affect penis function.

A study

Scientists recently conducted a study which was published in the journal Sexual Medicine Reviews. Entitled, "Diet and Men's Sexual Health," it looked at existing studies into this area published between 1977 and 2017 and aggregated the findings. They looked especially at various kinds of diets to determine if they seemed to have an impact on penis function, testosterone levels, and semen health. These studies indicated that men who had penis function issues usually benefited from following a Mediterranean diet. Obese men who followed a non-Western diet also usually had improvements in penis function due to the weight they lost.

Which diet?

The various diets are basically defined as follows:

- Mediterranean. A diet in which there is an emphasis on fish, monosaturated fats, fruits, vegetables, nuts and whole grains.

- Western. In this diet, there's more emphasis on red and processed meats, dairy, refined grains, and artificial sweeteners, and not much emphasis on fruits and vegetables.

- Paleolithic. Lean meats, fruits and vegetables are the mainstays of a Paleolithic diet. There is much less emphasis on dairy, sugar, salt and grains.

- Vegetarian/vegan. As the name implies, these are diets in which there are little or no animal products.

While these diets are presented in broad definitions, in general the diet which allows an individual man to be at his healthiest and at his most appropriate weight level and level of fitness is the diet that is best for him.

Beyond the kind of diet which impacts penis function, there are some other dietary factors which come into play.

For example, excessive intake of alcohol is generally associated with poor penis function. A moderate amount may prove beneficial to overall health, but too much alcohol is definitely a detriment to good sexual health.

By the same token, eating too much chocolate can lead to obesity, which is not good. But chocolate does have flavonoids, which can help increase blood flow, which is essential for good penis function. So consuming an appropriate quantity of chocolate may be good for some men. Watermelon also can be an aid in relaxing blood vessels.

Cashew nuts are high in zinc, and this can be a good thing for many men. Because zinc keeps testosterone from breaking down, consuming cashews may help maintain testosterone at a higher level, which tends to keep the sex drive up. Another good source of zinc: shitake mushrooms.

Sometimes it takes experimentation to learn exactly what parts of and kinds of a diet can impact a specific man's penis function. Another boost to better penis health is the daily application of a top notch penis health crème (health professionals recommend Man1 Man Oil, which is clinically proven mild and safe for skin). Look for a crème that contains two key amino acids - L-arginine and L carnitine. L-arginine helps in the production of nitric oxide, which is part of the process by which penile blood vessels remain open to increased blood flow. L carnitine is blessed with neuroprotective properties. When the penis is handled too roughly, it can cause a loss of sensation - and L carnitine helps to keep the penis feeling properly sensitized.

1 person found this helpful

5 Keys To Healthy Diet

MBBS,CCA,DCA,AASECT,FPA,AAD,F.H.R.SM.I.M.S
General Physician, Gorakhpur

Everyone knows that it is important to eat a healthy diet, but actually achieving that goal can be more difficult. There are endless fad diets and new “superfoods”, as well as weekly changes to the list of which foods might get you sick. Maintaining a consistently healthy diet can be daunting, but if you understand the framework of a good dietary regimen, it is easier to stick with your goals and improve your overall wellness.

What is a healthy diet?

A healthy diet can be defined in many ways, but the general understanding is that a healthy diet is a balanced diet. The percentages may be different, but the three main categories of food are protein, carbohydrates, and fats. Generally, 20-35% of your daily calories should come from protein, 20-35% should come from fat, and 45-65% should come from carbohydrates. Those categories determine where the majority of your energy comes from, in the form of calories, but there are further divisions within those calorie areas.

You also need to consider what other nutrients come along with those calories, as well as potentially unhealthy substances that you should limit or completely eliminate from your diet. That is where the harvard food pyramid comes into play.

