PREMATURE EJACULATION AND SUBSTANCE ABUSE
While much has been written about how to treat premature
ejaculation, very little attention has been given to the unintended
consequences of treating premature ejaculation with alcohol and illegal drugs.
Premature ejaculation is when a man ejaculates after minimal
or no stimulation and before or shortly after penetration. * The worldwide
average for men is that they ejaculate after about 3-7 minutes of vaginal
penetration. * Most men with premature ejaculation complain that they
ejaculate in the first 1-2 minutes after penetration.
Men love to ejaculate but they donít want to do it
quickly. Men want to have a more prolonged period of sexual intercourse,
for both their own and their partner's satisfaction. Just about all men
will lose their erection after they ejaculate and that also ends both their and
their partner's pleasure.
Teenage and young adult men usually do not have very good
control over when they ejaculate. * It doesn't take long for young men to
discover that they last a lot longer after 2 or 3 drinks. On the surface
this sounds like a win win situation; catch a buzz and last longer. Not
so fast. There are numerous problems with using alcohol to control
ejaculation. While the young men usually still get a good erection after
a few drinks, this is sometimes not the case with men in their forties and
fifties. Older men often have weaker erections after a few drinks.
And older men who have a chronic alcohol problem often have erection
problems. After many years of using alcohol to control ejaculation, most
men find that it takes more and more alcohol to be only partially
effective. And this is the biggest problem. I have treated hundreds
of men who have an alcohol problem. And while there are many paths to
becoming an alcoholic, I have seen more and more men who have told me that they
started to drink to control their ejaculation and it just got out of
control. Alcoholics can have countless medical problems, trouble keeping a
job and earning a living, are often abusive to their families and are generally
unhappy with their lives. Good sex is important, but the price of
alcoholism is too great.
Men donít start out using narcotics to control ejaculation.
But those men who are already improperly using any one of a number of narcotics
(codeine, Percocet, heroin, morphine, methadone, cocaine, cannabis, oxycodone,
fentanyl, etc) quickly discover that they have better ejaculatory control while
under the influence of these drugs. It is my fear that countless men who
would have otherwise not used narcotics are not able to free themselves of
this destructive habit because of their desire and need to have better
ejaculatory control. It is particularly difficult for drug users to not use narcotics because men who are no longer using them often find their ejaculatory control
is even worse than before they started using the drugs. Narcotics create
a dependency in the traditional way in that they are addictive, but also in the
sense that men become accustomed to the improved ejaculatory control. Eventually
narcotics, may not only cause erectile
dysfunction but will not control ejaculation. A horrible lose lose
Men who regularly use narcotics, including cannabis are often not productive members of society. Many of them either donít work or can't
keep a job, are poorly motivated and have a much higher incidence of criminal
activity and medical problems. Many of them are often dependent on others or
society to care for them. A horrible situation. While it can be
debated exactly what role premature ejaculation plays in narcotic use, any role
It is not easy to treat premature ejaculation. Many
doctors disagree on how to treat premature ejaculation or even on whether to
treat it at all. Some medically supervised methods are more effective
than others and some of these treatments have unintended side effects.
But most physicians agrees that the use of alcohol or narcotics to treat
premature ejaculation is a disaster.
* 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.