Hi Doctors, what is the best solutions for premature ejaculation (men) and where is top clinic in lebanon for this matter
Apr 18, 2013
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Premature Ejaculation (PE) is a very specific entity and need to be looked at as such. Cultural and urban myths and traditions play a big role into making PE such a taboo to be talked about.
Let's first define PE. In pure medical terminology, it is defined as "a male sexual dysfunction characterized by ejaculation which ALWAYS or nearly always occurs prior to or within about one minute of vaginal penetration".
Using this definition, we can clearly see that the majority of cases reporting a supposed PE are in fact not!
First step in the treatment process, and after establishing that PE does exist, is to check if this has always been the case for you (lifelong PE), or it is acquired or situational (not all the time, only with certain partner, under specific situations...etc)
Behavioral therapy, seems to be very effective and leads to a significant improvement in about 60% of cases. This includes but is not limited to, the ‘stop-start’ program developed by Semans and its modification, the
‘squeeze’ technique, proposed by Masters and Johnson and its modifications. Another effective techniques is masturbation prior to sexual intercourse.
There are number of topical creams that aim at causing a mild anesthetic effect to the glans penis available in the market, with variable efficacy rates as it is very operator dependent.
There are also certain medications which can be used for PE, but all these drugs are used as off-label indications.
In short, one should refer to a urologist, to do a thorough assessment to check for valid criteria for PE, and then follow a treatment regimen based on individualized approach.
Using this definition, we can clearly see that the majority of cases reporting a supposed PE are in fact not!
First step in the treatment process, and after establishing that PE does exist, is to check if this has always been the case for you (lifelong PE), or it is acquired or situational (not all the time, only with certain partner, under specific situations...etc)
‘squeeze’ technique, proposed by Masters and Johnson and its modifications. Another effective techniques is masturbation prior to sexual intercourse.
There are number of topical creams that aim at causing a mild anesthetic effect to the glans penis available in the market, with variable efficacy rates as it is very operator dependent.
There are also certain medications which can be used for PE, but all these drugs are used as off-label indications.
In short, one should refer to a urologist, to do a thorough assessment to check for valid criteria for PE, and then follow a treatment regimen based on individualized approach.
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