Healthy diet food pyramid

  • The harvard healthy eating pyramid is a helpful tool to visualize what constitutes a healthy diet and the types of food that you consume each day. It also helps in knowing the general concentrations and relative importance of different food varieties. There are six layers to this pyramid, as follows.
  • At the bottom of the pyramid, forming the foundation of the pyramid is whole-grain foods and vegetable oils. Generally speaking, you should have these foods at every meal, as they provide a significant amount of carbohydrates in the form of fiber and complex sugars, in addition to healthy fats in the oils. The next layer is fruits and vegetables. 2-3 servings of fruits are recommended each day, along with a similar amount of vegetables, if not more. This is another area for carbohydrate consumption, which generates most of our energy on a daily basis. Above fruits and vegetables are nuts, seed, and legumes, of which you should have 1-3 servings per day. These sources of calories are in the form of fats, protein, and carbohydrates, which have a number of other health benefits. This layer includes fish, poultry, and eggs, which you can have 0-2 servings of each day, representing a sizable amount of protein in the diet. Dairy products are the second to last layer of the pyramid, meaning that only a small amount of these should be consumed each day. These high-fat and high-protein foods also provide quite a few minerals and other essential nutrients, but should still be consumed in moderation, due to the variety of fats they contain. The very peak of the pyramid is divided into red meat, as well as white bread, white pasta, potatoes, sugars, sweets, soda, junk food and other low-quality carbohydrates. Red meat should be consumed only a few times per week, and the same is true for sweets andsimple sugar carbohydrates.
  • If you maintain a balanced, healthy diet based on the healthy eating pyramid, you will definitely be able to see and feel the results.

Keys to a healthy diet

Some of the most important aspects of a healthy diet include eating smaller meals more often, avoiding fast food, not skipping meals and drinking more water.

Avoid fast food

Cutting out fast food is an excellent way to maintain a healthy diet, as even a single fast-food burger can have upwards of 600 calories in it, as well as a significant amount of sodium and trans fats. This can throw your calorie intake off for the day, increase your “bad” cholesterol levels and elevate your blood pressure.

Eat smaller meals more often

If you eat 5-6 meals per day, rather than 3 large meals, you can have more diversity in your diet. This will allow you to get all of your necessary servings of nutrients, while also decreasing your desire to snack between meals or overeat once you finally reach dinner. This gives you more control over what you eat every single day.

Snack smarter

If you know you like to snack, it’s better to carry healthy snacks when you are at work or out for the day, rather than popping into corner stores for potato chips, fast food, or sugary treats. Bring a bag of nuts, or some sliced celery sticks and carrots, so you can sate your hunger, while also taking care of key nutrients of your daily intake.

Drink water

Everyone can afford to drink a bit more water, as it helps to keep the body feeling full, which lowers the chances of mindless snacking. Water also helps to flush out the body and detoxify it, due to the increased urination, which can improve digestive efficiency and nutrient uptake.

Do not skip meals

When you skip meals, it may feel like you have a calorie deficit in your favor, but being excessively hungry can lead to poor dietary choices, as well as overeating. You want consistent intake of nutrients throughout the day so your metabolism remains constantly active.

Eating a balanced diet

Many people around the world fail to eat a balanced diet every day, and you may be one of them. The best ways to improve your dietary habits is to ensure healthy eating by eating more lean protein, adding salads to your day, increasing fiber and switching to whole wheat, among others.

Fiber intake

Most people fail to take in enough fiber every day, which can lead to gastrointestinal distress, constipation and bloating. It can also negatively impact the body’s ability to intake nutrients, so you won’t be getting the most out of your meals, even if you are eating from the other essential food categories.

Lean protein

Grabbing a burger or cooking a steak may seem appealing, but the high-fat content of these foods should be replaced with more lean forms of protein. Poultry and fish are good options for other types of animal products, but you can also get more protein from beans, legumes, seeds, tofu, avocado, or many other low-fat options.

Salads

You can eat as many vegetables as you want throughout the day, as the rich vitamin and mineral content, and generally, low-calorie count, makes these ideal side dishes. Adding 1 salad to your meals for the day is an excellent way to increase energy, boost the metabolism, improve digestion and avoid simple sugars.

