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TREATMENT OF PREMATURE EJACULATION WITH MEDICATIONS (DAPOXETINE)
Premature ejaculation is when a man ejaculates too fast during sexual intercourse. Some healthcare professionals use the word 'rapid ejaculation’. International guidelines describe premature ejaculation as occurring frequently within one minute of your entry. This can lead to potential self-consciousness and low self-esteem in men and dissatisfied sexual partners. It is completely up to you and your partner to determine if you are satisfied with the time it takes to ejaculate. If periods of ejaculation cause you chronic pain then this is a problem that can be solved with care.
Types of Premature Ejaculations:
Premature ejaculation occurs in two types.
Main premature ejaculation - where the problem has always been there.
Secondary premature ejaculation (or "acquired premature ejaculation") - where the problem has been recently identified
The primary causes of premature ejaculation are also psychological, such as having an early traumatic sexual encounter. Secondary premature ejaculation may be attributed to both physical and psychological causes. Excessive alcohol consumption can be a contributing factor also.
Self-Help Treatment for Premature Ejaculation:
There are a variety of self-help methods that you can carry out before obtaining medical assistance. Some of these methods include:
- Masturbate for one or two hours before having sex
- Use of a thick condom during intercourse to help lower sensation
- Taking a deep breath to close down the ejaculatory response temporarily (an unconscious body reflection during which the ejaculation occurs)
- Pulling away or slowing intercourse when you're close to ejaculating.
- Taking breaks when having sex and being distracted by focusing on something entirely different
Medications to treat Premature Ejaculation:
If the above self-help strategies do not resolve the issue, selective serotonin reuptake inhibitors (SSRIs) are available. SSRIs are used mainly to combat depression, but one of their side effects is to prolong the ejaculation. Dapoxetine is an SSRI developed specifically for premature ejaculation treatment. Usually, you'll be advised to take it one to three hours before sex, but not more than once a day.
Dapoxetine should be used if:
- Vaginal intercourse lasts less than 60 seconds before there is ejaculation
- Continuous or repeated ejaculation occurs after some sexual stimulation and before, while, or shortly after preliminary penetration and before the climax.
- There's obvious personal discomfort or interpersonal trouble due to PE
- Failure to regulate ejaculation
Home Remedies to Treat Premature Ejaculation:
Two methods which may be useful to men are:
The beginning-and-stop method: It is meant to strengthen a man's power over the ejaculation. Whether the man or his partner ceases sexual intercourse when he senses he's about to have an orgasm, and they restart once the imminent orgasm feeling has subsided.
The squeezed method: This is similar except the man tries to squeeze the end of his penis for 2 minutes before relaunching stimulation, or his companion does this for him.
A man attempts to achieve these two or three times before letting himself ejaculate. The practice is critical and it might be worth talking to a doctor if the issue continues.
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