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Post Sildenafil vs Tadalafil - which is better ?

Forzest 20 is Tadalafil, both Caverta 100 and Penegara 100 contain sildenafil. Tadalafil is better because it does not cause bluish vision problem as with sildenafil. All of them can cause vision problems and heart issues. These are the available medications for ED, no other alternatives.
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হস্তমইথুন করা বারন ।
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I hv 1 question how to increase serotonin level?

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Originally Posted by prac88 View Post
I hv 1 question how to increase serotonin level?
Ten Delicious Bodybuilding Foods That Increase Serotonin Levels!


Serotonin is a neurotransmitter (brain chemical) that is involved in many vital body functions and is very important in the regulation of mood and sleep.
Serotonin has come under a lot of attention recently because research has shown that low levels of this neurotransmitter can lead to increased incidences of aggressive behaviour and increased symptoms of anxiety and depression.

Even more worryingly is that scientists have found that ‘lower serotonin function and impulsive/aggressive traits are associated with suicidal acts, including completed suicide.’(1)
In terms of dieting, making sure you're not serotonin deficient is very important because serotonin is crucial in triggering satiety after eating. Depressed serotonin levels is the likely reason why the vast majority of people cannot stay on a very low carbohydrate diet for the long term without feeling an unavoidable need to binge.
Here are my top 10 everyday bodybuilding foods that increase serotonin levels. I explain why these particular bodybuilding foods are fantastic for raising your mood.
Whilst these are all foods that increase serotonin levels, I’ve included each food for a slightly different reason:
1) Free Range Turkey
2) Flaxseed/ Flaxseed oil
3) Buckwheat
4) Wild Fish and Sea food
5) Whey protein
6) Bananas
7) High quality Eggs
8) Sour Cherries
9) Free Range Beef
10) Dark Chocolate


you can try kali phos 6x daily three pills three times a day for 3 month.....

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Post Premature Ejaculation

Premature ejaculation is often caused by low serotonin levels and raising serotonin levels can help premature ejaculation. The supplement 5-HTP (a precursor to serotonin) helps in this regard. Take 100mg every morning on an empty stomach. It is fast acting and within as shortly as a few days you should start noticing a difference, as well as other positive benefits such as better mood and sleep. My only potential warning is that the first day or two you may feel much more emotional than you otherwise would be.

Spermatorrhoea or involuntary ejaculation: - The juice of fresh Henna leaves is very helpful in curing the above complaint is given in doses of 8 to 16 grams.
Premature ejaculation has 1 major cause. Sensitivity much greater than normal Severe Sensitivity on the head of penis causes premature ejaculation. This Urge Is So Strong That No Technique or Exercise Can Stop It.

DIRECTIONS: a potent combination of ingredients to reduce sensitivity in the penis head. No greasy desensitizing creams. This formula is a premature ejaculation treatment and does prevent premature ejaculation in men.

Step 1: Spray a thin coverage to the head of the Penis.


Step 2: Wait a minimum of 60 minutes.
Have Sex Anytime: the Effects of reverting Premature Ejaculation have Lasted for Upto 12 Hours!!!.

Active Ingredients:
Radic Asari...................0.2%
Isopropyl Alcohol.........70%
Water............................29.5%
Perfume...............…......0.3%

Premature ejaculation will not occur and no one will know you are using this lotion. It will not numb or in any way make the vagina feel any different. For maximum effect in preventing premature ejaculation use in the following method.

Spray Lotion once, wait 30 minutes, apply another spray of Lotion and wait another 30 minutes. Then have sex any time. It has been reported that the effects of preventing premature ejaculation have lasted as long as 12 hours. Even if you have a shower Lotion for Premature ejaculation will not wear off!! One bottle of Lotion contains on average 16 sprays.

Lotion sustains your erection unlike many desensitizers which can deaden the erection, but at the same time preventing premature ejaculation. Lotion is ideal for individuals possessing the stamina to endure lengthy sessions of intercourse and sexual engagement. A unique and successful approach for regaining ejaculatory control.

PREMATURE EJACULATION: Mix, one tsp. of Ashwagandha powder in a glass of milk; half an hour before the act and see the difference. You can prolong the act for a pleasurable few minutes, thereby treats premature ejaculation. The treatment, acts within half an hour. Hence premature ejaculation is treated with the benefits of Ashwagandha. Expected Results Within: 1 hour.

