Premature Ejacuation treatment in Kukatpally, Hyderabad

Looking for Premature Ejaculation treatment in Kukatpally, Hyderabad? Men's Clinic offers advanced and effective solutions to help you regain control and confidence. Consult our expert doctors for personalized treatments tailored to your needs. Your journey to better sexual wellness starts here!

Best doctor for Premature Ejaculation treatment in Kukatpally, Hyderabad

Searching for the best doctor for Premature Ejaculation treatment in Kukatpally, Hyderabad? Men's Clinic offers expert care with personalized solutions to help you overcome PE effectively. Visit us for advanced treatments and regain control with confidence!

Introduction To Premature Ejaculation

Premature Ejaculation (PE) is one of the most common sexual disorders in men, characterized by ejaculation that occurs sooner than desired, either before or shortly after penetration, causing distress to either one or both partners. It can significantly affect quality of life and relationships.

Types Of Premature Ejaculation

1. Primary (Lifelong) PE: Ejaculation that has always occurred prematurely from the first sexual experience.
2. Secondary (Acquired) PE: Develops after a period of normal sexual function.
3. Natural Variable PE: Occasional episodes of PE that are not consistent.
4. Subjective PE: Perception of premature ejaculation without meeting the clinical definition.

Causes Of Premature Ejaculation

Psychological Causes

1. Performance Anxiety: Fear of sexual failure leading to premature ejaculation.
2. Stress and Anxiety: Work, financial, and personal stressors can contribute to PE.
3. Depression: Affects overall sexual function and can lead to PE.
4. Relationship Issues: Poor communication and unresolved conflicts.

Biological Causes

1. Hormonal Imbalances: Abnormal levels of hormones such as testosterone or serotonin.
2. Neurobiological Factors: Abnormal levels of brain chemicals (neurotransmitters) involved in the ejaculatory response.
3. Erectile Dysfunction: Men trying to reach orgasm quickly before losing an erection.
4. Prostatitis and Urethritis: Inflammation or infection of the prostate or urethra.
5. Genetic Factors: Family history of PE can play a role.

Diagnosis Of Premature Ejaculation

1. Medical History and Physical Examination: Assessing overall health, sexual history, and any contributing medical conditions.
2. Questionnaires: Tools like the Premature Ejaculation Diagnostic Tool (PEDT) to assess severity.
3. Ejaculatory Latency Time: Measuring the time from penetration to ejaculation.
4. Psychological Assessment: Evaluating stress, anxiety, and relationship factors.

Treatment Of Premature Ejaculation

Behavioral Techniques

1. Start-Stop Technique:
   • Description: A method where stimulation is stopped before ejaculation, then resumed once the urge subsides.
   • Process: Partners stimulate the penis until nearing ejaculation, then stop until the sensation decreases, repeating multiple times.
2. Squeeze Technique:
   • Description: Squeezing the penis head to delay ejaculation.
   • Process: When close to ejaculating, the partner squeezes the penis just below the glans for several seconds until the urge passes.
3. Kegel Exercises:
   • Description: Strengthening the pelvic floor muscles to improve control over ejaculation.
   • Process: Identifying the pelvic floor muscles and performing regular contractions.

Psychological Treatments

1. Cognitive Behavioral Therapy (CBT):
   • Description: Addresses underlying psychological issues and improves sexual confidence.
   • Process: Identifying and changing negative thought patterns and behaviors related to sexual performance.
2. Sex Therapy:
   • Description: Enhances communication and intimacy between partners.
   • Process: Couples work with a therapist to address relationship issues and improve sexual functioning.

Pharmacological Treatments

1. Selective Serotonin Reuptake Inhibitors (SSRIs):
   • Description: Medications like paroxetine, sertraline, and fluoxetine, which can delay ejaculation.
   • Dosage and Administration: Typically prescribed at lower doses than for depression; effects usually seen after a few days to weeks.
2. Tricyclic Antidepressants (TCAs):
   • Description: Medications like clomipramine, which also delay ejaculation.
   • Dosage and Administration: Taken daily or a few hours before sexual activity.
3. Topical Anesthetics:
   • Description: Creams or sprays containing lidocaine or prilocaine applied to the penis to reduce sensitivity.
   • Application: Applied 10-15 minutes before intercourse and washed off before penetration to prevent numbness in the partner.
4. Phosphodiesterase Type 5 (PDE5) Inhibitors:
   • Description: Drugs like sildenafil or tadalafil  used if PE is associated with erectile dysfunction.
   • Dosage and Administration: Taken before sexual activity; primarily for improving erections.
5. Dapoxetine:
   • Description: A short-acting SSRI specifically approved for the treatment of PE.
   • Dosage and Administration: Taken 1-3 hours before sexual activity; effective in delaying ejaculation.

Medical Devices

1. Condoms:
   • Description: Desensitizing condoms can reduce penile sensitivity and delay ejaculation.
   • Types: Available with benzocaine or lidocaine; thicker condoms can also reduce sensitivity.
2. Penile Clamps or Rings:
   • Description: Devices that can help some men control ejaculation by reducing sensitivity.
   • Usage: Worn at the base of the penis during intercourse to maintain erection and control ejaculation.