I am suffering from premature ejaculation, in the age of 14 I was start masturbation, I was imagining about sex with girl and make myself excited to discharge. After few year I was addicted of masturbation. When I am know demerit of it I was very late. In the age of 18 I was try to make sex relationship with 28 year old woman but when I was injected my penis I was intatntanly discharge. After that I was try to make sex relationship many times but problem was remain same during this period I was also suffering from night fall at least five times in a week and I was also take medicine of premature ejaculation and nights fall in homeopathic, ayurvedic and alopathic but I was not found solution. In the age of 28 I was decided to take consultation to a psychiatrist. He gave panex cr 37.5 (ssris) after taking this medicine, 1.5 year now, night fall problem resolved but premature ejaculation is still same so please advise me better solution.

Dr. Satyajeet P PattnaikUrologist11yrs exp

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Common treatment options for premature ejaculation include behavioral techniques, topical anesthetics, medications and counseling. Keep in mind that it might take time to find the treatment or combination of treatments that will work for you. Behavioral treatment plus drug therapy might be the most effective course. Behavioral techniques in some cases, therapy for premature ejaculation might involve taking simple steps, such as masturbating an hour or two before intercourse so that you're able to delay ejaculation during sex. Your doctor also might recommend avoiding intercourse for a period of time and focusing on other types of sexual play so that pressure is removed from your sexual encounters. The pause-squeeze technique your doctor might instruct you and your partner in the use of a method called the pause-squeeze technique. This method works as follows: begin sexual activity as usual, including stimulation of the penis, until you feel almost ready to ejaculate. Have your partner squeeze the end of your penis, at the point where the head (glans) joins the shaft, and maintain the squeeze for several seconds, until the urge to ejaculate passes. Have your partner repeat the squeeze process as necessary.  

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