Premature ejaculation can be embarrassing to discuss, but it is essential that you talk with a health care provider in order to understand why it occurs and explore possible treatments options.
Your health care provider will want to know more about your symptoms and sexual history as well as perform a physical exam.
Medications:
Medication may help ease PE. The type of medication prescribed depends on its source: for emotional issues, an antidepressant such as sertraline might be recommended, while in cases involving low testosterone or medical issues requiring treatment (e.g. low estrogen levels) an urologist may provide ED drugs as part of treatment plan.
There are no specific tests available to detect PE; however, doctors will typically perform a comprehensive physical exam as the first step toward diagnosis. They might also conduct further tests such as measuring sex hormone levels or conducting a pelvic exam to rule out other possible causes for symptoms.
Sertraline can help reduce PE by decreasing disruptions to dopamine pathways that regulate sexual desire and physical responses in the brain. It's available with a valid prescription, comes with black box warnings and must be taken daily; other treatments for PE include Clomipramine and non-selective beta-adrenergic blockers; behavioral treatment/psychosexual (sex) therapy can often provide better relief of PE's underlying psychological, emotional and relationship issues that cause it.
Counseling:
Health care providers may suggest consulting a sex therapist and receiving counseling about relationship issues and feelings. Talking to someone can be useful in relieving feelings of guilt or blame as well as learning techniques to delay ejaculation. Counseling regarding alcohol and recreational drug usage may also prove useful as these substances could interfere with PE performance.
Though discussing sexual issues may be uncomfortable for most, if PE becomes an issue it is crucial that you seek medical advice as soon as possible. Reducing anxiety and frustration while also pinpointing potential underlying causes could be the key to treating premature ejaculation with medication and behavioral therapy. Selective serotonin reuptake inhibitors (SSRIs), such as paroxetine (Paxil, Pexeva and Brisdelle), fluoxetine (Prozac), sertraline (Zoloft) or citalopram (Lexapro), can often be more effective than one approach in treating PE. Dapoxetine may also be prescribed in some countries as an SSRI treatment.
Behavioral therapy:
If your sexual experience (PE) is causing psychological or relationship distress for either yourself or your partner, and is within 1 minute of penetration on a regular basis, and/or you feel as if the time for organization isn't sufficient, consulting a doctor should be considered as soon as possible. This may especially apply if PE causes issues for either Akseer e kiram.
Antidepressant medication such as selective serotonin reuptake inhibitors (SSRIs, such as Citalopram, Escitalopram and Fluoxetine) and tricyclic antidepressant Clomipramine has been shown to be highly effective at treating PE. Other effective painkillers may include tramadol which contains opioid receptor agonist activity as well as serotonin-reuptake inhibiting properties.
Behavioral therapy techniques like the stop-start and squeeze techniques can be an effective way to train your brain to delay ejaculation. OTC or prescription creams and sprays that numb the tip of the penis temporarily may also help delay sensation and give orgasm time to build. Psychotherapy may also prove helpful by teaching you to change negative beliefs about sexual performance, giving greater confidence to perform sexual acts more freely.
Other treatments:
There is no permanent cure for PE, but multiple approaches can be beneficial in managing symptoms. Consulting a sex therapist or mental health professional is key. You could also try masturbating before sexual activity and pelvic floor exercises (Kegels).
Anesthetic creams can reduce sensation and postpone ejaculation. Available over-the-counter as lubricating pads or sprays, these may work best if applied 15 minutes before laboob e kabeer ajmali.
Studies suggest that zinc supplements might increase testosterone levels, improve libido and reduce PE symptoms; however, more research needs to be conducted in this area before conclusively making these claims. Furthermore, zinc should only be taken with medical advice and prescription in order to avoid potential toxicities or side effects.
Commentaires