If you’re experiencing premature ejaculation, you’re not alone. Regardless of race, age or socioeconomic group, about 30% of all men can have this problem. For some, it’s temporary. For others, it’s a lifelong issue. It is also not to be confused with erectile dysfunction (ED). Please see a physician to confirm if your issue is PE or ED.
The most important step is to seek a professional opinion. Only 9% of men actually seek treatment from a physician for premature ejaculation, possibly because of embarrassment or the belief that there is simply nothing that will help. We’re here to provide guidance and a comfortable environment. If there is a solution, it can start here.
Causes of Premature Ejaculation
The causes aren’t always apparent and can vary from man to man. These are the most common.
Are you depressed, stressed, anxious about a relationship or your sexual performance, or do you have a history of sexual problems?
Perhaps you have abnormal hormone levels, abnormal reflex activity of the ejaculatory system, hyperthyroidism, or inflammation or infection of the prostate or urethra.
It is believed that the neurotransmitter serotonin (5HT) plays a central role in controlling ejaculation. It has been concluded that low levels of serotonin in specific areas in the brain could cause premature ejaculation. It has been shown that increases in serotonin levels can help delay ejaculation in some men.
- Penile Sensitivity
The success of topical medications provides strong reason to believe that penile sensitivity does contribute to premature ejaculation.
It may be possible for you to be treated in a single office visit—this is especially true if your PE is newly acquired, rather than a lifelong problem. First, see us for an evaluation.
- Behavioral Techniques
Some patients may want to start with some behavioral techniques such as the start/stop or squeeze methods. However, most patients report limited satisfaction with these methods and often request some type of medication.
- Oral Medications
You may respond well to low doses of the antidepressants known as selective serotonin reuptake inhibitors (SSRIs). SSRIs increase the levels of serotonin in certain areas of the brain. During the treatment of patients with depression, it was discovered that many of them required longer periods of time to reach ejaculation. These medications require a prescription and are sometimes associated with a variety of side effects including fatigue, erectile dysfunction and dry mouth, among others.
- Topical Medications
Topical anesthetic medications are often the first course of action for premature ejaculation. They are effective, easy-to-use, cost-effective, only need to be applied when you want to engage in sexual relations and have a negligible risk of significant side effects.
You may have good success with a new product, Promescent®, from Absorption Pharmaceuticals, which provides improved ejaculatory latency (the time from penetration to ejaculation) and general satisfaction with the product. Our office has Promescent available for purchase. You may walk in and purchase it without a prescription. However, it’s recommended that you see a physician to ensure this is your best course of treatment.
A comprehensive and well-organized resource is the “About PE” section of the Absorption Pharmaceuticals website. Click here to read the materials and see links to websites and articles from a variety of reputable institutions, including the American Urological Association and the International Society for Sexual Medicine.