Archive for the ‘Premature ejaculation’ Category

Premature Ejaculation-When Comin’ Instead Eof Goin’!

February 2, 2016

 

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.

8. Tranquillizers.

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.

Just Wait A Minute-Delayed Ejaculation

April 20, 2013

A very common problem among young men is premature ejaculation or reaching orgasm too soon. In older men, delayed ejaculation becomes an issue of major concern where men find it difficult or impossible to ejaculate and experience orgasm during sexual encounters.

This causes relationship distress and anxiety for the man but also impacts the partner as well. While some partners may enjoy the extended intercourse, especially if they experience premature ejaculation when the man was younger, it is common for the partner to blame themselves that they are no longer attractive or may even be suspicious that that the man is having another partner or an affair.

The causes of delayed ejaculation includes anything that disrupts the nervous system path to the genitals such as might occur with multiple sclerosis, spinal cord injury, diabetes mellitus, alcoholism. One of the most common causes is older men is a surgical procedure in the pelvis such as prostate gland surgery for prostate cancer, bladder cancer, or colon cancer. In these surgical procedures there can be injury to the nerves that supply the penis and result in decreased sensation of penis. There are numerous medications that can contribute to delayed ejaculation. Some of the culprits are medications for treating high blood pressure, antidepressants, antipsychotic drugs, some drugs used to treat enlarged prostate gland. Finally, aging results in decreased sensation to the penis and as a result more genital stimulation is required to achieve an orgasm.

The diagnosis is made with a careful sexual history. The doctor will ask about the man’s attractiveness of his partner, whether the man uses fantasy during intimacy, and also the masturbation patterns such as the frequency and technique of masturbation.

At the present time there is no FDA approved drug used to treat delayed ejaculation. Effective techniques include behavioral therapy such as temporarily suspend masturbation and by limit orgasm to sexual encounters. In men who have had previous pelvic surgery, increased sexual stimulation such as using vibrators, or erotic videos have often proved helpful. For most men with delayed ejaculation, treatment is usually successful.

Bottom Line: Delayed ejaculation is a common problem affecting millions of older men. The diagnosis is easily made and most men can be helped with behavioral therapy or with added genital stimulation.

Got Premature Ejaculation? Give Kegels a Try

January 14, 2012

Premature ejaculation is a common condition that impacts so many American men. It leads to a source of frustration not only to the man but to his partner as well. There are dozens of folklore treatments but since none universally effective, that leaves many men continuing to suffer the embarrassment of premature ejaculation or PE. There are medical options, which include oral medication with SSRI or selective serotonin reuptake inhibitors and sex therapy that teach the squeeze technique.

However, a non-medical solution consists of pelvic floor exercise, more commonly called a Kegel exercise (named after Dr. Arnold Kegel), consists of contracting and relaxing the muscles that form part of the pelvic floor, which are referred to as the “Kegel muscles”. Several tools exist to help with these exercises, though many are ineffective. These exercises are usually done to reduce urinary incontinence and aid with childbirth in women, and reduce premature ejaculatory occurrences in men, as well as increase the size and intensity of erections.
Kegel exercises are employed to strengthen the pubococcygeal muscle and other muscles of the pelvic diaphragm. Kegels can help men achieve stronger erections and gain greater control over ejaculation. The objective of this may be similar to that of the exercise in women with weakened pelvic floor: to increase bladder and bowel control and sexual function.
Sexual function
Kegel workouts can provide men with stronger erections. Research published in 2005 issue of BJU International, have shown that pelvic floor exercises could help restore erectile function in men with erectile dysfunction. There are said to be significant benefits for the problem of premature ejaculation from having more muscular control of the pelvis. In men, this exercise lifts up the testicles, also strengthening the cremaster muscle, as well as the anal sphincter muscles, as the anus is the main area contracted when a Kegel is done. This is because the pubococcygeus muscle begins around the anus and runs up to the urinary sphincter.

Find a quiet and private place to practice your reverse Kegels. You’ll need to take your time when you first begin. You need to be patient if you don’t feel like you’re understanding the technique right away. You’ll need to settle into a place without any interruptions. Then, you will need to:
1. Relax the penile area completely and clear your mind of tension and anxiety. You want to be calm and relaxed so that the blood can flow into your penis.
2. Begin contracting the penile muscles. Focus on contracting the muscles near the front of your penis while keeping the rest of the pelvic area as relaxed as possible. The goal is to make your penis become stronger and more erect without actually having an erection.
3. Breathe deeply and slowly as you push out the muscles in the penile area and maintain focus on strengthening only the top and lower end of the penis. Take note of how relaxed and loose the muscles directly under your penis are.
4. Let go of the contraction and breathe more deeply as you exhale. Let your penis relax, then take another deep breath and contract again. Make sure you are only focusing on the front of your penis; push out, hold for a few seconds, then relax the muscles.
5. Repeat the cycle for at least 10-15 times per session so that you feel comfortable with the movement. The entire process will feel awkward at first, but it’s very important to focus on relaxation and keeping the muscles as loose as possible outside of the contractions. You can work your way up to 40-50 exercises per session as your penis becomes stronger.