Whole wheat

White bread and pasta may be inexpensive, but there is very little nutritional value aside from pure calories. These simple carbohydrates break down quickly and the energy is rapidly used up, causing a “sugar” crash. Whole grain options are more flavorful and much better for keeping the foundation of your food pyramid strong.

Tea

Instead of drinking coffee, have a cup of green tea at the end of your meals, or on your way to work in the morning. In addition to a lower amount of caffeine, green tea is packed withantioxidants that can regulate your metabolic pathways and support immune health.

Simple ways to plan enjoy a healthy diet

There are many great ways to maintain a healthy diet, such as planning your meals ahead of time, allowing yourself cheat days, using portion control, staying away from the scale and exercising regularly.

Avoid the scale

Looking at the scale and not seeing immediate results can be very frustrating, and may cause you to slip up on your diet. Pay attention to consistently following a healthy diet, and the results will follow. However, healthy weight loss and weight management take time and patience, so stop holding yourself accountable to unrealistic (or unhealthy) fitness goals.

Plan your meals

Going grocery shopping at the beginning of the week based on a plan for your meals ahead is a great way to ensure that you maintain your food pyramid balance, save money on food, and have a plan in place when your week inevitably gets hectic.

Portion control

Rather than eliminating entire chunks of your diet that may be less than healthy, simply exercise portion control and limit the amount of those foods. A diet shouldn’t feel like a punishment, just an adjustment of your dietary norms.

Cheat days

In a similar vein, it is important to give yourself a break from time to time and congratulate yourself on remaining steady with your diet. This is when you can eat the top portions of the food pyramid, such as going out for ice cream or cooking yourself a porterhouse steak. These motivating “cheat days” will help you dive back into your diet the next day.

Exercise

Changing your diet alone simply isn’t enough; you also need to incorporate regular activity and exercise into your regimen. Following a healthy diet will also be easier once you experience the difference in energy and endurance that you have when you’re giving your body the nutrients it truly needs.

Erect Penis Attack: Battling the Bulge

MD - General Medicine
Sexologist, Delhi
Erect Penis Attack: Battling the Bulge

History buffs may be fans of the Battle of the Bulge, but most regular Joes aren't so fond of it. Of course, in this case, the bulge refers to the presence of an erect penis in the pants, and the battle is necessitated because that erection has come along at an inopportune time - as a man is making an important public presentation at work, say, or as a dude is being introduced to the stony-faced and hard-to-please father of his new girlfriend. Sure, an erect penis is definitely a sign of good penis health and is more than welcome in the right time and place. But when that erection pops up at the wrong time, a guy needs to take steps to conceal that bulge.

With that in mind, the following tips might prove helpful.

- Be prepared. Some guys pop boners at the drop of a hat - and there can be a definite benefit to having an active penis. But if a guy knows that he is prone to getting an erect penis at the worst possible time, he may want to take some steps to help prevent it from happening. Some men find that mindful meditation - doing relaxation exercises and meditating with a specific goal concerning their easy-to-arouse penis before going into a situation in which an erection is not desired - can help. Alternatively, masturbating just before going into that important job interview or making that speech might be helpful; if the erect penis has been recently sated, it's less likely to make a reappearance in the near term.

- Dress appropriately. Look, sometimes a dude definitely wants to show off his assets, including his package. In such instances, it's appropriate to wear tight-fitting pants. But if the desire is to conceal an erection, wear some trousers with a little more room in them. Darker colors can disguise the presence of a growing snake in the pants, as can heavier fabrics. And definitely wear briefs, which can help tuck things in place, rather than boxers, which give too much room for expansion. If casual attire is acceptable, also wear an untucked shirt with a long tail that can cover the front of the pants. Long hoodies with pockets are also a good idea. When the penis arises, put hands in the hoodie pockets and pull them down in front of the crotch to help cover things up. If the occasion is more formal, opt for a suit jacket that hangs down a little further in front. One last thing: If wearing a tie, make sure it isn't too long. Ties that reach all the way down to the crotch or end just a little ways above effectively act as an arrow pointing to the groin - and drawing further attention to an unwanted erect penis.

