HOW TO DEAL WITH PREMATURE EJACULATION

Based on IMH doctors’ medical experience, watching porn excessively may be one of the causes of premature ejaculation

Premature Ejaculation (PE), also known as early ejaculation, is a very common condition in men that can be very frustrating for couples and can even threaten relationships. It has been estimated that up to one-third of men struggle with this condition on a regular basis. The clinical definition of PE is an ejaculation that occurs sooner than 2-3 minutes after penetration AND includes one of the following:

• an inability to control the ejaculation when desired.


• stress due to PE forms in relationship(s).

According to some studies, porn consumption increases your dopamine production which can cause faster ejaculations

The average normal ejaculation time from penetration has been found to be a little over 6 minutes. While the clinical definition is practical for studies, the most helpful definition, in reality, is any ejaculation that is sooner than you or your partner would like. For instance, one couple may be completely satisfied with 5 minutes of penetration, whereas another couple may need 20 minutes to be satisfied.

What causes premature ejaculation?

The causes of the condition vary widely and are often multiple in origins. Some men have what’s called primary PE, meaning that they have struggled with the condition since the onset of their sexual lives. Others have secondary PE that developed after having previous sexual experiences without ejaculatory problems.

It’s often found that premature ejaculation may be situational, either occurring only with certain partners or at certain times. Whenever it occurs, it can be distressing to men. The most important aspect of PE, regardless of when it started, is psychological. Unfortunately, this can be the most difficult component to treat. Some psychological contributors to PE include anxiety and hyper-arousal. In both cases, calming the nervous system from its heightened state will help increase the threshold to extend the time until orgasm. In general, most of the non-pharmacologic approaches will have very mild effects individually but, in combination, the benefits are cumulative and are more effective in helping you to last longer.

Hormone dysregulation (low testosterone) is a major factor contributing to premature ejaculation

In fact, many men have had suboptimal testosterone since puberty, which predisposes them to premature ejaculation.

With modern medicine, we are now learning that testosteroneincreases the amount of serotonin in the brain. Low serotonin is associated with premature ejaculation. This is why long term use of SSRI-type antidepressants (Selective Serotonin Reuptake Inhibitors which slow down the breakdown/recycling of serotonin) can be helpful for some men. Unfortunately, SSRI medications have a long list of side effects including decreased sex drive and fatigue, making them a less desirable option for treating PE. In addition, one reason serotonin is low in the first place is likely from low testosterone or another hormone imbalance such as thyroid dysregulation.

Internet porn and masturbation can also cause premature ejaculation.

According to some studies, porn consumption increases your dopamine production which can cause faster ejaculations. Plus, many men masturbate simply to “get off” in the shortest time possible. This trains your body to ejaculate more quickly when you’re in any sexual situation. Pornography also causes many people to have unrealistic expectations of what sex is supposed to be like. If you think about it, a 5-minute film depicting normal sex isn’t going to sell well; this is why adult films lengthen sex scenes for entertainment. Various tricks including Trimix and other medications (see below) combined with film cutting/editing techniques fabricates what appears to be an unrealistically long-lasting sexual encounter between the actors.

Multifaceted Approach

There are several angles to approach the treatment of PE and often, the best results require a combination of several different treatments. Having many options to choose from results in customized treatment plans that will work for individual patients.

In general, treatments for four main aspects of PE should be incorporated; pharmaceuticals, nutritional supplements, psychology, and techniques.

Techniques

Breathing: Breathing can help calm an excited/anxious nervous system.

Anxiety: Breathing can help relax the nervous system. Just like during meditation (which often incorporates mindful breathing to quiet the brain), slow, steady, deep breaths during sex can help to calm the nervous system including the nerves in the penis. DON’T hold your breath or take shallow, fast breaths; these have the opposite effect.

Hyper-arousal: Focusing on the breath has the additional benefit of distracting your thoughts. By thinking about your breathing more, you’re thinking less about sex, which can decrease arousal and allow you to last longer. In addition, beliefs in sex can affect arousal. If it’s a “big deal”, you’re more likely to be hyper-aroused than if it’s a “normal” part of life (which it is). Having sex more often can help normalize it and reduce your hyper-arousal to a normal level.

A simple exercise to do while masturbating is as follows:

1. Put one hand on your belly and feel your belly rise and fall as you breathe deeply and slowly

2. Consciously keep your pelvic muscles as relaxed as possible.

3. If you get close to orgasm, slow down or stop until sensitivity decreases. Allow yourself at least 15 minutes to do this practice.

PE CAN SOMETIMES BE A PROBLEM FOR MEN WITH ERECTILE DYSFUNCTION

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PC Muscle Relaxation: The pubococcygeus muscle (PC) plays an important role in ejaculation. It helps to propel semen through and out of the penis. By consciously keeping them relaxed, ejaculation can be delayed until you’re ready. This does take practice, just like any other muscle control, but the below exercises incorporate this practice.

PC Muscle Contraction: Just like how PC muscle can be contracted to prevent urination, it can be contracted to prevent ejaculation. Just before the “point of no return” is reached, squeezing this muscle as firmly as possible can prevent ejaculation, even if orgasm occurs (ejaculation and orgasm are actually separate phenomena that happen at the same time). If you hold back ejaculation, you will be more likely to maintain your erection. Sensitivity is also reduced for a time after orgasm, allowing you to continue intercourse. However, this technique also requires practice if the untrained PC muscle is not strong enough to hold back ejaculation. You can find detailed exercises online but the best and simplest is the Kegel. Kegel can be incorporated into the exercise above.

