|Nothing is more embarrassing to a man than a problem of rapid ejaculation. Men are interested in satisfying their partners and when they ejaculate\cum too soon, it is a source of embarrassment and anxiety for every man and a source of frustration and lack of fulfillment for every partner.
Premature ejaculation (PE) is a problem that plagues 36,000,000 men and is defined as ejaculation within 5 minutes of penetration. It is important to point out that premature ejaculation depends on the satisfaction of the partners. It is a sexual event for a male actually includes erection orgasm, and ejaculation.
The exact etiology of PE isn’t clear, but it is felt to be a lack of control of the receptors to the nerves from the spinal nerve to the prostate gland and the seminal vesicles, the two organs behind the prostate gland that store the sperm prior to ejaculation.
A list of treatments that have been shown NOT to be beneficial incldues:
1. Long-term psychoanalysis.
2. Getting drunk.
3. Use of one or more condoms.
4. Concentrating on something other than sex while having intercourse. (i.e. Baseball line-ups, or state capitals)
5. Biting one’s cheek.
6. Frequent masturbation.
7. Testosterone injections.
9. PD5 inhibitors.
Current treatment options available include selective serotonin reuptake inhibitors (SSRI’s), utilizing the side effect of delayed ejaculation via their impact on the receptors in the brain. In numerous studies, these medications taken on a regular basis have been shown to prolong ejaculation. Drugs in this category include Zoloft, Anafranil and Prozac.
Topical creams have been tried in the past and recently, a company, Promescent, (for more information go to Promescent.com) has come out with a spray that is applied to the penile glans to lessen sensitivity. It is available online without a prescription and the feedback from the men who have tried it has been very positive.
My current recommendation is for men to start with Promescent if that is not successful, then consider the SSRI’s.
Bottom Line: Premature ejaculation is a very common problem affecting millions of American men. It certainly impacts the relationship between a man and his partner. Help is available. Speak to your doctor.