Premature ejaculation treatment options may include medication, behavioral therapy and counseling from an urologist. He or she should provide impartial information regarding all possible solutions as well as potential risks involved.
Some men can benefit from using selective serotonin reuptake inhibitor (SSRI) drugs used to treat depression. One side effect of these medications may include delaying ejaculation. Anaesthetic creams, gels or sprays that reduce sensation in the head of the penis may also provide assistance.
Medication:
Medication may be used in combination with behavioral techniques. The first step should be visiting a healthcare provider who will review your problem history and conduct a physical exam, inquiring about any medications including over-the-counter drugs, herbal supplements or vitamins you are currently taking.
Your health care provider may suggest sex therapy or relationship counseling if the issue lies within psychological concerns or problems in your sexual relationships. Such techniques could help alter how you approach sexuality and boost performance in bed.
Medicines commonly used to treat erectile dysfunction may also help delay ejaculation. Phosphodiesterase-5 inhibitors such as sildenafil (Viagra), tadalafil (Cialis) or vardenafil (Levitra) have been shown to extend the time until ejaculation; other treatments include tramadol - typically only prescribed temporarily due to habit-forming effects - antidepressants like Clomipramine (Clomid) or selective serotonin reuptake inhibitors like paroxetine (Paxil, Pexeva Brisdelle Prozac) have proven useful; the SSRI Dapoxetine may even serve as first line treatments against PE in some countries.
Behavioral therapy:
If the physical cause for your PE can be identified, treating it often includes taking prescribed medication such as sildenafil (Viagra), tadalafil (Cialis) or vardenafil (Levitra). While these are normally used to treat erectile dysfunction, they may also help with PE symptoms.
Urologists also offer behavioral therapy techniques such as thought distraction -- engaging in nonsexual thoughts such as naming sequences or visualizing driving through streets to reduce sexual anxiety and tension. This can help ease Habbe Mumsik Mushki Khas.
If behavioral treatments fail to bring relief, you could try taking an SSRI such as paroxetine (Paxil), fluoxetine (Prozac), sertraline (Zoloft), citalopram (Lexapro), or dapoxetine (Aurorix). These drugs should usually be taken "on demand" prior to sexual encounters. While most SSRIs work, not always; you may need to try several before finding one that helps; working with an experienced urologist and mental health professional is key when dealing with male sexual issues.
Counseling:
Counselors or psychiatrists may help address emotional factors contributing to early ejaculation, including stress, anxiety and relationship problems that might hinder sexual intimacy. Sometimes combined with medication treatment, this therapy approach may prove effective in managing premature ejaculation.
At your appointment, a health care provider will ask about your past medical history relating to sexual relationships and will inquire as to the length of time it typically takes for ejaculation during sexual encounters.
Your urologist may offer suggestions on how you can change your behavior and extend sexual pleasure, such as practicing distraction techniques or visualizing nonsexual events (like listing businesses on your street or seeing pictures of things you like), among other strategies. He or she may suggest medication as one potential solution; though these medications might work well for some, some individuals may experience side effects which interfere with sexual pleasure.
Surgery:
Although surgery is rarely used as a treatment for premature ejaculation, some men have reported its benefits. Furthermore, medications to decrease depression also seem to help delay ejaculation for some individuals; selective serotonin reuptake inhibitors (SSRIs) seem particularly helpful here; and treating erectile dysfunction medications combined with an SSRI may also offer solutions.
Behavioral therapy for premature ejaculation involves learning and practicing techniques to delay ejaculation, while working closely with therapists on exploring and resolving ongoing psychological, relationship, or emotional issues which could contribute to its V2 Ajmali.
Psychological and relationship therapies may be more effective at treating this condition than medications, though they can take more time to work. If this is something that concerns you, discuss it with your physician who can conduct a physical exam as well as ask about your sexual history before providing you with a diagnosis and referrals to specialist if needed.
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