- Find ways to hide it. Unless it is tenting in a really perceptible way, most erections are less noticeable when sitting rather than standing. If sitting is not an option, find a high-backed chair or sofa and get positioned behind it. Be a gentleman and offer to hold a date's sweater - and then drape it over the arm in such a way as to conceal the crotch. Or pick up a book and hold it in an appropriately obscuring fashion.

An erect penis may create an unwanted bulge, but in most cases a guy is thankful for that erection - and for having good penis health to go along with it. Maintaining that health is easier with the regular application of a superior penis health crème (health professionals recommend Man1 Man Oil, which is clinically proven mild and safe for skin). Be sure to find a crème with both L-arginine and L carnitine. The former is an amino acid helpful in nitric oxide production, which in turn keeps penis blood vessels open and flowing. And the latter is another amino acid, this one with neuroprotective properties which can help restore lost sensation in a penis in which sensitivity has diminished.

1 person found this helpful

Premature Ejaculation (PE)

CCT (UK) General Psychiatry, MD-Psychiatry, MBBS Bachelor of Medicine and Bachelor of Surgery
Psychiatrist, Delhi
Premature Ejaculation (PE)

Premature ejaculation (pe) refers to the persistent or recurrent discharge of semen with minimal sexual stimulation before, on, or shortly after penetration, before the person wishes it, and earlier than he expects it. In making the diagnosis of pe, the clinician must take into account factors that affect the length of time that the man feels sexually excited. These factors include the age of the patient and his partner, the newness of the sexual partner, and the location and recent frequency of sexual activity.

Causes

Premature ejaculation (pe) is a common complaint. The available evidence supports the notion that control and modulation of sexual excitement is learned behavior. If someone has learned it incorrectly or inadequately, they can relearn it. Pe is only rarely caused by a physical or structural problem; in these cases it is usually associated with other physical symptoms, usually pain. In rare cases, pe may be associated with a neurological condition; infection of the prostate gland; or urethritis (inflammation of the duct that carries urine and semen to the outside of the body). With the rising prevalence of substance abuse, an increasing number of cases of pe are being diagnosed in patients withdrawing from drugs, especially opioids.

Pe may be of lifelong duration or develop in later life, especially if a difficult interpersonal relationship is one of its causes. Although pe is commonly associated with psychological symptoms, especially performance anxiety and guilt, these symptoms are its consequences rather than its causes. Once pe is firmly established, however, the accompanying psychological factors, especially in combination with sexual overstimulation, may form a self-perpetuating cycle that makes the disorder worse.

Premature ejaculation is common in adolescents where it may be made worse by feelings of sinfulness concerning sexual activity, fear of discovery, fear of making the partner pregnant, or fear of contracting a sexually transmitted disease (std). All of these may be made worse by performance anxiety. Adults may have similar concerns as well as interpersonal factors related to the sexual partner.

Symptoms

In pe, ejaculation occurs earlier than the patient and/or the couple would like, thus preventing full satisfaction from intercourse, especially on the part of the sexual partner, who frequently fails to attain orgasm. Pe is almost invariably accompanied by marked emotional upset and interpersonal difficulties that may add frustration to an already tense situation, which makes the loss of sexual fulfillment even worse. It is also important to differentiate male orgasm from ejaculation. Some men are able to distinguish between the two events and enjoy the pleasurable sensations associated with orgasm apart from the emission of semen, which usually ends the moment of orgasm. In these cases, the partner is capable of achieving orgasm and sexual satisfaction.

Diagnosis

The physical examination of a patient who is having problems with pe usually results in normal findings. Abnormal findings are unusual. The best source of information for diagnosing the nature of the problem is the patient's sexual history. On taking the patient's history, the clinician should concentrate on the sexual history, making sure that both partners have adequate and accurate sexual information. Ideally, the sexual partner should participate in the history and is often able to contribute valuable information that the patient himself may be unaware of or unwilling to relate. The female partner should also be examined by a gynecologist in order to ascertain her sexual capabilities and to eliminate the possibility that the size or structure of her genitals is part of the reason for the male's premature ejaculation.

