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Overview

Serta 50 MG Tablet

Manufacturer: Unichem Laboratories Ltd
Medicine composition: Sertraline
Prescription vs.OTC: Prescription by Doctor required

Serta 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 Serta 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.

Serta 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 Serta 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.

Serta 50 MG Tablet is used to treat the symptoms of depression like feeling sad, irritable and devoid of energy.
Obsessive Compulsive Disorder
Serta 50 MG Tablet is used to treat the symptoms of obsessive-compulsive disorder like repetitive thoughts and behaviour.
Panic disorder
Serta 50 MG Tablet is used to treat the symptoms of panic disorder like sweating, breathing problem, weakness and numbness in hands.
Serta 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.
Serta 50 MG Tablet is used to treat the symptoms of premenstrual dysphoric disorder like severe depression, irritability, and tension before menstruation.
Social Anxiety Disorder
Serta 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
Serta 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, Serta 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 Serta 50 MG Tablet, and hence can be used as its substitute.
Torrent Pharmaceuticals Ltd
Rpg Life Sciences Ltd
Mankind Pharmaceuticals Ltd
Triko Pharmaceuticals
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 Serta 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
Serta 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
Serta 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.
What are you using Serta 50 MG Tablet for?
Depression
Other
Panic disorder
Obsessive Compulsive Disorder
Social Anxiety Disorder
Post Traumatic Stress Disorder
Premenstrual Dysphoric Disorder
How much was the improvement?
Average
Excellent
Poor
How long did it take before seeing improvement?
More than 2 days
Within a day
Within 2 days
Within 2 hours
Within 6 hours
How frequently did you take this medicine?
Once a day
Not taking on daily level
Twice a day
Four times A Day
Thrice a day
How did you take this medicine?
With Food
Empty stomach
With or without food
What were the side effects of this medicine?
Decreased interest in sexual intercourse
Drowsiness
Trouble Sleeping
Increased sweating
Weight Loss
Aggression or anger
Abnormal ejaculation
Diarrhea
Disclaimer: The information produced here is best of our knowledge and experience and we have tried our best to make it as accurate and up-to-date as possible, but we would like to request that it should not be treated as a substitute for professional advice, diagnosis or treatment.

Lybrate is a medium to provide our audience with the common information on medicines and does not guarantee its accuracy or exhaustiveness. Even if there is no mention of a warning for any drug or combination, it never means that we are claiming that the drug or combination is safe for consumption without any proper consultation with an expert.

Lybrate does not take responsibility for any aspect of medicines or treatments. If you have any doubts about your medication, we strongly recommend you to see a doctor immediately.

Popular Questions & Answers

Sir I am 33 male am taking risperidone and serta for 4 years which increased my prolactin level and decrease testosterone level I don't feel any sexual desire and suffering from erectile dysfunction. Please suggest me with right opinion.

M.D.(Ayu.) Basic Principles, B.A.M.S., I.P.G.T.& R.A., GAU
Ayurveda, Ajmer
Sir I am 33 male am taking risperidone and serta for 4 years which increased my prolactin level and decrease testoste...
Hi Lybrate User Use Tablet shilapravang special two tablets two times a day with milk empty stomach. Use Tablet X Bal Gold two tablets two times a day. Use Tablet Vajitone two tablets two times a day with milk. Avoid oily spicy fried salty food. Take light easily digestable nutrional foods. These medicines are highly efficient to boost up your stamina and energy and libido. Tc Thank Regards.
23 people found this helpful

I am taking sertraline 100 morning. Serta 100 night and arip Mt 10 at night by prescribed by my doctor. I am having side effect of Weight gain. I start going to gym. How to reduce weight.

Nutrition - Management of Weight & Lifestyle Related Disorders
Dietitian/Nutritionist, Delhi
I am taking sertraline 100 morning. Serta 100 night and arip Mt 10 at night by prescribed by my doctor. I am having s...
For weight loss. It is important to take frequent meals at regular interval of time. Empty stomach try to include 2 tsp aleovera juice+ 2 tsp amla juice in equal amount of water. Include high protein with high fibre diet with less carbohydrate. Avoid to take every kind of packaged, process food and all kind of sugary drink. Try to take your dinner as soon as possible and avoid jogging after dinner, you can go for walk after dinner. You can do exercise in evening time. In Breakfast you can museli/oats+ milk+ 1 apple /1 bowl green moong dal sprouts/1-2 besan cheela+ green chutney. In mid morning 1 cup green tea + 1 bowl fruits. Lunch 1-2 wheat bran roti+ 1bowl veg+ 1 bowl salad/1 bowl veg daliya + 1bowl curd E.T:1 cup tea+ 1bowl roasted channa/murmura Dinner: 1 bowl fruits+ 1glass skimmed milk/Grilled/roasted paneer/1-2 bowl cooked yellow moong dal+ 1bowl veg. After Dinner Take 1 cup jasmine tea.
2 people found this helpful

Serta 25 medicine is useful for what? & Is this medicine for bp? Is there any side effect of this medicine?

MBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in Echocardiology
Cardiologist, Ghaziabad
Serta 25 medicine is useful for what? & Is this medicine for bp? Is there any side effect of this medicine?
Sertraline is used to treat depression, obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over), panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks), posttraumatic stress disorder (disturbing psychological symptoms that develop after a frightening experience), and social anxiety disorder (extreme fear of interacting with others or performing in front of others that interferes with normal life). It is also used to relieve the symptoms of premenstrual dysphoric disorder, including mood swings, irritability, bloating, and breast tenderness. Sertraline is in a class of antidepressants called selective serotonin reuptake inhibitors (SSRIs). It works by increasing the amounts of serotonin, a natural substance in the brain that helps maintain mental balance. Sertraline may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: nausea diarrhea constipation vomiting difficulty falling asleep or staying asleep dry mouth heartburn loss of appetite weight changes dizziness excessive tiredness headache nervousness uncontrollable shaking of a part of the body changes in sex drive or ability excessive sweating.
1 person found this helpful

Since two days I have been using serta 50 for social anxiety disorder. Before this I used to masturbate daily and ejaculated within 10 to 15 mins. After taking the medicine I ejaculated after 90 to 100 mins. Is this a problem? Please advise

CCT (UK) General Psychiatry, MD-Psychiatry, MBBS Bachelor of Medicine and Bachelor of Surgery
Psychiatrist, Delhi
Since two days I have been using serta 50 for social anxiety disorder. Before this I used to masturbate daily and eja...
Approximately 60-70% of the population taking SSRI (e.g sertraline) suffer with sexual dysfunction. If you to overcome the current situation then do let us know.

How to remove negative thoughts from my head. They cause me panic attack and anxiety. I am under treatment of serta and amisulpride. Please advise

M.A.(H)Psychology, PG Diploma in Child Guidance and Family Therapy
Psychologist, Delhi
How to remove negative thoughts from my head. They cause me panic attack and anxiety. I am under treatment of serta a...
Hi lybrate-user. For removing negative thoughts I can tell you some natural ways to overcome from it .please try and consult some other psychologist/Counsellor of your near by area for face to face consultation which is very much mandatory. Too much of stress and anxiety leads to panic attacks. Thoughts always come to our mind be it positive or negative. Whenever you get a negative thought, try to divert your mind by taking a short walk or at least going away from the current situation. Negative thoughts over a period of time, cause stress and anxiety. Your mind is everything. Remember that your mind consciously or subconsciously control every aspect of your life. Also your life style contributes a lot to stress. Make sure you get at least 6 hours of sleep everyday. At the end of the day be grateful for all the little good things that happened. Have a positive outlook towards life. Do something which makes you happy during the weekends. Spend time with your friends and family. If you're able to keep your stress under control, everything else will automatically fall in place. Try this to avoid negative thoughts. Writing and Destroying If your negative thoughts are linked to a specific strong emotion like fear, anger or jealousy, try letting them all out in writing. Use a pen and paper, and really express all of that pent up negativity. You can then choose a way of destroying this paper, symbolizing your commitment to moving on. For example, you could tear it up, crush it into a ball, burn it, or scribble over it. To bring positive thoughts… Find humour in bad situations. Allow yourself to experience humour in even the darkest or most trying situations. Remind yourself that this situation will probably make for a good story later and try to crack a joke about it. Say you’re laid off; imagine the most absurd way you could spend your last day, or the most ridiculous job you could pursue next. Thank You and All The BEst for more please consult your near by Psychologist and Counsellor.
4 people found this helpful

Popular Health Tips

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.

13 people found this helpful

Premature Ejaculation (PE) - Worry or Not?

MD - General Medicine
Sexologist, Delhi
Premature Ejaculation (PE) - Worry or Not?

The condition of premature ejaculation (PE) is a far more common male sexual dysfunction of middle age people. Generally, premature ejaculation is a male orgasmic disorder that causes an orgasm or "climaxing" faster than both partners' desire. The most couple found this condition irritating and undesirable while some considered it pleasing to them. If the problem of (PE) persists, it can have an adverse effect on the sexual satisfaction of the couple and disrupt the peace in their marital life.

It's difficult to define specific time duration for PE because the length of ejaculation varies from one individual to another. Researchers have revealed that individuals who complain of (PE) reach their climax and ejaculate within 1-2 minutes of penile penetration compare to 7-10 minutes of other individuals who don't complain of the same condition. We can conclude that if a man comes in less than 90 seconds of penile penetration, it's likely that he's suffering from premature ejaculation.