PREMATURE EJACULATION: Qaranfal or Clove can be useful for treating premature ejaculation. Dose: adults aged 18 or over not exceeds 2.5mg/kg orally because of risk of side effects. Impotency: Datura is also used as an oral medicine. Four grains with betel leaf can be taken. The use of this butter both externally and internally in this way will gradually promote health and Vinegar or and restore absolute fitness in the body.


PREMATURE EJACULATION: Apply lightly Xylocaine / Xylotox/ Gesicain/ Anethin Ointment/ Cream/Jell on supari of Tanasul organ 20 minutes before intercourse.



PREMATURE EJACULATION: All type itrat are mulazziz i.e. Fitna is like a Vaseline apply on head/hushfa of tanasul organ, lady will be admirer. Itar Motia3, Nargis3, Hina Mushki6, Hina Musk, Opium4, Suhaga3, Kafor3, Mazo Phal6 (not sorakhdar) simple Vaseline without. Odor 5tola dry Mazo first & powder it like Surmah, then mix in itrat, as per requirement massage/malish the qazeeb and be busy in in/course, create imsak o lazzat.

PREMATURE EJACULATION & SEXUAL Disorders: (Weakness): Take two tsp. of honey and add one drop of Nigella Sativa (Kalonji) oil with one drop of `Jaiphal oil’. Use this mixture daily before going to bed. Continue for two weeks.


PREMATURE EJACULATION and Spermatorrhea: The juice of fresh leaves of Henna is used for early or involuntary ejaculation and Spermatorrhea i.e. involuntary loss of semen without reaching orgasm. This treatment should be tried under medical supervision. The recommended dose is two teaspoonfuls of fresh juice taken before retiring to bed. This dose should not be increased for any reason.


PREMATURE EJACULATION: Early ejaculation is not a disease. Early ejaculation shows that your state is on peak level and your control on mind is less. So read following tips carefully and apply them today you will be get a great result.
Take some Tamarhindi seeds and fry them without oil in a hot cookware. You can also use oven. Fry until it covers burn and see black but inner yellow part is only partly burn. After cooling them removed, it burned cover by hand. And sucking and chewing slowly it inner yellow partly burn part like a nut. You can suck maximum 5 seeds in a day. This process increases your ejaculation time significantly in 3-7 days. These methods are harmless and also control your acidity or diabetes.


PREMATURE EJACULATION: Mumsik: Take Shingraf Roomy 3m, opium kham 3m, Henbane (Ajwain khurasani) 6m, juice/arq fruit Datura 27m kharal it & make Nakhodi tabs. Take one tab before i/c.

PREMATURE EJACULATION/ Mumsik: Yohimbinum Q 5-10 minims 3-4 times a day, take ½ hour before intercourse.

PREMATURE EJACULATION./ Mumsik: Black Datura seeds and Ghonchki black dhob them and pull oil, apply on palm feet 1-hour before intercourse.

PREMATURE EJACULATION: Take one dose of Selenium 30-200 one hour before intercourse.

PREMATURE EJACULATION: Graphites 12C two to four times a day until you improve. A similar dose of Nux Vomica 12C. Sulfur 12C two to four times a day. Lycopodium 12C, in a similar doses.

PREMATURE EJACULATION, Aphrodisiac & Mumsik: Qaranz 600 mg, AlliSat 250 mg, C3N 150 mg. 2 caps before 75 minutes before intercourse.

PREMATURE EJACULATION, impotency, Spermatorrhea & Aphrodisiac: Ginger: The juice extracted from Ginger is a valuable aphrodisiac and beneficial in the treatment of sexual weakness. For better results, half a tsp. of Ginger juice should be taken with a half-boiled egg and honey, once daily at night, for a month. It relieves impotency, premature ejaculation, & Spermatorrhea.

PREMATURE EJACULATION & Impotency: Are you fed up of disappointing your partner in bed even though you are trying your hardest to satisfy her? Help you last longer and permanently cure premature ejaculation so it never rears its ugly head again. Below are some common homemade remedies for premature ejaculation and impotency:



1. Slice Allium Sativa (Garlic) cloves (250 grams) and boil in 2 liters of milk. When the milk has condensed and bears a semi-liquid (or paste) from, roast the whole content in 250 grams of pure ghee (clarified butter oil). Now grind the roasted contents to pulp form, spread on a stainless steel plate, adding some honey to it, and cut into small pieces. Those suffering from early ejaculation should take about 25-50 grams with hot milk. It will also thicken the semen and won’t let is dribble away in a hush. Those who develop some reaction or are prone to Allium Sativa (Garlic) reaction should desist from using this recipe. Instead such persons should try the following preparation.


