### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I M 30 YEARS OLD . MARRIED . I HAVE PROBLEM OF  Premature ejaculation . before 2 years i get treatment on depression antidepressant drugs (cetrizine) now from 6 month i stop this medicine. i have habit of Masturbation daily from past 10 years. which medicine and treatment solve my problem?

### output:

Thank you for writing to Chat Doctor. I understand your problem of early ejaculations. I suggest you to reduce frequency of masturbation because very frequent masturbation leads to conditioning of mind to ejaculate early and this happens in faster ejaculation with partner too. When clients with similar problem approach me, I advise them one or more of the following methods which often help them.1. Stop-start technique of behavior therapy.2. Female on top with active role.3. Double condom4. Medicines like Fluoxetine 20 mg day or Paroxetine CR 25 mg per day. (To be taken under medical supervision only)5. Keel exercise also helps in some cases. You can learn the same from internet. (As if try to hold urine intermittently during voiding)6. Penile squeeze technique applied at the point of ejaculatory inevitability.7. Applying a local anesthetic ointment to glans penis prior to penetration.8. Leading partner to orgasm by exploring and stimulating other erogenous zones. (Other than vaginal containment movements only)One can gain ejaculatory control over a period of time by practicing behavior methods mentioned above REGULARLY. Practice makes a man perfect. You can consult psychiatrist for this. Hope, I ad Chat Doctor. Wishing you good health