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Dr. SH
Dr. SH, Board Certified Physician
Category: Medical
Satisfied Customers: 8765
Experience:  Doctor of Medicine
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hi , main issue is to do with sex, i cant last very long. i

Resolved Question:

hi , main issue is to do with sex, i cant last very long. i used to have a long term girlfriend and some times i would be ok some times not. now that im not with her unless im drunk i cant seem to last long and to be honest have sort of convinced my self i need to be drunk to be any good. when i first started with my girlfriend i used to not last long when drunk either but managed to sort that out. i do believe alot of it is in my head. as when i get sexual close to a girl when sobar i get really hot and sometimes nervous. im a confident guy usually. i have been told by alot of people that i have ADD and was wondering if the things could be linked. I think all i would need is a few times of sex sobar to go ok to convince my self and stop worrying about it. do you have any advice?
cheers
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. SH replied 2 years ago.

Dr. Shahzad MD :

Hi there. Thank you for your question. I will be helping you out with your queries

Customer:

hi

Dr. Shahzad MD :

welcome

Dr. Shahzad MD :

Have you tried anything for this as yet?

Dr. Shahzad MD :

I mean any medications?

Dr. Shahzad MD :

Or been to any professional.

Customer:

no and no

Customer:

i thought i could beat it my self but if anything its getting worse

Dr. Shahzad MD :

What is your typical time?

Dr. Shahzad MD :

or average time to ejaculation.

Customer:

recently if im sober literally under a minute.

Customer:

if iv had a drink i can go forever

Customer:

when i had a girlfriend it went up and down sometimes a few minutes sometimes not. now i don't really feel comftable having sober sex

Dr. Shahzad MD :

You are having what is called as premature ejaculation.

Dr. Shahzad MD :

Have you tried or heard about squeeze tehnique or tried masturbating an hour or two before having sex?

Customer:

yeah both

Dr. Shahzad MD :

Have they helped any?

Customer:

no not really. i think i have worked my self up to much to be honest. when i get sexually active with a girl now i start to worry so much.

Dr. Shahzad MD :

Have you tried delay sprays and/or delay creams?

Customer:

no i dont really want to use a cream i want to just sort it out for good

Customer:

i used to cum quick when i was drunk to but managed to sort that out, i know if i have a few goes sober and it goes well i will stop worrying. i dont really want to use creams incase it effects the girl to

Dr. Shahzad MD :

There are a few options available other than the ones that I mentioned above:
1. Medications like fluoxetine or paroxetine

Dr. Shahzad MD :

2. CBT or cognitive behavioral therapy.

Dr. Shahzad MD :

Have you heard of any of those?

Customer:

and what are they? sprays and creams?

Customer:

no

Dr. Shahzad MD :

Fluoxetine or paroxetine are medications that belong to the SSRI group.

Dr. Shahzad MD :

They are basically antidepressants.

Dr. Shahzad MD :

and they are very commonly used for premature ejaculation.

Dr. Shahzad MD :

They increase time.

Customer:

yes i have heard of these

Dr. Shahzad MD :

CBT also known as counseling or talk therapy, involves talking with a mental health provider about your relationships and experiences. These talk sessions can help you reduce performance anxiety or find effective ways of coping with stress and solving problems. Counseling is most likely to help when it's used in combination with drug therapy

Customer:

can i get them over the counter?

Dr. Shahzad MD :

Its not over-the-counter. You would have to get a prescription.

Dr. Shahzad MD :

You would have to talk to your GP about it.

Dr. Shahzad MD :

Are you with me?

Customer:

are there any side effects?

Customer:

also is this in the uk?

Dr. Shahzad MD :

Its a very safe drug used by millions of people all over the world.

Dr. Shahzad MD :

Usually there are minimal to no side effects

Customer:

as i said about the ADD do you think that could be related to the problem

Dr. Shahzad MD :

Its available all over the world including UK.

Dr. Shahzad MD :

Yes there may be a relation but not a strong relation.

Dr. Shahzad MD :

premature ejaculation is a very common problem in males.

Dr. Shahzad MD :

So I would not like to relate it to ADD only.

Customer:

how quick does the medication take to be effective?

Dr. Shahzad MD :

Medication starts to take effect in about a week's time.

Customer:

i feel if i did take it after a few week i would be able to calm my nerves and be ok without it. but i would be worried about becoming dependant on it?

Dr. Shahzad MD :

This medication is not something that one would become addicted to.

Dr. Shahzad MD :

Its not that kind of drug.

Dr. Shahzad MD :

If it starts working and you used it for a few weeks to months and then you can stop using it whenever you like.

Customer:

but is it a drug you need to take everyday

Dr. Shahzad MD :

Yes thats true.

Customer:

have you heard it work for other people

Dr. Shahzad MD :

I have used it for a large number of people with good results.

Dr. Shahzad MD :

Which is why I am suggesting it to you.

Customer:

i assume i would just tell a gp what i told you and they would prescribe it?

Dr. Shahzad MD :

Yes, hopefully, various from one GP to another but if you mention the problem and the number of things that you have already tried he/she should prescribe it as far as I am concerned.

Dr. Shahzad MD :

varies**

Customer:

ok is there any other things u might advise?

Dr. Shahzad MD :

Nothing much else other than that you should try and relax your mind as much as you possibly can

Dr. Shahzad MD :

The more relaxed you are the better it is for sex.

Dr. Shahzad MD :

Anymore questions?

Customer:

i think any other questions i may as well ask when i see my gp?

Dr. Shahzad MD :

Yup

Customer:

hopefully i can sort it out

Dr. Shahzad MD :

I hope so too and wish you all the best.

Customer:

is there any science about why when i was drunk i used to not last long but have no conquered that

Customer:

i think i just need to do the same thing when sober ?

Dr. Shahzad MD :

When you are drunk you become relaxed

Dr. Shahzad MD :

The anxieties are gone

Dr. Shahzad MD :

Worries are gone or are much less.

Dr. Shahzad MD :

The more anxious you are, the more you worry, the less calm your mind is and the premature ejaculation would be worse.

Dr. Shahzad MD :

So the main thing is the ability to relax yourself and your mind.

Customer:

yes it makes sence

Dr. Shahzad MD :

Anymore questions?

Customer:

no thats fine thankyou for your time

Dr. Shahzad MD :

You are most welcome
Take care
Wish you all the best.
Please do rate me for my services before you leave by clicking on one of the smilies below. I hope I provided excellent services.
Tip/bonus is always appreciated.
Good bye :)

Dr. Shahzad MD :

I would appreciate a positive rating if possible.

Dr. SH, Board Certified Physician
Category: Medical
Satisfied Customers: 8765
Experience: Doctor of Medicine
Dr. SH and 4 other Medical Specialists are ready to help you

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