2. Take fresh Aamla fruit and remove the seeds. Then dry the Aamla cloves under shade, taking care that it remains free from dust, sun, insects and other impurities. When fully dry, reduce the cloves to a powder form. Now extract juice of fresh Aamla, in which the Aamla powder should be immersed, and allowed to dry, as stated above. Fresh Aamla juice should be added seven times (when the powder and juice get fully dried up, then pour juice into it). After the seventh treatment, powder the content to fine pulverized form, and bottle up in a glass bottle. Normal dose is 10 grams thrice daily. While using the powder add 10 grams of butter oil (pure ghee) and 5 grams of pure honey. It will thicken semen, improve your sexual potency and prevent early ejaculation.


3. Mix 6 grams of alum and 6 grams of borax (suhaga) to 30-35 drops of aqua rose. Now, the mixture is to be boiled in water, making sure that not even a drop falls into it. You can use a tight container in the water, fully closed tightly with a lid, to rule out any possibility of entry of water in the mixture. When entire mixture melts completely, it should be allowed to cool down. The viscous fluid, so obtained, should be gently massaged till the fluid is fully absorbed by the glands penis. If it is applied sensibly and cautiously, you can enjoy added joy from coitus and also you won’t ejaculate, early.

4. Massage the Penis: Do a gentle massage of the penis. 1 ounce of sesame oil, add 5 to 10 drops of mustard oil. The diluted mustard oil has a heating effect, which will dilate the blood vessels and improve the circulation of blood to the penis. Do this massage about 1 hour before intercourse, and be sure to wash the penis thoroughly beforehand, or your partner's delicate skin may feel burned by the hot mustard oil. You can also use castor oil, which will improve the tone of the sphincter muscles.

5. Muharrik Bah Zamad: Do plaster on qazib of Zanjabil (ginger, adrak) gaunt ghiso in Asl, then wrap it with bettle leaf and bandage it at sleeping time, unwrap it in morning, apparently it is a very simple but very special effective & bar-angekhta.

6. Akseer Bah Zamad: if blue type veins arose on Sexual organ are present there then take 1 pothi Allium Sativa (Garlic) peel & get juice & equally sesame oil & boil on coal fire till remaining of only oil fill in bottle after chhan, apply 4-5 minims on qazib leaving supari & sewen & wrap bettle leaf, after 8-10 days there will be appeared phunsies/abscesses or there will be created full strength. If no pothi Allium Sativa (Garlic) available then ordinary Allium Sativa (Garlic) may be haven.

7. Tila Nadir: be-zarar, well effective for old persons also, 1 Qandhari pomegranate or sweet pomegranate, get Goda+Chilka, put it in sesame oil or mustard oil for three days, after 3 days this must be put in pan or karahi.on fire, when goda & chilka jul jae then oil must be preserved in bottle, and apply 4-5 minims of this, having left hushfa & sewen and wrap bettle leaf at bedtime, after 7-10 days it will be useful. Till one hour after malish/massage don’t wash with cold water.

8. Akseer Bah Zamad: Borax (Khalis) 3m grind (peesso) in Asl 1t. Then apply paste on qazib & wrap bettle leaf at bedtime & unwrap at morning, after few days there will be a life in veins.

PREMATURE EJACULATION: Mace - Mahi Roobian - Argyeria Speciosa - Myristica Fragrance - Crocus Sativus (Ext.) -Kushta Qalaee - Zehar Mohra – Excipients. Dosage: One tablet daily in (evening) with a full glass of milk or simple water. Two tablets of Nino_Pills can also be taken 2 hours before sexual activity to enhance sexual staying power. In such case, to avoid the dinner gives better results.

Premature ejaculation: Fresh pods of Babul tree are effective in sexual Disorders like Spermatorrhea; frequent Night Discharges, loss of viscidity of the semen and premature ejaculation. Now you can last longer in bed and can completely satisfy your partner by using these natural remedies. Perfect Penis: Shaving on and around the penis is being done by males not just for surgery anymore. Just take a look around the locker room the next time you're at the gym. Cleanly shaving their shaft allows a condom to slip on and off much easier.


Treatments to Cure Premature ejaculation
Some herbal remedies have been used to treat retrograde ejaculation. Ashwagandha, perennail, shatawari, gokhru, and musli have been credited by ayurvedic doctors as aiding in sperm production. Their herbal powers are said to rejuvenate sperm channels and increase overall sperm health and production. Conscult an ayurvedic practitioner for advice.