Change positions: Changing positions interrupt intercourse and can allow the sensitivity of the penis to be reduced for a short time. Different positions can also result in more or less sensitivity. For example, the traditional missionary position tends to result in greater penile sensitivity while partner on top positions can help a man last longer. Other positions can be explored and much information is available online.

Edging Techniques: Edging techniques can be a powerful way to retrain your ejaculatory mechanism to take longer. Edging is beyond the scope of this article but there is plenty of information about it on the internet, both for self-training and with your partner to prolong your foreplay.

NLP: Neurolinguistic programming is famous for improving many psychological conditions including the psychological aspects of PE. NLP is beyond the scope of this article but you should know that it is a powerful tool. Much more can be learned about NLP via a simple google search.

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NLP: Neurolinguistic programming is famous for improving many psychological conditions including the psychological aspects of PE. NLP is beyond the scope of this article but you should know that it is a powerful tool. Much more can be learned about NLP via a simple google search.

Supplements

The supplement 5-Hydroxytryptophan (5HTP) is an important precursor to the production of serotonin in the brain. Providing the precursor to serotonin results in increased production of serotonin, a neurotransmitter with many functions. A deficiency in serotonin has been associated with premature ejaculation and many men have experienced improvements in PE by supplementing 5HTP. It is available over-the-counter from most supplements and health food stores. It can also have the effect of improving mood and the ability to relax.

Pharmaceutical

The pharmaceutical approach is what Innovative Men’s Clinic excels at. It has two main benefits:

1.It takes out the stress, allowing the man to forget about the problem (which itself can reduce anxiety as mentioned in the previous section).

2.It is very simple to do (unlike some of the techniques discussed later that require some discipline and work).

Dextromethorphan 50mg/Acetaminophen 325mg/Sildenafil 50mg:

Dextromethorphan is a cough suppressant (the DM in Robitussin). A side effect of taking cough suppressants with dextromethorphan is a delay or inability to ejaculate. However, when premature ejaculation is an issue, it can be used to delay ejaculation to a more desirable time.

Acetaminophen is an over the counter pain-relieving medication (the medication found in Tylenol) that can slightly reduce the sensitivity of the nerves in the penis. By itself, acetaminophen is not likely to result in drastic improvements in PE but when combined with dextromethorphan and other items listed in this article, desirable results can be achieved. Acetaminophen is absolutely contraindicated with alcoholic beverages! Taking Acetaminophen with alcohol in your system can cause significant damage to your liver.

If erectile dysfunction is an accompanying problem, dextromethorphan and acetaminophen can be combined with sildenafil (Viagra)

If Erectile Dysfunction is an accompanying problem, dextromethorphan and acetaminophen can be combined with sildenafil, the drug found in Viagra. It can also be combined with Tadalafil (Cialis), Vardenafil (Levitra), Avanafil (Stendra), or any other PDE5i medication. It is an arousal-dependent medication that can improve the firmness and duration of an erection. This has two main benefits:

1.More confidence in your erection (and thus your performance)

2. Quicker recovery time after ejaculation, should you still be interested in continuing your sexual activity.

When combined with dextromethorphan and acetaminophen, several issues are addressed at once.

Micro-injection Trimix for Premature Ejaculation:

The microinjection is applied completely pain-free prior to sexual intercourse. Trimix acts locally at the penis by opening up the blood vessels and thus allowing you to maintain an erection even after ejaculating.

The ability to maintain the erection after ejaculation reduces anxiety associated with sexual intercourse and the subconscious fear that can cause men to underperform. Over time, patients typically become less concerned with their PE. You may begin to delay your ejaculation time more easily due to the decreased performance anxiety because even if you do ejaculate early, you’ll still have an erection.

We have been using this unique approach with patients for several years and have found remarkable and reliable results

Eventually, this approach gives you the ability to manage your ejaculation time on your own terms. It also helps you to practice the other methods listed below without having to worry about failing. We have been using this unique approach with patients for several years and have found remarkable and reliable results. It is very safe when done correctly and the physicians at Innovative provide thorough instructions to all their patients who wish to use this technique.

How to Deal With Premature Ejaculation:

Part of the problem is that there are unrealistic expectations in modern society. Easy access to internet porn has led many men to believe that they need to last for an hour or more. The truth is, women can reach climax in a relatively short time. We’re genetically programmed to be able to get the deed done quickly before a threat or another interruption occurs. The whole point, from an evolutionary perspective at least, is to reproduce. If it takes too long, reproduction is less likely.

If we’re smart, we would spend more time in foreplay. For most women, sex is mostly in the mind. Sure, physical arousal plays a big role too, but if you take the time to really get her aroused, she should orgasm within minutes or even seconds of penetration. Even bringing her to orgasm before intercourse will help her be more satisfied, and many women can have additional orgasms after penetration. In short, it’s well worth your time to be patient and focus on her arousal during foreplay with lots of massages, caressing, kissing, and of course, manual and/or oral stimulation. This way, if you do ejaculate in a very short time after penetration, it’s OK, because your partner will already be satisfied. While reproduction may be the evolutionary goal, modern humans are blessed with the ability to enjoy sex, and as such, enjoyment should be the goal, and there are many ways to do that other than through penetration alone.

PREMATURE EJACULATION TREATMENT

PE is a very common condition but it can take a toll on self-esteem and relationships if left untreated. Our doctors understand and are well equipped with the tools to treat premature ejaculation (PE) at its physical and psychological roots. If PE is bothering you or your partner, make an appointment with Innovative Men’s Health.

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