Premature Ejaculation can be a severe emotional and psychological burden on both patients and their partners, causing both great distress. Treatment options available to alleviate premature ejaculation include medications and psychotherapy sessions.
Selective serotonin reuptake inhibitors (SSRIs), such as paroxetine, fluoxetine, citalopram and sertraline can help decrease premature ejaculation frequency by taking an SSRI every day. These treatments should typically be taken on an empty stomach for optimal effectiveness.
Medications:
Premature ejaculation may be caused by psychological, emotional or relationship issues that need to be resolved. Counseling, psychotherapy or sex therapy may help identify an underlying cause and overcome it; additionally sex therapy provides an environment in which to address communication with partners safely while dealing with any issues in a confidential setting.
Medication may also be part of your treatment plan; your urologist can refer you to a sex therapist or mental health professional for support.
Premature Ejaculation treatments include topical anesthetic creams or sprays that reduce penile sensitivity and excitability, thus postponing orgasm. They can often last up to 30 minutes. Some antidepressants such as selective serotonin reuptake inhibitors (SSRIs), such as Paxil(r), Prozac(r), Sertraline (Zoloft), Citalopram (Lexapro), or Tricyclic antidepressants like Clomipramine (Anafranil). Additionally, recently the release of short-acting SSRI dapoxetine hydrochloride for on demand use has offered hope to those living v2 ajmali.
PDE5 inhibitors such as Viagra, Tadalafil (Cialis), Vardenafil (Levitra), and Avanafil (Stendra) may be prescribed off-label to treat PE. These medications work by improving the sensation of an erection while simultaneously increasing blood flow to enhance ejaculation time. Tramadol, an opioid analgesic medication can also delay orgasm by activating opioid receptors while inhibiting norepinephrine and serotonin reuptake; thus providing a unique therapeutic effect not available from other drugs.
Psychotherapy:
Anxiety and frustration related to premature ejaculation must be addressed. Psychotherapy may help men manage these emotions as part of their treatment for this sexual disorder, whether alone or combined with medication.
Psychotherapy aims to address underlying emotions that contribute to disorders and teach patients strategies to enhance performance. This involves recognizing and treating distorted thinking patterns such as overgeneralization or mental catastrophizing; this process may require several sessions in a short-term psychotherapy program.
Psychotherapy helps the patient understand his or her sexual desires and what may trigger PE. Therapists can teach new behaviors that will increase his ability to delay ejaculation for longer orgasmic experiences without intercourse. Self-sex may also be taught, or alternative activities which allow delayed orgasms.
Behavior therapy for PE includes implementing the "squeeze technique."
When men suspect they're about to experience PE, they stop sexual activity and apply light pressure with two fingers between their thumb and index fingers to their penis to stop its sensation. A therapist can show him how to apply this pressure at home as well as provide training so he can continue using this tactic with his partner.
Counseling:
Occasional physical discomfort (PE) should not be cause for alarm; however, persistent PE can be distressful and cause issues in relationships. Counseling services may provide invaluable help; counseling may address emotional and psychological factors contributing to the issue such as fear of losing an erection or performance anxiety as well as teaching techniques like the squeeze technique to increase its duration during sexual encounters.
When consulting with a counselor regarding PE, it's essential for men to be as forthcoming as possible when discussing its frequency and effects on themselves and their partners. Also useful would be discussing all sexual history; sometimes men with PE also have some underlying mental health condition, like depression or an anxiety disorder that needs to be addressed as well.
Counseling alone often isn't enough to delay ejaculation; some patients may require medication such as selective serotonin reuptake inhibitors fluoxetine (Prozac), paroxetine (Paxil), sertraline (Zoloft), or tricyclic antidepressants clomipramine (Anafranil).
Although often prescribed for other conditions, studies show these can improve latency time during akseer e kiram- patients can learn to combine psychotherapy and medications together for maximum results - behavioral therapies may take longer to work than traditional psychotherapies do - using these in combination can yielding desired results - behavioral therapies may work wonders but require both parties' cooperation as it takes both parties working in order to work effectively - behavioral therapy works wonders!
Self-help:
Some men suffer from premature ejaculation, in which they ejaculate prior to foreplay or intercourse. This may be caused by stress or sexual frustration and lead to various problems within relationships and reduced quality of sexual experience. If this issue arises in your relationship it's essential that treatment be sought; behavioral therapy and medications can both assist with alleviating this difficulty.
Physicians should review a male who experiences PE to understand his medical and sexual history as well as any symptoms, whether acquired or lifelong. Based on this assessment as well as any comorbid conditions present, an accurate diagnosis will likely be given.
Home remedies proven effective against this issue include using topical anesthetic, masturbating prior to sexual activity and pelvic floor exercises. While these strategies can shorten time to orgasm and increase sexual satisfaction, they do not always work for everyone.
Doctors should provide patients with an honest assessment of all available treatment options for PE, including risks and success rates for each. In addition to considering medication alone as treatment methods, physicians may refer patients to certified sexual therapists or mental health specialists specializing in sexuality as therapy can often be more successful in managing PE symptoms than Habbe Mumsik Mushki Khas.
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