Ashwagandha: It is commonly known as winter cherry or withinia somnifera. It not only increases physical stamina but also helps in enhancing the sexual life. It is said to increase libido and is very helpful in treating diseases like impotence, erectile dysfunction and premature ejaculation. Listed below are the ways in which Ashwagandha can help to reduce your erectile dysfunction symptoms;
· It can help increase sperm count
· It can help to increase sperm mobility
· It also acts as an aphrodisiac
· It increases both the male and female libidos
· It can also help to reduce hypertension which is a common cause of erectile dysfunction.
· It can help reduce anxiety and stress levels which are common causes of psychological erectile dysfunction.
· Ashwagandha benefits include its potent action of natural aphrodisiac. It can be used in various sexual problems such as premature ejaculation, erectile dysfunction, loss of libido, sexual debility, to improve sexual thoughts and to better overall sexuality.
The recommend dosage of Ashwagandha is one capsule twice a day to be taken before meals and even though it does not have an immediate effect to cause an erection over time it will help you to have a harder and longer lasting erection.

Salib misri – It is widely used herb in ayurvedic medicine that deals in aphrodisiac purpose. It not only increases sexual stamina but also enhances the performance of the body. It increases the blood circulation to the male sexual organ making it bigger and harder. It is very helpful in increasing the sperm count and also improves the quality of the sperms.

Silajit – It helps in providing endurance in males. It is derived from the mountains especially those that come in Himalayan range. It is actually decomposed plant matter that is formed due to drifts in layers of mountains. Due to heat, especially in summer these oozes out of the mountains in the form of resins. It is helpful in increasing libido preventing diseases like premature ejaculation and impotence.

Sexual therapy
In some cases, sexual therapy may involve simple steps, such as masturbating an hour or two before intercourse so that you're able to delay ejaculation during sex. Your doctor may also recommend avoiding intercourse for a period of time and focusing on other types of sexual play so that pressure is removed from your sexual encounters.


The squeeze technique
Your doctor may instruct you and your partner in the use of a method called the squeeze technique. This method works as follows:

· Step 1. Begin sexual activity as usual, including stimulation of the penis, until you feel almost ready to ejaculate.
· Step 2. Have your partner squeeze the end of your penis, at the point where the head (glans) joins the shaft, and maintain the squeeze for several seconds, until the urge to ejaculate passes.
· Step 3. After the squeeze is released, wait for about 30 seconds, then go back to foreplay. You may notice that squeezing the penis causes it to become less erect, but when sexual stimulation is resumed, it soon regains full erection.
· Step 4. If you again feel you're about to ejaculate, have your partner repeat the squeeze process.
By repeating this as many times as necessary, you can reach the point of entering your partner without ejaculating. After a few practice sessions, the feeling of knowing how to delay ejaculation may become a habit that no longer requires the squeeze technique.

The "Stop and Start" Method
This second method helps men with premature ejaculation to recognize when they are about to climax and then to slow down or reduce stimulation in order to extend the time until ejaculation. By starting and stopping sexual stimulation you can learn to prolong the sex act.


Abstaining from Intercourse
Couples may be instructed to avoid sexual relations for a period of time to help reduce anxiety. This is beneficial as while avoiding intercourse they can spend time to focus on other types of sexual plays that eliminate pressure from the sexual encounters. This can help the man to connect and re-establish a satisfying physical bond with his partner.


More Foreplay
By engaging in more foreplay, couples can help each other achieve a state of high arousal by stimulating each other through kissing, cuddling, hugging, petting, stimulating the breasts, genitals, and other erogenous zones before copulating. This way, ejaculation and orgasm can be achieved almost at the same time by the couples.


PREMATURE EJACULATION TIPS
The little known tongue secret. Not many of you will know about this little gem of an exercise and some of you will probably think I’m a little weird for even suggesting it, but the truth is it worked like a charm for me. All you need to do is rub the roof of your mouth directly behind your front teeth with your tongue. This will help move some of the blood to the penis from other parts of the body; the reason being is that a connection is made with the nerves of this area and the nerves of your genital area. Give it a little try now, you’ll feel a funny sensation.