Treatment

  • Preferably, therapy for pe should be conducted under the supervision of a health professional trained in sexual dysfunction. Both partners must participate responsibly in the therapeutic program. Treatment of pe requires patience, dedication and commitment by both partners, and the therapist must convey this message to both. The first part of therapy requires both partners to avoid intercourse for a period of several weeks. This period of abstinence is helpful in relieving any troublesome performance anxiety on the part of the man that may interfere with therapy.
  • Behavioral techniques, taught either individually, conjointly, or in groups, are effective in the therapy of pe. A preliminary stage of all treatment is termed" sensate focus" and involves the man's concentration on the process of sexual arousal and orgasm. He should learn each step in the process, most particularly the moment prior to the" point of no return" the sexual partner participates in the process, maintaining an awareness of the patient's sensations and how close he is to ejaculating. At this point, two techniques are commonly used:
  • • the" stop and start" technique. This approach involves sexual stimulation until the man recognizes that he is about to ejaculate. At this time, the stimulation is discontinued for about thirty seconds and then resumed. This sequence of events is repeated until ejaculation is desired by both partners, with stimulation continuing until ejaculation occurs.• the" squeeze" technique. This approach involves sexual stimulation, usually by the sexual partner, until the man recognizes that he is about to ejaculate. At this time stimulation ceases. The patient or his partner gently squeezes the end of the penis at the junction of the glans penis (tip of the penis) with the shaft. The squeezing is continued for several seconds. Sexual stimulation is withheld for about 30 seconds and then resumed. This sequence of events is repeated by the patient alone or with the assistance of his partner until ejaculation is desired. At this point stimulation is continued until the man ejaculates.
  • The patient and his partner should be advised against trying any of the many unproven remedies that are available either over the counter or popularized on the internet. Certain prescription medications, especially antidepressants that produce delayed ejaculation as a side effect, may be useful as therapeutic adjuncts. Recently, the use of a class of drugs known as selective serotonin receptor inhibitors (ssris) has shown promise in the treatment of premature ejaculation. The ssris prolong the time it takes the man to ejaculate by as much as 30 minutes. The ssris most commonly used to treat pe are sertraline and fluoxetine. 

Potential complications

Premature ejaculation that takes place before the man's penis enters the woman's vagina will interfere with conception, if the couple is planning a pregnancy. Continued lack of ejaculatory control may lead to sexual dissatisfaction for either or both members of the couple. It may become a source of marital tension, disturbed interpersonal relationships, and eventual separation or divorce.
 

4 people found this helpful

Homeopathy For Forgetfulness / Memory Loss

BHMS
Homeopath, Navi Mumbai
Homeopathy For Forgetfulness / Memory Loss

Memory slips are aggravating, frustrating, and sometimes worrisome. When they happen more than they should, they can trigger fears of looming dementia or Alzheimer’s disease. there are many mundane—and treatable—causes of forgetfulness. Here are seven common ones and how can homeopathic treatment can help you.To know more about homeopathy and homeopathic treatment read more.....

Lack of sleep.

Not getting enough sleep is perhaps the greatest unappreciated cause of memory slips. Too little restful sleep can also lead to mood changes and anxiety, which in turn contribute to problems with memory.

Medications.

Tranquilizers, antidepressants, some blood pressure drugs, and other medications can affect memory, usually by causing sedation or confusion. That can make it difficult to pay close attention to new things. Talk to your doctor or pharmacist if you suspect that a new medication is taking the edge off your memory. As shown in the table below, alternatives are usually available.

