PREMATURE EJACULATION



Premature ejaculation is when a man ejaculates more quickly than he wants to on a fairly regular basis and is bothered by it.  * The typical man complaining of premature ejaculation relates that he ejaculates within 1-2 minutes of vaginal penetration.

* Premature ejaculation is the most common sexual dysfunction in men, effecting as many as 1 out of 3 men.

* While there are men who can last substantially longer, most men ejaculate between 3-7 minutes after sustained vaginal penetration.  Many men want to last longer.

Men are designed to ejaculate quickly - that is what makes babies.  * If every man took 30 minutes to ejaculate, the human race might not survive.  Evolution requires fairly rapid ejaculation.

Many men are embarrassed and reluctant to talk about premature ejaculation.  They think that they are the only one to have it.   * They think their buddies are all lasting 20-30 minutes.  Think again!  It is a common and treatable condition. 

Premature ejaculation is more common among younger men, but effects men of all ages. 

Premature ejaculation is usually a behavioral issue and not a physical one.  While some men are found to be abnormally sensitive, most men complaining solely of premature ejaculation have a normal physical exam.

Premature ejaculation is either: A. Primary - meaning that a man has had it since he began to be sexually active; or B.  Secondary or acquired, and developed only after a period of normal or better ejaculatory control.

There are several causes of premature ejaculation.  Early sexual experiences often play a role, in which patterns are established that are difficult to change later in life.  Guilt over having sex or masturbating creates enough stress and anxiety to cause premature ejaculation in some men.  Relationship problems with a man's partner often increase a man's anxiety level and make premature ejaculation more likely.

Some men have very infrequent sexual intercourse, making ejaculatory control more difficult.  This is especially true in men who do not masturbate in between sexual encounters.

Men with erectile dysfunction are more likely to have premature ejaculation.

Performance anxiety is a common cause of premature ejaculation.  If a man is concerned about how his sexual encounter is going to go, such as, will he get a good erection or have good control of his ejaculation, he might  have a higher level of anxiety.  The more anxious a man is, the less control he might have over his ejaculation.  

While premature ejaculation is rarely caused by a physical problem, it can cause physical problems.  Many men with premature ejaculation have difficulty beginning and maintaining relationships.  It may cause fertility issues, especially if a man is ejaculating before vaginal penetration.  The stress that premature ejaculation causes a man is in general not healthy and may contribute to many other medical problems.

TREATMENTS FOR PREMATURE EJACULATION


There are many ways to treat premature ejaculation.  They include sex therapy, behavioral modification, desensitizing creams, sprays and condoms, oral medications, penile injections, acupuncture and the use of sexual surrogates. For most men a combination of treatments works best. 

It is worth noting that not one single medication is FDA approved specifically for premature ejaculation.  The medications commonly used by physicians to treat premature ejaculation or their components, are FDA approved for another purpose.  As such they may be legally used to treat premature ejaculation, but constitute an off label use for these drugs.

Most men can be helped to get better ejaculatory control. 

The goal of some methods of treatment is to delay ejaculation and for others it is to maintain the erection after ejaculation.


*  While we will certainly try to help all of our patients, as with any medical treatment, there is no guarantee of specific results, as results can and usually do vary from patient to patient. All numbers and time frames mentioned are approximate and may vary from patient to patient.

 
 

PREMATURE EJACULATION


THERE IS NO NEED TO SUFFER IN SILENCE

MEN'S MEDICAL NEW YORK, P.C.

516-442-4444


 
Medical information within this site is not intended for use in the diagnosis or treatment of any health or physical condition.  This website does not provide specific medical advice and does not endorse any medical or professional service or services obtained through information provided on this site or any links to or from this site.  The information and advice published or made available through this site is not intended to replace the services of a physician, nor does it constitute a doctor-patient relationship.  The information and reference materials contained herein are intended solely for the general information of the reader.  It is not intended to be used for treatment purposes.  The information contained herein is neither intended to dictate what constitutes reasonable, appropriate or best care for any given health issue, nor is it intended to be used as a substitute for the independent judgment of a physician for any given health issue.  The major limitation of informational resources like this website is the inability to take into account the unique circumstances that define the health issues of the patient.  With respect to documents and links made available from this website, we make no warranty, express or implied, including the warranties of merchantability and fitness for any particular purpose, or assume any legal liability or responsibility for the accuracy, completeness or usefulness of any information or represent that its use would not infringe on privately owned rights.  While we take measures to protect our website, there is no guarantee that this website will be free of infection by viruses or any other contaminating or destructive properties.  The user accepts sole responsibility and risks associated with the use of this website.
  Site Map