Ejaculation Problems

Common Ejaculation Problems in Men 1280x720 1
Premature ejaculation: ejaculation occurs sooner than desired, either before or shortly after penetration. 
Up to 30% of patients may report concomitant erectile dysfunction.
Along with Erectile dysfunction, premature ejaculation makes up for 90% of sexual dysfunction in Men

Causes & Diagnosis
reason for PME is complex and multifactorial 
Any painful focus over the penis (tight frenulum) and Prostatitis can result in PME.
Detailed history taking and examination by Urologist/ Andrologies is must.

Treatment of PME
1- Reducing stimulation: Usage of condoms, local anaesthetic sprays and Circumcision and in extreme cases dorsal neurectomy is helpful.
2- Correction of erectile dysfunction
3- Medical therapy with selective serotonin reuptake inhibitors (SSRI) & tricyclic antidepressant 
4- Specialized delay techniques