Practicing Kegels for PE treatment isn’t the most effective PE cure but good results still possible so you should try it especially in a combination with other remedies such as SSRIs. The best thing about Kegels exercises it their absolute safety and the cost is just right-it’s free!

Bottom Line: Kegel exercises are not just for women but can also be used by men to treat premature ejaculation. Remember, a Kegel a day may keep your ejaculation away….or at least delayed for a few minutes!


Premature Ejaculation-Consider Icing Down The Penis

December 20, 2011

Premature ejaculation affects 20% to 38% of men, making it among the most common forms of male sexual dysfunction worldwide. Overactivity of these nerves has been implicated as a cause of premature ejaculation.
Treatment options include certain antidepressants such as Celexa (citalopram), Paxil (paroxetine), Prozac (fluoxetine), and Zoloft (sertraline), as well as anesthetic ointments and cream, and behavioral therapies. Unfortunately, many men aren’t helped by the treatments.
A new technique involves inserting a tiny, hollow needle into the skin near the belly button. The doctor snakes the hollow needle down to one of the penile nerves, which is knocked out by freezing the nerves. It’s not painful, though some men feel a cold sensation.
Researchers tested the technique on 24 men who hadn’t been helped by standard treatments. They lasted an average of 110 seconds before ejaculation, or nearly two minutes, over the three months they were followed, compared with 36 seconds before treatment.
These findings were presented at a medical conference. They should be considered preliminary, as they have not yet undergone the “peer review” process, in which outside experts scrutinize the data prior to publication in a medical journal.
SOURCES:
Radiological Society of North America 97th Scientific Assembly and Annual Meeting, Chicago, Nov. 27-Dec. 2, 2011.
J. David Prologo, MD, assistant professor, interventional radiology, Case Western Reserve University School of Medicine, Cleveland.

Hold On, I’m Comin’! New treatment for Premature Ejaculation

October 24, 2011

Until recently there has been no medical treatment for premature ejaculation. Premature ejaculation is the most common sexual disorder in men even superseding erectile dysfunction or impotence. In the past, topical anesthetic like xylocaine jelly applied to the penis have never been shown effective for men and have provided. And the jelly rendered the female partner with numbness in her vagina and made it difficult for her to achieve enjoyment from sexual intimacy.

PROMESCENT, a topical, metered dose spray is available as an over the counter product and does not require a medication. The spray has a prompt onset of action (10 minutes) and in preliminary clinical experience the product has shown effectiveness with minimal side effects.

How to use PROMESCENT
Simply spray 3-10 times on the head and shaft of the penis 10 minutes before intercourse. Rub the spray lotion into the skin until it is completely absorbed. Remove any excess lotion with a wet towel to avoid transfer to your partner. Dosing should not exceed 10 sprays per use. Excess numbness may cause a temporary loss of erection.

For more information I suggest you go to http://www.Promescent.com.

Bottom Line: Premature ejaculation is a common disorder affecting millions of American men and secondarily impacting their partners. Promescent is an effective treatment using a topical gel.

Acupuncture Treatment For Premature Ejaculation

April 19, 2011

Premature ejaculation (PE) is a common condition affections millions of American men.  Treatments include the time-honored squeeze technique described by Master’s and Johnson, topical medication applied to the penis to reduce the sensation, and oral medication including the SSRIs to increase the intra-vaginal latency time or time before ejaculation occurs.  The use of acupuncture increased the time before ejaculation from 16 seconds to 65 seconds compared to an increase of 33 seconds with the use of a placebo.

Bottom Line: Acupuncture may just be another arrow in the doctor’s quiver for the treatment of PE.

TSA Pat Down…With a “Happy Ending”!

December 1, 2010

A 47 year old gay man was arrested at San Francisco International Airport after ejaculating while being patted down by a male TSA agent.  Percy Cummings, an interior designer from San Francisco, is being held without bail after the alleged incident, charged with sexually assaulting a Federal agent.

According to Cummings’ partner, Sergio Armani, Cummings has “multiple piercings on his manhood” which were detected during a full body scan.  As a result, Cummings was pulled aside for a pat-down.  Armani stated that the unidentified TSA agent spent “an inordinate amount of time groping” Cummings, who had apparently become sexually aroused.  Cummings, who has a history of sexual dysfunction, ejaculated while the TSA agent’s hand was feeling the piercings.  The TSA agent, according to several witnesses, promptly called for back up.  Cummings was thrown to the ground and handcuffed.

