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Premature Ejaculation
Why Good Things Don’t Last Long? Premature Ejaculation
When 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) 
Acute or Chronic Prostatitis can result in PME.
Detailed history taking and examination by Urologist/ Andrologist is a must.
Treatment of PME:
1- Reducing stimulation: 
a- Usage of condoms: they serve a dual purpose: making act safe and enjoyable for long.
b- local anaesthetic sprays: many locally available sprays can be harmful; therefore always consult a specialist before choosing.
c- Circumcision: Minor surgical Procedure to reduce the sensitivity of the Glans Penis.
d- Frenuloplasty: Minor procedure to correct tight and painful frenulum.
d- In extreme cases dorsal neurectomy is helpful.
2- Correction of erectile dysfunction: As both problems go hand in hand, many times correcting one corrects another.
3- Medical therapy with selective serotonin reuptake inhibitors (SSRI) & tricyclic antidepressant 
4- Specialized delay techniques 
a- Stop-Start method
b- Sensate therapy
c- Squeeze technique777gfvr6c tf
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