Premature ejaculation is one of the most common medical problems but which most people are reluctant to bring to the fore. It can have catastrophic effect on the marriage/relationship and most sufferers present with severe secondary depression. The ideal treatment is behavioural-squeeze technique -but from a practical standpoint, many find it difficult to comply with while others are simply not motivated to partake in any form of psychotherapy. In such cases, until quite recently, I tended to use climipramamine in low doses.
The failure rate in my experience was over 40% mainly because of the side effects. Therefore when paroxetene was introduced and the literature suggested its efficacy in doses on 25 mg once daily, I decided to give it a try. The results in my experience were much better failure rate being less than 10%. It is for this 10%, a very senior ayurvedic practitioner…