A TSA spokesperson declined to comment on this specifc case, but said that anyone ejaculating during a pat-down would be subject to arrest.

Kegel Exercises for Men

April 25, 2010

Kegel exercises have been helpful for women with urinary incontinence and have been used for years with favorable success.  Recently, these same exercises have been useful for men suffering from erectile dysfunction, urinary incontinence, and premature ejaculation.

This article will review the purpose of Kegel exercises and how they are effective for treating erectile dysfunction, premature ejaculation, and dribbling after urination.

Kegel exercises focus on the muscles of the pelvic floor, which supports the bladder, the prostate gland and the bowel and is made up of layers of muscle that stretch from the tailbone at the back to the pubic bone in front.  Exercising these muscles will increase the support of the prostate gland, the bladder, and improve the blood supply to the penis, and increase the tone of the urinary sphincter or the muscle that surround the urethra and helps control urination.

By regularly performing Kegel exercises men report improvement in their erections and even in the quality of their orgasms.  A European study surveyed 55 men with an average age of 59 who had erectile dysfunction.  The study demonstrated that 40 per cent of the men regained normal erectile function and 35.5 per cent improved.  Perhaps the most dramatic finding was the improvement resulting from pelvic floor exercises compared to the use of Viagra – the results were the same.

Approximately 10% of men will have some mild urinary incontinence after surgical removal of their prostate gland for prostate cancer.  This is usually temporary and subsides after several months.  The period of incontinence can be significantly shortened if the men practice Kegel exercises before the surgery and immediatley after the surgery.

Pelvic floor rehabilitation is also effective for premature ejaculation, the condition when ejaculation occurs within seconds after vaginal penetration.  This is a condition that is very common and is a source of anxiety and disappointment for the man who has the problem and also for his partner.  Men who do Kegel exercises can expect a 50% improvement in time from vaginal penetration to ejaculation.

How to find and use the muscles of the pelvic floor

The pubococcygeal muscle and other muscles in the pelvis support the bladder, prostate gland, the urinary sphincter which is responsible for control of urination.  As men age, or after surgery, especially for prostate gland surgery, these muscles become weakened and men will have problems controlling urination and\or erectile dysfunction.  This group of muscles can be strengthened by performing Kegel exercises.

In men, this exercise lifts up the testicles, also strengthening the cremaster muscle, as well as the anal sphincter, as the anus is the main area contracted when a Kegel is done. This is because the pubococcygeus muscle begins around the anus as well as around  the urinary sphincter.

How to find the pelvic floor muscles

To find your pelvic floor muscles, you should sit or lie comfortably with the muscles of your thighs, bottom and stomach relaxed.  You should then tighten the ring of muscle around your anus without squeezing your bottom. To feel these muscles, try to stop your flow of urine mid-stream, and then restart it.  Although the exercises have to be learned (possibly over a matter of days), with practice they can be carried out while watching TV or while waiting for the light to turn from red to green.

Getting started

First, go to the bathroom and empty your bladder.  Next tighten the pelvic floor muscles as if you were preventing gas from escaping from your rectum and hold for a count of 10.  Then relax the pelvic muscles completely for a count of 10.  Repeat this cycle 9 more times.  Do this same exercise 3 times a day (morning, afternoon, and night).

You can also identify the pubococcygeus muscle when you are urinating over a toilet by starting and stopping the flow of urine.  You can do the same exercise when you are not urinating.

You can do these exercises at any time and any place. Most people prefer to do the exercises while lying down or sitting in a chair. After 4 – 6 weeks, most people notice some improvement. It may take as long as 3 months to see a major change.

Bottom Line:  Erectile dysfunction, premature ejaculation, and dribbling after urination are all amenable to strengthening the pelvic floor muscles.  This can be accomplished by performing Kegel exercises.  Remember a Kegel 3 times a day, keeps the doctor away!

EjD, Ejaculatory Dysfunction-The New Sexual Dysfunction

April 11, 2010

Millions of men suffer from EjD or ejaculatory dysfunction.  The most common variety is premature ejaculation followed by retarded ejaculation or not being able to achieve an orgasm.  Another less common EjD is retrograde ejaculation or seminal fluid going back into the bladder instead of exiting the penis at the time of orgasm.  This article will discuss the three common EjD conditions and what can be done to resolve them.

It is estimated that one-third of American men suffer from premature ejaculation or ejaculation within seconds of vaginal penetration.  This is of great concern and embarrassment to those who experience this malady.

