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Best Medicines Premature Ejaculation

Best Medicines Premature Ejaculation

Date last updated: January 17, 2018

By TOP SEXOLOGIST in Mumbai Dr. Ashok Koparday

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TOP FEMALE SEXOLOGIST, Mumbai Dr. Hetal Gosalia

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Best Medicines Premature Ejaculation

Allopathic medicine for premature ejaculation in India
How to last longer in bed by Dr. Ashok Koparday

शिग्रपतन दवा के नाम

Medicine to Stop Premature Ejaculation in India Dapoxetine

Best Medicines Premature Ejaculation

ISSM’s Guidelines for the Diagnosis and Treatment of Premature Ejaculation

How to last longer in bed?

Names of Premature Ejaculation Pills in India Creams Spray Doses
Name of Medicine Dose mg/day IELT How many times delayed How many folds of times ejaculation is delayed Fold Increase Side Effects
Premature ejaculation pills in India Creams and Sprays
DapoxetineSide Effects Which medicine is better. How to take Dapoxetine? Brand names in India. Click here Duralast, Dapox,Dasutra, Prigly 30 – 60 when needed 2.5 – 3 Nausea
Paroxetine 10 – 40 daily for month then as needed 8 Fatigue
Decreased Sexual Desire
Erectile Dysfunction
Clomipramine 12.5 – 50 daily 6
Sertraline 50 – 200 daily 5
Fluoxetine 20 – 40 daily 5
Escitalopram 5 – 20 daily 2
Duloxetine 10 – 40Daily 1.4
Pramipexole 0.25 – 0.5Daily 4
Placebo As needed 1.4 No side effects
Ayurveda Herbal Daily same as placebo Side effects present
Tramadol 25 mgs – 50 mg as needed Being studied
Lidocaine / Prilocaine 26 mg/gm Lidocaine 25 mg/gm Prilocaine As needed 4 – 6 Penile numbness
Partner genital numbness
Skin irritation
Promescent TM As needed several minutes No numbness of penis. No numbness to partner

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image Best Medicines Premature Ejaculation Dr. Ashok Koparday Top Sexologist in Mumbai Premature Ejaculation Best Treatment in Mumbai Samadhan Health Studio | Center of Excellence
Best Medicines Premature Ejaculation Dr. Ashok Koparday | Samadhan Health Studio | Center of Excellence

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Lignocaine: Local Spray and Cream

Click to see picture of Lignocaine. Using Lignocaine either is not preferred by doctors as it diminishes sensation.
How to last longer in bed?

Why it is important to visit Sexologist for the treatment of Premature Ejaculation?

After detailed interview cognitive distortions are corrected.
Behavior therapy is advised.
Psycho-Sexual Therapeutic counseling makes a major shift in treatment of people with premature ejaculation.
Choice of appropriate medicine along with Techniques (methods not requiring medicines) can be effective.
There is no role of surgery in the management of premature ejaculation.

Homeopathy in the treatment of Premature Ejaculation

There is no research based evidence of comparative efficacy of Homeopathy preparations in the treatment of Premature Ejaculation.
Homeopathy treatment should be taken after visit to Homeopathy physician. The detail case history taken by Homeopathy practitioners enables them to diagnose appropriate Homeopathy remedy for that individual. Hence, as in Ayurveda, in Homeopathy too, medicines and doses change from individual to individual.

Ayurveda Medicines available in chemist shop or sold by Baba & Bappu

Ayurveda medicines that are purchased off the shelf from medical shops can be hazardous because the FDA regulations for medicines labeled as Ayurveda are not stringent. It is known that what is written on the label of the package is often NOT present in the actual ingredient. Some Ayurveda preparations (Example: Shilajeet) are known to have side effects. The belief that Ayurveda medications have no side effects is blatantly false.
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How to take Ayurveda Treatment for Premature Ejaculation?

For Premature ejaculation Ayurvedic medicine
it is recommended to take treatment by visiting Ayurvedacharya. The Vaidya examines each patient and prepares medication that is appropriate to his constitution. Follow is important.
The best place to find Ayurveda Physicians is among those who teach in Ayurveda Medical College.
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Which Ayurveda medicines have been studied and found useful?

