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Dr. Patrick Nesbitt M.D. Family Physician, Vancouver B.C. ..................................Medicine and Fun .........drpat@ live . ca ................NOW BOOKING PATIENTS AT CAULFEILD 604 922 1544

Premature ejaculation

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Premature ejaculation is defined as zero to  "whoops" in under two minutes.   Which sounds bad until you read the statistics from the original Kinsey sex report which stated that the average male wastes approximately six minutes on routine sex.  And burns about  ten calories.  So much for sex-ercising the night away.  

Treatments for early squirting can be psychological, physiological, or pharmacological.   And possibly should be treated in that order.



The psyche 

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Open honest communication with your partner is always a good place to start.  When couples are able to communicate their needs and desires, there is usually a way of solving most relationship and sexual problems.   Or as the old Irish saying goes " Have ye no tongue on you ?  Then use it "
Psyche reasons are usu 
1) Because the guy thinks to woman is verrrry sexy
2) Youth, or anxiety about sexual performance, or not having "done it for awhile"
3) Worries about pleasing your partner.
All of these are actually "good things".  After all, if you shoot faster than a three minute egg and are NOT reading this page, you are probably not as considerate a lover as someone who IS.

Physiological

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Some men, especially the young or the newly young, are so hyped about sexual activity that they can't control things.  The secret here is 
a) Good communication with your partner
b) More good communication with your partner.
c) Wearing a condom, to decrease the sensitivity of the penis
d) Benzocaine gel can help numb things up a bit, and drag things out a bit.
e) Coitus interruptus - starting and stopping and starting and stopping and starting and stopping and starting and stopping.....   After a while it can train you to take more time doing the necessary.
f) Encores are good.   So you took 8 sec the first time.   Get back in the saddle and try for more duration right away, before your nervous system has a chance to get all nervous again. 

Pharmacological

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This is when men usually come to see me - when they need drugs.
And I can help !

Ironically, use of what are usually unwanted side effects are the key.
Many medications have orgasmic delay as a side effect.   In a premie, this side effect can be used to great advantage.  

​Dr. Patrick  Nesbitt, Vancouver, Canada ....www.drpat.ca ........ drpat@live.ca