Shaving pubic hair gives his penis the appearance of being larger and it gets a lot more. Males who are interested - Here are a few things you should know before shaving on and around your penis:
(1) The pubic area is much more sensitive than your face, which means it's much easier to hurt yourself, so you want your wits about you.
(2) Take a long, hot shower or bath. This will open the follicles, (the skin depressions from which hair emerges), and soften your naturally coarse pubic hairs to make shaving easier.
(3) Pat dry your shaft and surrounding area with a soft, clean towel.
(4) Apply a generous amount of a rich lubricant. Allow this to sit for at least 3 minutes before you begin shaving.
(5) Always use a new blade/razor. If you do decide to start shaving your general pubic area and inner thighs while you're at it, make sure another new blade is easily available so you can change blades if your razor starts to drag. Start by shaving the penis in the direction the hair grows, making sure you shave all sides. If it isn't already erect, gently pull your penis upwards. This will make it easier to shave. Once you've removed all hairs, go back and shave against the way the hair grows. This will give you the clean, close and smooth shave. But don't shave the same area more than this second time or apply too much pressure. The last thing you want is a razor burn on your penis from shaving. After shaving your penis, make sure to completely rinse off any traces of the lubricant with warm water. Then rinse with cold water. This will close and calm the follicles and generally tone the skin. Pat, don't rub, your penis dry with a clean, soft towel. Don’t wear loose fitting boxer shorts for a while after shaving. The incoming hair stubble is what causes skin problems, so shaving more often is actually better. It’s a fact that eventually, after regular shaving, the hairs will become weaker and softer and your penis will remain smoother - If you're not ready, able and willing to follow the regimen outlined here, you probably shouldn't start shaving your penis. a stubbly, scabby penis. A dry shaver is definitely the safest penis shaver. Enlargement: Prostate-reducing tincture: -1-ounce tincture of saw palmetto berries, 1/2-ounce tincture of sarsaparilla root, 1/2-ounce tincture of nettle root, 1/2-ounce tincture of Echinacea root, 1/2-ounce tincture of wild yam root, 1/2-ounce tincture of uva ursi leaves. Combine ingredients. Take half a dropperful thrice daily.


Swollen testicles: Testicle bath: 1-quart water, 1/4-cup mullein leaves, 1/4-cup, comfrey leaves, 1/8-cup chamomile flowers. Boil some water and pour it over the needed herbs. Let the herbs steep for 15 minutes, strain, and pour it into your bath.

Recommendations: A tsp. of Nigella Sativa (Kalonji) seed Oil or the seeds be taken daily as a dietary supplement. The oil does not taste nice, but it can be mixed into a glass of orange juice or into yogurt to camouflage it's taste. It can also be used for external application. Its meritorious benefits far outweighs, ongoing research highlight more remedies, uses and benefits. it would be in the interest of the health seeker to include the Sunnah of Nigella Sativa (Kalonji) seeds in the daily diet to benefit wholesomely. How to Prepare the Seeds: The seeds have a harsh taste and will burn the stomach if the seeds are not heated first. Place the seeds on low heat and stir them every few minutes. Taste the seeds to see when the flavor becomes very bland. After the tartness is removed, take the pan from the heat. Grind what is needed in a coffee grinder and place in vegetarian capsules. Nigella Sativa (Kalonji) seeds are generally sautéed in Ghee or dry-roasted to release the aroma and flavor and then added to vegetable dishes. The seeds taste pleasantly bitter and slightly pungent. Doses: 5 or 7 seeds of Nigella Sativa (Kalonji) & Ground it, mixed it in olive oil and dropped in both nostrils, equally effective for the diseases due to heat and cold.


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Last edited by bangale_babu : 13th June 2011 at 08:48 PM.

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Post Premature ejaculation

Medications
Certain antidepressants and topical anesthetic creams are used to treat Premature ejaculation. Although none of these drugs is specifically approved by the Food and Drug Administration to treat premature ejaculation, some are used for this purpose. You may need to try different medications or doses before you and your doctor find a treatment that works for you.

Three prescription drugs are used in the treatment of retrograde ejaculation: Imipramine, a tricyclic antidepressant; chloropheniramine, an antihistamine used to treat cold symptoms; and ephedrine, used in decongestant medicines. Although the primary purpose of these drugs is not to relieve retrograde ejaculation, they work by by closing the bladder neck muscle while an ejaculation takes place. This forces the semen to exit the penis.


Antidepressants
A side effect of certain antidepressants is delayed orgasm. Doctors suggest that men who have premature ejaculation can take antidepressants to benefit from this specific side effect.