One folk remedy that is available to all men is self-stimulation or masturbation. Having repeated orgasms will bring on delayed ejaculation in nearly every man. The best premature ejaculation tip is to double the number of orgasms a man has per week. And if that doesn’t work, double it again.  Now isn’t that a great assignment?

Another method that requires cooperation with the partner or significant other is the “pull out technique.” This consists of having sex for a few minutes then pulling out and stopping for a few minutes to postpone orgasm.

Another method is to decrease the stimulation of the penis using desensitizing cream such as topical xylocaine.  Also, using one or more condoms can decrease the sensation and can prolong ejaculation.

When these non-pharmacologic techniques are ineffective there are medications that can help prolong the time from penetration to ejaculation. Selective serotonin reuptake inhibitors, or SSRIs — are known to cause delayed ejaculation.  Using an SSRI four to six hours before intercourse, men prone to premature ejaculation can last longer.

Delayed ejaculation (or retarded ejaculation) affects a much smaller number of men.  With this problem, men cannot reach orgasm at all, at least not with a partner.  It is most common associated with aging where more stimulatin is required for a man to reach an orgasm with advancing years because the nerve endings in the penis become less sensitive.  Delayed ejaculation may be caused by medicines – like antidepressants– are common culprits.

Retrograde ejaculation is the least common of the ejaculation problems. Retrograde ejaculation can be caused by diabetes, nerve damage, and various medications such as alpha-blockers like Flomax, which are used to treat enlargement of the prostate gland. Retrograde ejaculation is harmless and won’t interfere with the feeling of orgasm. (It can also make for an easy post-sex clean-up.) But since it does affect fertility, some men may need treatment if their partners are trying to get pregnant.

Bottom Line

EjD is a common medical condition that can be overcome.  Be open and communicate with doctor and share your concern with your partner.  Don’t suffer in silence and let the tension mount up and compounding the problem.  Most men with some advice and perhaps some medication from their doctor can overcome this problem.  This translates to less worry and more sex.  Who could ask for anything more?

Ejaculatory Dysfunction-The New Sexual Dysfunction

February 22, 2010

Millions of men suffer from EjD or ejaculatory dysfunction.  The most common variety is premature ejaculation followed by retarded ejaculation or not being able to achieve an orgasm.  Another less common EjD is retrograde ejaculation or seminal fluid going back into the bladder instead of exiting the penis at the time of orgasm.  This article will discuss the three common EjD conditions and what can be done to resolve them.

It is estimated that one-third of American men suffer from premature ejaculation or ejaculation within seconds of vaginal penetration.  This is of great concern and embarrassment to those who experience this malady.

One folk remedy that is available to all men is self-stimulation or masturbation. Having repeated orgasms will bring on delayed ejaculation in nearly every man. The best premature ejaculation tip is to double the number of orgasms a man has per week. And if that doesn’t work, double it again.  Now isn’t that a great assignment?

Another method that requires cooperation with the partner or significant other is the “pull out technique.” This consists of having sex for a few minutes then pulling out and stopping for a few minutes to postpone orgasm.

Another method is to decrease the stimulation of the penis using desensitizing cream such as topical xylocaine.  Also, using one or more condoms can decrease the sensation and can prolong ejaculation.

When these non-pharmacologic techniques are ineffective there are medications that can help prolong the time from penetration to ejaculation. Selective serotonin reuptake inhibitors, or SSRIs — are known to cause delayed ejaculation.  Using an SSRI four to six hours before intercourse, men prone to premature ejaculation can last longer.

Delayed ejaculation (or retarded ejaculation) affects a much smaller number of men.  With this problem, men cannot reach orgasm at all, at least not with a partner.  It is most common associated with aging where more stimulatin is required for a man to reach an orgasm with advancing years because the nerve endings in the penis become less sensitive.  Delayed ejaculation may be caused by medicines – like antidepressants– are common culprits.

Retrograde ejaculation is the least common of the ejaculation problems. Retrograde ejaculation can be caused by diabetes, nerve damage, and various medications such as alpha-blockers like Flomax, which are used to treat enlargement of the prostate gland. Retrograde ejaculation is harmless and won’t interfere with the feeling of orgasm. (It can also make for an easy post-sex clean-up.) But since it does affect fertility, some men may need treatment if their partners are trying to get pregnant.

Bottom Line

EjD is a common medical condition that can be overcome.  Be open and communicate with doctor and share your concern with your partner.  Don’t suffer in silence and let the tension mount up and compounding the problem.  Most men with some advice and perhaps some medication form their doctor can over come this problem.  This translates to less worry and more sex.  Who could ask for anything more?

Dr. Neil Baum is a urologist in New Orleans, Louisiana and can be reached via his website, www.neilbaum.com or (504) 891-8454