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Pre Mature Ejaculation

What is fertility assessment?

Fertility assessment is a first place to start if you have been trying for a baby or you may be planning a family and want to have some insight into your current fertility health. It is best come as a couple together during your first visit.

What are the causes of premature ejaculation?

Various psychological and physical factors can cause a man to suddenly experience premature ejaculation. Common physical causes include prostate problems, thyroid problems, using recreational drugs and others. Common psychological causes include depression, stress, relationship problems, anxiety about sexual performance (particularly at the start of a new relationship, or when a man has had previous problems with sexual performance)

It’s possible, but less common, for a man to have always experienced premature ejaculation since becoming sexually active. A number of possible causes for this are:

  • Conditioning– it’s possible that early sexual experiences can influence future sexual behaviour. For example, if a teenager conditions himself to ejaculate quickly to avoid being caught masturbating, it may later be difficult to break the habit
  • A traumatic sexual experience from childhood – this can range from being caught masturbating to sexual abuse
  • A strict upbringing and beliefs about sex
  • Biological reasons– some men may find their penis is extra sensitive

Treating premature ejaculation:  There are a number of things you can try yourself before seeking medical help. It can sometimes help to:

  • masturbate an hour or 2 before having sex
  • use a thick condom to help decrease sensation
  • take breaks during sex
  • take a deep breath to briefly shut down the ejaculatory reflex
  • have sex with your partner on top (to allow them to pull away when you are close to ejaculating)
  • Applying numbing agent 20 minutes before having sex

Couples therapy: If you’re in a long-term relationship, you may benefit from having couples therapy. During these sessions, the therapist will:

  • encourage couples to explore any relationship issues they have, and give them advice about resolving them
  • show the couple techniques that can help you unlearn the habit of premature ejaculation (the 2 most popular techniques are the “squeeze”techniqueand “stop-go” techniques)

In the squeeze technique, your partner masturbates you, but stops before the point of ejaculation and squeezes the head of your penis for between 10 to 20 seconds. They then let go and wait for another 30 seconds before resuming masturbation. This process is carried out several times before ejaculation is allowed to occur.

The stop-go technique: Once you feel more confident about delaying ejaculation, you and your partner can begin to have sex, stopping and starting as required.

These techniques may sound simple, but they require lots of practice.

Medical Treatment:

Dapoxetine:  An SSRI specifically designed to treat premature ejaculation, known as dapoxetine. It acts much faster than the SSRIs mentioned above and can be used on demand. You’ll usually be advised to take it between 1 and 3 hours before sex, but not more than once a day. Common side effects include headaches, dizziness or feeling sick. Your response to the treatment will then be reviewed after 4 – 6 weeks and again every 6 months

Dapoxetine is not suitable for all men diagnosed with premature ejaculation. For example, it is not recommended for some men with heart, kidney and liver problems. It can also interact with other medicines, such as other antidepressants.

Antidepressants (SSRIs):  Selective serotonin reuptake inhibitors (SSRIs) are designed to treat depression, but they also delay ejaculation. SSRIs used for this purpose include paroxetine, sertraline and fluoxetine

Some men may experience an improvement as soon as treatment begins. However, you’ll usually need to take the medicine for 1 to 2 weeks before you notice the full effects.

Side effects of SSRIs are usually mild and should improve after 2 to 3 weeks. They include fatigue, feeling sick and being sick, diarrhoea and excessive sweating.

Phosphodiesterase-5 inhibitors:  Phosphodiesterase-5 inhibitors, such as sildenafil (Viagra), are a class of medicine used to treat erectile dysfunction. They may also help with premature ejaculation.

Topical anaesthetics: The use of topical anaesthetics such as lidocaine or prilocaine can help but may be transferred and absorbed to the vagina, causing decreased sensation.

Condoms: Condoms can also be used and are effective, particularly when combined with local anaesthesia.

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Our dedicated team of professionals is here to provide you with the support and guidance you need. Whether you’re seeking medical advice, counseling services, or expert consultations, we’re here to help.

Testimonials
Testimonials

What Our Client Say

We love that our patients feel inspired to write about the care they received here at Vishvas Fertility! Here are some of the wonderful letters and comments we have recently received.

pramod kr
pramod kr
2023-11-07
We visited Dr. Basavaraj for our treatment. We had to visit for over an year and couple of procedures. Doctor is very knowledgeable and has vast experience. Nurses and other lab staff are good. Initially the wait time was less ,however off kate the wait time is on higher side since doctor does scan and procedures in parallel. The wait time doesn't change even with prior appointment . This is especially true in Marathahalli centre. This can be improved. I feel cost here for treatment is much lesser than any corporate hospitals or other centres. Doctor is mostly straight forward and not verbose. Also doctor prescribes just enough medication which might or might not be good, hard to judge.
Rajeev Kothamachu
Rajeev Kothamachu
2020-11-12
I highly recommend the doctor if there any complications. I visited him and we got very good results. He has very good patience and listen all the problems. Doc is not that commercial he is collecting the same from last 4 years. We are now visiting him again for 2nd pregnancy..
Divya Sharma
Divya Sharma
2020-09-08
Dr Basavaraj is amazing and genuine person. Report asked by him are only needed one, no additional like many other place. All clinic staff are even good n helpful, Appointment recommended Over all very good Dr for fertility.
Vinay K
Vinay K
2019-05-16
Very good doctor , provides good information about the procedures ,
Abhijit Sarkar
Abhijit Sarkar
2019-05-14
We worship God and many says that Doctors are possibly the one. We (me and my wife) evident that in our difficult time. Thank you Dr. Basavraj for your treatment and care. You will always be there in our heart and any word of gratitude is not enough. We have blessed with a baby boy and he is doing great. we were struggling from almost 3 years and finally we have been blessed. We (me and my wife) can never forgot what you did for us. When in difficult time people goes away, you have been our hope and belief. we were really very lucky enough that we got a chance to meet you in person and got the treatment. Our Best wishes to you Doctor and may you help many more people who are suffering from fertility issues. We were really amazed that even after such a busy schedule doctor finds the time to respond whenever it was required (in panic situations). Thank you once again doctor for your personal attention. Our best wishes for you and your family. We will surely come and meet you very soon, I am sure my son also will be blessed by just seeing you. You have given us the reason to Smile 🙂
Bharath Konegadde
Bharath Konegadde
2019-05-06
Dr Basavaraj Shetty take care and advice till 3 months pregnancy . One of the best doctor in hsr
Dr Chetan Kumar N.G
Dr Chetan Kumar N.G
2019-04-16
Dr Devarshetty has a midas touch in his treatment apart from his knowledge skills as a infertility specialist. I recommend all patients to be open minded while consulting him. My wife had a very difficult phase in conceiving after getting ectopic pregnancy twice in 2015-16 because of her PCOD . Being a Dr myself i couldn't cope up with the stress with which i and my wife underwent during those times,later in 2016-17 after Dr Devarshetty advise and treatment we finally became parents and it was the most joyous moment of our married life. Now we have a healthy baby girl 10m old..posted mother and baby image.

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