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Premature ejaculation

I am 27, and have always suffered from premature ejaculation. I tried Fluoxetine in the past and found it useless, I am currently on 100mg sertraline daily.

After 3-4 months on sertraline I've noticed a slight improvement that is still hit and miss, have tried all sorts of "start-stop" exercises and kegel exercises for nearly a year. I also have occasional anxiety-related ED problems which I take Levitra for.

What is my next step? Should I maybe try increasing the Sertraline to 200mg??
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Avatar universal
Hang in there, and if you are feeling suicidal please call someone you know who can stay with you, call a crisis line or get yourself help in any other way.
I know this problem may be feeling overwhelming, but I am positive that you can find a solution, so don't give up.

I think your problem is probably psycholgical, not physical, especially considering your emotional state of mind of what it's doing to you, but I'd still advise you to seek out a specialist who can help you out as well as a therapist.

I'm a female, but I've been with many guys who struggled with the same problem and I found it to be largely psychological and they had very unhealthy sexualities. I dealt with it myself by trying to give them positive feedback and support over the emotional problems they had to deal with and also by having sex with them very frequently to force their stamina to go up.

All the guys I've been with that premature ejaculate all rarely masturbated. They all had a really unhealthy view that masturbation was wrong or unnecessary or just didn't like it and thought they could just get away with having sex and not masturbating ever. I don't know if you rarely masturbate but I'd be willing to bet you don't masturbate enough. The best way to increase your stamina is by masturbating more often.

They also had very unhealthy sexual views. I'm not sure if you do or not, but you don't sound like you are in a good headspace, and if you are suicidal just because you premature ejaculate, I'd think you also fall into this category of someone who has unhealthy sexual views. There is probably nothing wrong with you physically, what you need is to find a good counsellor or therapist and work on any underlying issues you might have that are getting in the way of you having a healthy sexual life and being able to have an enjoyable sexual experience.
Look at why this is so important to you, why it's making you so depressed and self consious, what happened when it first started, what views do you think you have that are influencing it, what emotions you experience when it happens, etc.

Sex is a very intimate and powerful thing, what you feel and think during it will cause you to orgasm. It may not be necessarily that you are overly excited or really enjoying it, it can also stem from other issues, like if you are stressed out, anxious, depressed, etc.

it's just like a woman who involuntarily orgasms when she is stressed out, the body sometimes copes with psychological problems through orgasm because you might have learned somewhere down the road that orgasm is how you deal with stresseful situations, and unfortunately that is a very unhealthy route to go down because you may be very close to sex addiction and/or using sex as a way to deal with psychological problems.




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Avatar universal
I, like you have suffered from p.e. since I first lost my virginity at age 15/16. Tried a lot of the meds & exercises you've tried. Nothing worked. That is, until here in the Memphis area, Tussionex ext-released cough syrup became very popular. I was totally against using it. I called anyone that used it stupid. Then one day a friend of mine that waz using it told me that he can't ejaculate when he's gotten high off of it. That one comment changed my whole outlook. This could end my p.e. suffering? So, in 1999, at age 23, I tried it. I was able to have sex as s long as I wanted to and my d**k stayed "rock hard" the whole time. WOW! was the thought. I'm suddenly a stud with any woman. At first I couldn't reach a climax at all. But that was ok as long as I could satisfy my lady friend/friends on at will after not being able to for all those years. I eventually learned how much I needed to take to achieve the desired effect. About 1/2 ounce for me over the course of about 8 hours. That way I'm still able to climax but able to hold back as long as I want to. I'm 39 years old now. I still use it whenever I can get it. They've really tightened down on who can get this stuff now because of all the recreational use/abuse. I should mention that there are side effects. Constipation the next day, itching sometimes and I do get high after taking more than the recommended dose. But I consider it all worth if in return, I'm able to satisfy my wife. Yes I'm married now. By the way, she says I'm the best she's ever had. And I believe it because I know that I'm a stud in bed.
Helpful - 0
Avatar universal
No, having a crafty wank beforehand doesnt work either. It seems to be getting worse, ive lost interest in sex because I dont have proper orgasms anymore just the dreaded 2 pump squirt. Ive tried everything, dunno where to turn now. Starting to feel depressed and suicidal
Helpful - 0
Avatar universal
just curious, if you ejaculate during the start of foreplay and have sex during your second time around does it last longer?
Helpful - 0
Avatar universal
Edging, been there done that.... been edging for the best part of a year.

I have tried Prozac, Tramadol, Viagra, Levitra, Anti-histamines, Sertraline. Everything!

Even tried cocaine which I found actually had the opposite effect, aint nothing worse than ya chick saying you've only just stuck it in

I found (by accident! I suffer from CLBP) that a combination of Sertraline, Oxycodone and Levitra is the best combo for me, gave my chick a good 10 minute thrashing the other night. That don't happen too often :s

Obviously this isn't healthy and I'm starting to think maybe something is actually genuinely wrong with me!!
Helpful - 0
Avatar universal
Hi P, For your problem of premature ejeculation, there is a simple exercise called edging, for this just google pegym, look under exercises for edging, and away you go, should soon have you a happy man.
Good Luck
Helpful - 0
1696489 tn?1370821974
Anti-depressants are famous for increasing ED.  So your experience with it is different.  And doing a jump from 100 to 200 mg of zoloft is too much too fast.  Please coordinate with your doctor about your meds and what should be done about your ED.  Blessings - Blu
Helpful - 0
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