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When I Start Having Sex I Simply Ejaculate What Can I Do?

ERECTILE DYSFUNCTION QUESTION:

Before 3 or 4 years ago I was good but now a says I am very decreased when I start sex I simply ejaculate would I get a permanent solution?

DOCTOR ALSAYES ANSWER:

Premature ejaculation or early climax has many factors and underlying causes, Such as anxiety and pressure to perform under heightened anxiety. Low sex drive is another possible cause. Watching pornography and masturbation more frequently can lead also to early climax during actual sex relation.

A neurological problem that may cause hypersensitivity in the penis and/ or hyperspasticity of the pelvic muscles can lead to early climax as well.

Treatment of this issue must follow a proper diagnosis of the cause first. However some techniques can be helpful in all cases, and these include:

• The start-stop method, which consists of the partner starting and stopping stimulation prior to climax ejaculation. The series of exercises progress to intercourse and over a period of weeks, it gradually increases the ejaculatory control.

• Kegel exercises while sitting, standing or walking.

Also, there are some medical options. For instance, using low-dose anti-depressants including (Dapoxetine, Anfronil, Clomipramine, Prozac, and Zoloft) can help to prolong ejaculation. But these drugs may lead to adverse side effects.

Please see your urologist for evaluation to identify the cause before considering the proper treatment.

I hope this answers your question.

Thanks, Dr. Alsayes

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