*Medications* that may affect memory and possible substitutes
If you take these drug, ask about switching to one of these drugs:
1.paroxetine (Paxil) another antidepressant such as fluoxetine (Prozac) or sertraline (Zoloft), or a different type of antidepressant such as duloxetine (Cymbalta) or venlafaxine (Effexor)
2.cimetidine (Tagamet) a different type of heartburn drug, such as lansoprazole (Prevacid), omeprazole (Prilosec), or esomeprazole (Nexium)
3.oxybutynin (Ditropan) or tolterodine (Detrol, Detrusitol) other medications for an overactive bladder, such as trospium (Sanctura), solifenacin (Vesicare), or darifenacin (Enablex)
4.amitriptyline (Elavil), desipramine (Norpramin), or nortriptyline (Aventyl, Pamelor) another type of medication, depending on why your doctor has prescribed a tricyclic antidepressant (neuropathic pain, depression, etc.)

5.*captopril (Capoten)* a different type of ACE inhibitor, such as enalapril, lisinopril, or ramipril
cold or allergy medication containing brompheniramine, chlorpheniramine, or diphenhydramine loratadine (Claritin) or other non-sedating antihistamine
(Adapted from Improving Memory: Understanding age-related memory loss, a Harvard Medical School Special Health Report)

 

Underactive thyroid

A faltering thyroid can affect memory (as well as disturb sleep and cause depression, both of which contribute to memory slips). A simple blood test can tell if your thyroid is doing its job properly.

Alcohol.

Drinking too much alcohol can interfere with short-term memory, even after the effects of alcohol have worn off. Although “too much” varies from person to person, it’s best to stick with the recommendation of no more than two drinks per day for men and no more than one a day for women. One drink is generally defined as 1.5 ounces (1 shot glass) of 80-proof spirits, 5 ounces of wine, or 12 ounces of beer.

Stress and anxiety.

Anything that makes it harder to concentrate and lock in new information and skills can lead to memory problems. Stress and anxiety fill the bill. Both can interfere with attention and block the formation of new memories or the retrieval of old ones.

 

Depression.

Common signs of depression include a stifling sadness, lack of drive, and lessening of pleasure in things you ordinarily enjoy. Forgetfulness can also be a sign of depression—or a consequence of it.

If memory lapses are bugging you, it’s worth a conversation with your doctor to see if any reversible causes are at the root of the problem. Something like getting more sleep, switching a medication, or a stress reduction program could get your memory back on track.

TREATMENT PROTOCOLS FOR POOR MEMORY

Spleen Kidney and heart are the 3 organs which provides memory

●Following are the three patterns of poor memory :

1) spleen deficiency causes poor memory, inability to concentrate and study.

2) deficiency of kidney essence causes poor everyday memory.

3) heart deficiency causes poor memory of past events , forgetting names.

1) Spleen deficiency causes
poor memory inability to concentrate
and study:
Main symptoms :
1) poor memory
2) tiredness
3) poor appetite
4) *pale tongue*
5) *weak pulse*

Treatment principle :
1) tone the spleen
2) strengthen intellect. Spleen houses intellect , which controls memorisation, study and concentration.

2) Kidney essence deficiency
causes poor memory everyday.
Main symptoms :
1) poor everyday memory
2) can not remember names , faces, roads etc.
3) dizziness
4) tinnitus
5) weakness
6) if kidney yang is deficient , tongue will be
pale
7) if kidney yin is deficient the tongue will be
red

Treatment principles :
1) tone the kidney
2) nourish essence and marrow

3) Heart deficiency causes

  • Poor memory of past events 
  • Forgetting names 

Main symptoms :

1) poor memory of past events
2) forgetting names
3) absent mindedness
4) tiredness
5) slight breathlessness
6) if there is heart yang deficiency the tongue will be pale with heart cracking
7) if there is heart yin deficiency the tongue will be red with heart crack

Treatment principle :
1) *tone the heart*
2) strengthen the mind and memory

Homeopathic treatment

There are many remedies in homeopathy to treat this condition. It requires a detailed study of the patient to know his/her lifestyle and life circumstances to be able to diagnose at the correct cause/causes so as to administer the right remedy. Since homeopathic medicines do not have sideeffects this is a very great advantage.

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