Causes of premature ejaculation:

Several factors contribute to the condition of PE ranging from biological, psychological to social and cultural contributions. Although the exact cause of (PE) is not well known the latest researches have shown that factors that cause sexual dysfunction will cause premature ejaculation.

Some physicians argued that serotonin, a neurotransmitter found in the gastrointestinal tract, central nervous system and platelet is very important in monitoring premature ejaculation. Other biological factors such as infection of the prostate, abnormal level of hormone, diabetes, drug abuse, inheritance can contribute to PE.

Psychological factors that can affect PE include anxiety, depression, stress, sexual abuse, nervousness, early sexual experience and poor body image.

Symptom of premature ejaculation:

The major premature ejaculation symptom is the inability to delay ejaculation. When an individual sees that he cannot control or delay his ejaculation, it's likely to be suffering from PE.

Remedies for premature ejaculation:

A number of treatments have been described to counter premature ejaculation. These are psychological therapies, behavioral therapies, and medical therapies.

In psychological therapies, the clinical psychologist tries to use psychological procedures to evaluate the cause of the man's (PE) problem and proffers a reasonable psychological advice or solution based on the identified cause of the PE. To carry out psychological therapy, a man with premature ejaculation is advised to be confident about his sexual performances and to be less anxious about it. This treatment is usually coupled with medical therapies in order to provide a lasting solution to the problem.

Some of the questions which are often asked by the clinical psychologist from a sufferer include:

What can you say about your present interest in sex?

Do you experience pain during sexual intercourse?

Do you usually engage in mutual romance before intercourse?

Have you ever had a problem reaching climax?

In behavioral therapies, the mutual cooperation of the partners is very important. There's a popular method of "squeezing". In this method, the wife stimulates her man by holding his penis until he's in the state of climax or orgasm. Prior to ejaculation, the wife squeezes the penis hard until he partially loses an erection. This purpose of this is to allow the man to be aware of when he's about to come in each sexual intercourse and begins to delay his ejaculation.

In medical therapy, some pills used as depressant and anesthetic creams have been proved to be effective in slowing down ejaculation time in men although those pills are never approved for use by US Food and Drug Administration (FDA). These drugs include Prozac, Sarafen, Paroxetine, Clomipramine (Anafranil), Sertraline (Zoloft), and some other drugs capable of increasing the level of serotonin production. It's important to note that these drugs might have side effects if used as a treatment for (PE).

Ayurveda treatment for premature ejaculation

The cause of premature ejaculation with respect to ayurvedic perspective is the provocation of Vata (air) and Pitta Dosha at the commencement of the sexual intercourse. Dosha is known to be aggravated by anxiety and nervousness while Vata is known for its quality of swiftness and heightened sensitivity to the sense of touch.

10 people found this helpful

Male Sexual Health

MD - General Medicine
Sexologist, Delhi
Male Sexual Health

What is ejaculation?

It is the release of semen from the penis at orgasm. Semen is made up of sperm and fluid from testes (singular testis), seminal vesicles and prostate gland.

When a man is sexually stimulated, the brain sends signals to the genital area through nerves in spinal cord that causes contraction of pelvic muscles. Waves of pelvic muscle contractions transport the semen from the testes to tip of penis through vas deferens. This is called ejaculation or orgasm (colloquially to cum, shoot, blast or bust).

What is premature ejaculation (PE)?

PE means 'cumming too soon', that is, a man ejaculates before he is ready for it and he has no control over it.

Studies have shown that most men ejaculate between 2-5 minutes after penetration. This time frame is again arbitrary since it can differ from men to men, couple to couple, between cultures and other factors. So, for practical reason, if ejaculation occurs within 1 minute of penis entering into a vagina, it is called premature ejaculation. It is the commonest sexual problem in men and affects all ages.

What are the causes?

  • Premature ejaculation can be primary or secondary.
  • Primary or lifelong PE is when a man has not had control of ejaculation from the time of his first sexual experience. It can be caused by a chemical imbalance in brain centres that lowers the threshold for ejaculation.
  • Secondary or acquired PE is usually when there has been a period of normal functioning before premature ejaculation began. Secondary premature PE is often linked to psychological factors like stress, performance anxiety, relationship issues and impotence.

How is it diagnosed?

There are no tests or scans to diagnose PE. If you have premature ejaculation, you need to see your local doctor and a diagnosis is made based on your history.

What treatments are there for premature ejaculation?

Treatment for PE may involve sex therapy, behavioural techniques, medications, local gels and creams, and treatment of other conditions like erectile dysfunction.

Sex therapy is administered by a person called sex therapist. This is particularly important if the cause of premature ejaculation is psychological like relationship issues and anxiety. Sex therapist provides counselling to address these issues.

