Premature Ejaculation

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Premature Ejaculation, often abbreviated PE, is also known as rapid ejaculation, rapid climax, premature climax, or early ejaculation. It is the medical condition in which a man ejaculates earlier than he or his partner would like him to. It can be differentiated into two types, premature ejaculation that occurs from the time a male begins puberty, or premature ejaculation that is acquired later in a man's life.

Ejaculation is achieved via a physical process involving emission and expulsion. Emission is the first phase, in which fluid from the ampulla vas deferens, seminal vesicles, and prostate gland move into the posterior urethra. The second phase, expulsion, involves closure of the bladder neck followed by rhythmic contractions of the urethra and intermittent relaxation of the external urethral sphincters. It is widely believed that the neurotransmitter serotonin plays a central role in ejaculation, and it is though that low levels of serotonin in the synaptic cleft in specific areas of the brain could cause premature ejaculation.

Premature ejaculation is diagnosed and distinguished from erectile dysfunction after looking at the patient's sexual history for a history of decreased intravaginal ejaculation latency time, poor control over ejaculation, and dissatisfaction. It is a common problem, as it occurs in 20-30% of all men.

Premature ejaculation can be treated in various ways. First and foremost, it is important to remove any anxiety the patient is feeling about the issue, restoring confidence and breaking the cycle of anticipation often associated with premature ejaculation.

The most common and quickest treatment for premature ejaculation is currently the SSRI class of antidepressant medications, including Lexapro, Zoloft and Paxil, which takes advantage of the antidepressant side effect of delaying ejaculation. Most men have a good response to these medications, especially if they are taken daily.

Other treatment options include the use of the stop-start or squeeze technique by Masters and Johnson, or the desensitizing cream known as SS cream, which can be used to desensitize the penis and significantly delay ejaculation (although this has not yet been approved by the FDA).

If you or a loved one are suffering from premature ejaculation, contact us today for more information on these and other treatment options so you can quickly relieve the anxiety associated with premature ejaculation and be on your way to a more satisfying sexual experience. Our patients benefit form a number of premature ejaculation treatments, medication and therapies that have proven effective in helping men with premature ejaculation.