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Mayo Clinic Marketplace Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. Medical conditions that can cause delayed ejaculation include hypogonadism , thyroid disorders, pituitary disorders such as Cushing's disease , prostate surgery outcome, and drug and alcohol use. It's normal to feel embarrassed when talking about sexual problems, but you can trust that your doctor has had similar conversations with many other men. Your doctor might instruct you and your partner in the use of a method called the pause-squeeze technique. Weak pelvic floor muscles might impair your ability to delay ejaculation. The Journal of Sexual Medicine.
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Delayed ejaculation

Keep in mind that it might take time to find the treatment or combination of treatments that will work for you. This approach involves talking with a mental health provider about your relationships and experiences. For this reason, selective serotonin reuptake inhibitors SSRIs , such as escitalopram Lexapro , sertraline Zoloft , paroxetine Paxil or fluoxetine Prozac, Sarafem , are used to help delay ejaculation. Delayed ejaculation can be mild men who still experience orgasm during intercourse, but only under certain conditions , moderate cannot ejaculate during intercourse, but can during fellatio or manual stimulation , severe can ejaculate only when alone , or most severe cannot ejaculate at all. Lidocaine sprays for premature ejaculation are available over-the-counter.
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It's normal to feel embarrassed when talking about sexual problems, but you can trust that your doctor has had similar conversations with many other men. Cooper K, et al. Premature ejaculation can cause partners to feel less connected or hurt. Pelvic floor exercises Kegel exercises can help strengthen these muscles. Neurotic , stress -related and somatoform Anxiety disorder Phobia Agoraphobia Social anxiety Social phobia Anthropophobia Specific social phobia Specific phobia Claustrophobia. The list below suggests questions to ask your doctor about premature ejaculation.
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Description:Behavioral treatment plus drug therapy might be the most effective course. Psychological and lifestyle factors have been discussed as potential contributors, including insufficient sleep, distraction due to worry, distraction from the environment, anxiety about pleasing their partner and anxiety about relationship problems. Retrieved from " https: Keep in mind that it might take time to find the treatment or combination of treatments that will work for you. Of those approved for use in the United States, paroxetine seems to be the most effective. Talking about the problem is an important step, and relationship counseling or sex therapy might be helpful.

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