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Premature

Ejaculation

CAUSES AND TREATMENTS FOR PREMATURE EJACULATION

Premature ejaculation (PE) is the number one male sexual dysfunction affecting about 25-30% of men. However, only 9% of men actually seek treatment from a physician for premature ejaculation. We are having good success treating PE and encourage you to initiate a conversation with one of our physicians during your visit.

Causes of PE

The exact cause of premature ejaculation is not well known and often varies from one man to another. Studies have shown a variety of factors may contribute to PE:

Psychological
Premature ejaculation can be caused by temporary depression, stress, or anxiety about a relationship, unrealistic expectations about performance, or a history of sexual problems.

Biological
Several biological factors could be the cause of premature ejaculation including abnormal hormone levels, abnormal reflex activity of the ejaculatory system, hyperthyroidism, and inflammation or infection of the prostate or urethra.

Neurobiological
It has been concluded that low levels of serotonin in specific areas in the brain could cause premature ejaculation.

Penile Sensitivity
Many physicians believe that penile hypersensitivity plays a predominant role in the ejaculatory response while others believe that PE is the result of a combination of multiple contributing factors. The success of topical medications provides strong reason to believe that penile sensitivity does contribute to premature ejaculation.

Treatments for PE

Premature ejaculation may be evaluated and treated with a single office visit. We encourage you to visit our office to make sure that your PE is not caused by one of the biological factors.

Behavioral Techniques
Some patients may want to start with some behavioral techniques such as the start/stop or squeeze methods. Generally, patients report limited satisfaction with these methods and often request some type of medication.

Oral Medications
During the treatment of patients with depression, it was discovered that many of them experienced increased time to reach ejaculation with the use of anti-depressants. Some men respond well to low doses of the antidepressants known as selective serotonin reuptake inhibitors (SSRIs), which increase the levels of serotonin in certain areas of the brain. These medications must be prescribed off-label 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. Topical medications are effective, easy-to-use, cost effective, only need to be applied when you want to engage in sexual relations and have a small risk of significant side effects.

Patients are having 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 without a prescription. However, we recommend seeing one of our physicians to better understand your complete urology health.

Additional Information

A comprehensive and well-organized resource is the "About PE" section of the Absorption Pharmaceuticals website. Click here >> About Premature Ejaculation to read the materials along with links to websites and articles from a variety of reputable institutions including the American Urological Association and the International Society for Sexual Medicine.