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Premature ejaculation
Hi, I am a 27 year old male, been sexually active for 10 years and in a steady relationship for over a year. I have always suffered from premature ejaculation, which I think has something to do with my Anxiety and Depression.
I ejaculate within 2 minutes (or substantially less!) 99% of the time. Have previously tried Prozac at 20mg, 40mg, and 60mg but this did not help at all. Am currently on sertraline 100mg, which helps for anxiety and depression but not PE. Have tried start and stop technique's (edging) for about a year with no improvement.
Myself and my partner do not have relationship problems, but she is not always supportive on the PE front, some of her comments have made the situation much worse
What would you recommend?
I ejaculate within 2 minutes (or substantially less!) 99% of the time. Have previously tried Prozac at 20mg, 40mg, and 60mg but this did not help at all. Am currently on sertraline 100mg, which helps for anxiety and depression but not PE. Have tried start and stop technique's (edging) for about a year with no improvement.
Myself and my partner do not have relationship problems, but she is not always supportive on the PE front, some of her comments have made the situation much worse
What would you recommend?
Hi, thanks for your reply. Do you think increasing the dose of the sertraline would be any help? I'm quite a big guy at 6 foot tall 15 stone.
MEDICAL PROFESSIONAL
Hello,
Thanks for posting your query.
At your age, anxiety is considered to be the biggest causative factor for any premature ejaculation and erectile dysfunction. Hence remove any fears, apprehensions or stress and then there will be improvement in the premature ejaculation. You can indulge in yoga and meditation also which has a calming effect on mind. Other than that, having psychological and counseling sessions with a sex therapist also helps.
Coming to the medicines part, Prozac and serteraline which you are taking are selective serotonin reuptake inhibitors and are the mainstay of treatment for premature ejaculation. Paroxetine (Paxil) appears to be the most effective drug treatment and you can get it prescribed if the symptoms persist.
Other drugs like Dapoxetine (Priligy), clomipramine and trazadone are also used for premature ejaculation. Studies have shown that clomipramine may be more useful than the SSRIs. So if SSRI do not help then it can be prescribed.
Hopefully these should help.
Hope that this information helps and hope that you will get better soon.
Wishing your good health.
Thanks for posting your query.
At your age, anxiety is considered to be the biggest causative factor for any premature ejaculation and erectile dysfunction. Hence remove any fears, apprehensions or stress and then there will be improvement in the premature ejaculation. You can indulge in yoga and meditation also which has a calming effect on mind. Other than that, having psychological and counseling sessions with a sex therapist also helps.
Coming to the medicines part, Prozac and serteraline which you are taking are selective serotonin reuptake inhibitors and are the mainstay of treatment for premature ejaculation. Paroxetine (Paxil) appears to be the most effective drug treatment and you can get it prescribed if the symptoms persist.
Other drugs like Dapoxetine (Priligy), clomipramine and trazadone are also used for premature ejaculation. Studies have shown that clomipramine may be more useful than the SSRIs. So if SSRI do not help then it can be prescribed.
Hopefully these should help.
Hope that this information helps and hope that you will get better soon.
Wishing your good health.
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