Evidence-based answer
Antidepressants-specifically clomipramine, fluoxetine, paroxetine, and sertraline-are best and have been shown to improve symptoms of premature ejaculation (strength of recommendation [SOR]: A, meta-analysis of randomized controlled trials [RCTs]). The topical application of prilocaine-lidocaine cream (trade name EMLA) improves intravaginal ejaculatory latency time (IELT), but penile numbness and loss of erection may occur (SOR: B, based on several small RCTs).
A wide variety of medications, including anti-depressants such as Drugs are:
· Citalopram
· Amoxapine
· Amitriptyline
· Dapoxetine The method in accordance with claim 1 wherein paroxetine is administered daily to the patient orally as paroxetine hydrochloride and according to the following schedule: (1) first a daily dose of about 10 to about 20 milligrams for a time period of about two weeks, (2) then a daily dose of about 20 to about 40 milligrams for a time period of about four weeks, (3) next a daily dose of about 20 to about 60 milligrams for a time period of about two weeks, and Dapoxetine is a short-acting selective serotonin reuptake inhibitor (SSRI), which is used for a on-demand therapy. A 30 mg dose is taken 1–3 hours before planned sexual activity. Dapoxetine should be taken only once a day. In the case of inefficiency without side effects, the dose may be increased to 60 mg. Please see section dapoxetine for pharmacology, side effects and contraindications.
· Escitalopram
· Fluoxetine fluoxetine (Prozac), to help delay ejaculation. If the any of these drugs don’t help you prolong ejaculation your doctor may try a tricyclic antidepressant called clomipramine, which is also known to help with premature ejaculation. These drugs won’t need to be taken on a daily basis; usually you will only have to take one a few hours before you are going to have sexual intercourse. Fluoxetine is a long-acting SSRI. Dosage 20–40 mg daily. Onset of action after 1–2 weeks.
· Phenelzine
· Fluvoxamine
· Indalpine
· Paroxetine is a long-acting SSRI. Dosage 20–40 mg daily. Onset of action after 1–2 weeks.
· sertraline
· zimelidine
· Clomipramine is a tricyclic antidepressant that inhibits the uptake of noradrenaline and 5-HT by adrenergic and 5-HT neurones.
Continuous dosing with clomipramine significantly lengthened ejaculation latency compare with placebo. After daily treatment with clomipramine, men with PE reported improved relationship and emotional satisfaction, men and their partners reported increased sexual satisfaction, and the partners reported an increased ability to achieve coital orgasm. Usage of clomipramine in daily dosing might be limited by its associated side-effects. During continuous dosing, the adverse event of clomipramine in men with PE was reported to be significantly worse than with selective serotonin reuptake inhibitor (SSRI) treatment. Most annoying side-effects include sleepiness, yamning and nausea. Thereafter a daily dose of about 20 to about 60 milligrams as a maintenance dose. Or If the timing of your ejaculation doesn't improve, your doctor may prescribe the tricyclic antidepressant clomipramine, which also has been shown to benefit men with this disorder.

· Clomipramine:
· Tricyclic antidepressant, which can be used as on-demand treatment. Dosage:- 10–50 mg five hours before sexual intercourse.
· Tranylcypromine
Phosphodiesterase inhibitors: PDE 5-inhibitors are indicated for the treatment of erectile dysfunction, which may also be the cause for the premature ejaculation. PDE 5-inhibitors are also combined with SSRIs (off-label use).
You may not need to take these medications every day to prevent premature ejaculation. Taking a low dose several hours before you plan to have sexual intercourse may be enough to improve your symptoms.
Other side effects of these antidepressants can include nausea, dry mouth, drowsiness and decreased libido.


Topical anesthetic creams
Topical anesthetic creams containing lidocaine or prilocaine dull the sensation on the penis to help delay ejaculation. Applied a short time before intercourse, these creams are wiped off when your penis has lost enough sensation to help you delay ejaculation. Some men using topical anesthetic creams report reduced sexual pleasure because of lessened sensitivity. Although the cream is wiped off before intercourse, in some studies female partners reported that it also reduced their genital sensitivity and sexual pleasure. In rare cases lidocaine or prilocaine can cause an allergic reaction.

Topical creams are applied to the glans penis 10-30 minutes before intercourse and a condom is often used to enhance absorption. The condom can either be removed before intercourse or used during intercourse. Either method prevents possible genital numbness in the partner. Topical anaesthetics include the combination product lidocaine-prilocaine (EMLA) and an herbal Korean product (SS Cream).
Psychotherapy
This approach, 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. For many couples affected by premature ejaculation, talking with a therapist together may produce the best results.
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