Click to read about
Ayurveda and Yoga Therapy for treatment of Premature Ejaculation.
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Best Medicines for Treatment of Premature Ejaculation

Compare by IELT Intravaginal Ejaculation Latency Time

Current evidence supports an average intravaginal ejaculation latency time (IELT) of six and a half minutes in 18–30 year olds. If the disorder is defined as an IELT percentile below 2.5, then premature ejaculation could be suggested by an IELT of less than about 2 minutes.
How to last longer in bed?


How to last longer in bed?

Definition Premature Ejaculation

Premature ejaculation is a male sexual dysfunction characterized by ejaculation which always or nearly always occurs prior to or within about one minute of vaginal penetration; and inability to delay ejaculation on all or nearly all vaginal penetrations; and negative personal consequences, such as distress, bother, frustration and/or the avoidance of sexual intimacy.

New Classification

Recently, a new classification of PE was proposed based on controlled clinical and epidemiological stopwatch studies, and it included 2 other PE syndromes: “natural variable PE” and “premature-like ejaculatory dysfunction”.

Only individuals with lifelong PE with IELT shorter than 1–1.5 minutes should require medication as a first option, along with or without therapy. For those who fall into one of the other categories, treatment should consist of patient reassurance, behavior therapy, and/or psychoeducation to explain irregular early ejaculation is a normal variation.

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References: for New Classification
Waldinger, Marcel D. “New Insights in Premature Ejaculation”. Psychiatric Times Vol. 24 No. 9. Psychiatric Times. Retrieved 1 August 2007.
^ Serefoglu, EC; Yaman O, Cayan S, et al. (2011). “Prevalence of the complaint of ejaculating prematurely and the four premature ejaculation syndromes”. J Sex Med (8): 540–8.
More information on the ISSM definition of Premature Ejaculation can be found in the full report of the ISSM Ad Hoc Committee which has been published in 2008.

Publication Types, MeSH Terms
Publication Types
Research Support, Non-U.S. Gov’t

CONCLUSION: Best Medicines for treatment of Premature Ejaculation

The ISSM definition of lifelong PE represents the first evidence-based definition of PE. This definition will hopefully lead to the development of new tools and Patient Reported Outcome measures for diagnosing and assessing the efficacy of treatment interventions and encourage ongoing research into the true prevalence of this disorder and the efficacy of new pharmacological and psychological treatments.

J Sex Med. 2008 Jul;5(7):1590-606. doi: 10.1111/j.1743-6109.2008.00901.x.
An evidence-based definition of lifelong premature ejaculation: report of the International Society for Sexual Medicine (ISSM) ad hoc committee for the definition of premature ejaculation.
McMahon CG, Althof SE, Waldinger MD, Porst H, Dean J, Sharlip ID, Adaikan PG, Becher E, Broderick GA, Buvat J, Dabees K, Giraldi A, Giuliano F, Hellstrom WJ, Incrocci L, Laan E, Meuleman E, Perelman MA, Rosen RC, Rowland DL, Segraves R.
Australian Center for Sexual Health, Sydney, Australia. [email protected]

How to last longer in bed?
Abstract ISSM
ISSM’s Guidelines for the Diagnosis and Treatment – World Meeting …‎ TRAMADOL


Cited by 6 PubMed Central articles

The diagnostic value of the premature ejaculation diagnostic tool
by SC Kam – ‎2011 – ‎Cited by 7

Dr. (Mr.) Ashok Koparday

M.B.B.S., F.C.S.E.P. (International)
Ex. Teaching Faculty



Dr. Ashok Koparday is practicing over 20 years as
Consultant in Psycho-Sexual Medicine &
Marriage counselor
Ashok Koparday
Senior Sexologist (Experience 20 years)
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Date created: 2008

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7 Replies to “Best Medicines Premature Ejaculation”

  1. sumanbhowmik

    sir,i am about 29 year old ,my panis size is small ,3.5” and interaction time is about 1 minut.
    i want to incrase my penis size 5” to 5.5” and interaction time 10 to 15 minut .
    so,please for me bast soluction.thank you.

  2. Bisworanjan kumat

    I am unmarried, 27 year suffering spermatorrhea disease . After urine largely flow sperm. Health is decrease. From 3 years.please help me.

  3. Anupreet Singh

    I’m 40 years old and I have had this condition of premature ejaculation for a long time, please suggest what medicine to take

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