There are mainly two behavioural techniques that can be used for treating premature ejaculation:

Seman's 'stop start' technique and Masters and Johnson's 'squeeze' technique.

How to perform Seman's 'stop start' technique

  • Arouse yourself sexually by playing with your penis or ask your partner to stimulate it for you
  • Once you are fully aroused and feel you are close to ejaculation, stop playing
  • Wait for some time until the feeling of ejaculation passes away
  • Once the feeling has passed, you can restart stimulating your penis
  • Repeat this cycle 5-6 times until you finally ejaculate
  • Once you feel more confident with this technique, you can actually practice this after entering your partner. Start thrusting your partner until you feel you are close to ejaculation, stop thrusting and divert your attention to something else. Once the ejaculation feeling passes away, resume thrusting and stopping until you finally ejaculate.
  • How to perform Masters and Johnson's 'squeeze' technique

Once you are fully aroused and feel you are close to ejaculation, squeeze the tip of the penis between your thumb and index finger (or your partner can squeeze it for you) for several seconds until the feeling of ejaculation passes away. Repeat this squeeze and release technique for as long as you can until you finally ejaculate.

What medications are used to treat PE?

  • You need to see your local doctor to get medications prescribed for PE.
  • Dapoxetine (Priligy) is the only medication that is specific to the treatment of premature ejaculation. It is taken 'on-demand' only, one to three hours before sexual intercourse.
  • Some antidepressants have the side effect of delayed ejaculation and used for premature ejaculation. They include SSRIs like fluoxetine, paroxetine and sertraline and tricyclic antidepressant called clomipramine.
  • If PE is associated with erectile dysfunction, Viagra, Cialis or Levitra may be prescribed by your doctor.
  • Local anaesthetic creams and gels can reduce penile sensation and help premature ejaculation. They should be applied up to 30 minutes before sexual intercourse.
  • Using two condoms can reduce penile sensation and help a man take longer to ejaculate.

Just remember

Premature ejaculation is a very common sexual problem in men and affects all ages. It can cause embarrassment and anxiety and affects a man's self-esteem. It can affect both partners emotionally and sexually. There are many treatments available including sex therapy, behavioural techniques and medications but you need to seek help early. It is very important for partners to discuss this openly and get help from a doctor or other health care professionals.

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Priapism - How Can It Be Treated?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine, Certified Course In Herbal(Ayurvedic) Medicine
Sexologist, Ludhiana
Priapism - How Can It Be Treated?

Priapism is a condition of the penis where the erection persists long after the sexual stimulation. It is a painful condition and is extremely common among patients suffering from sickle cell anaemia. Medical treatment is necessary at the earliest in order to prevent any damage to the tissue. This condition is mostly observed in people in the age segment of 30-40.

Symptoms of priapism:
The symptoms of priapism vary according to the type of priapism a person is affected with. Two of the most common types of priapism are non-ischemic and ischemic priapism. While the latter is more common to those with a family history of the same disease, the former can occur to any person. Some of the common symptoms of both the condition include the following:

  1. An erection that lasts for more than an hour or more
  2. Pain in the penis during erection
  3. Rigid shaft of the penile with a soft tip

What are the causes of priapism?

  1. Blood-related disorders such as leukaemia, thalassemia, and sickle cell anaemia
  2. It can also arise from side effects of other medications such as fluoxetine, sertraline, papaverine, warfarin, atomoxetine, chlorpromazine, phentolamine etc
  3. Abuse of alcohol, marijuana, drugs etc.
  4. An injury or trauma to the penis, perineum and pelvis restricting the blood flow.
  5. Penis cancer
  6. Metabolic disorders such as amyloidosis and gout
  7. Neurological disorders such as syphilis or an injury to the spinal cord
  8. A toxic infection or a bite from a spider

What are the possible complications?
Priapism can lead to serious consequences, especially the ischemic type. The trapped blood inside the penis that is devoid of oxygen can start damaging the tissue of the penis. If this disease is not treated on time, it can lead to erectile dysfunction.

How is priapism diagnosed?
A doctor starts from a physical exam and goes through the medical history in order to get first-hand knowledge of the condition. This is followed by the prescription of tests such as blood gas measurement, ultrasound, count of red blood cells and platelets and other toxicology tests.

What are the treatment options?
There could be various approaches that are taken by a doctor. Excess blood can be drained out with the help of a syringe and the penis can be flushed with saline in order to get rid of the oxygen-devoid blood out of the penis. Certain medications can be injected into the pen that helps the blood to flow normally without accumulating inside the penis. If all else fails, a surgeon can perform a procedure in order to drain the blood from a different route. In case you have a concern or query you can always consult an expert & get answers to your questions!

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