Premature ejaculation medical treatment

Rapid Ejaculation Houston - Premature Ejaculation

Extending Time to Male Orgasm

The clinical definition of rapid ejaculation (or premature ejaculation) is inability of a man to sustain sexual intercourse for more than one minute prior to ejaculation. However, many men seek to increase the time of sexual activity in order to achieve improved sexual satisfaction for himself and his partner. In either case, Houston's Dr. Larry Lipshultz can help you improve your sexual performance.

Psychological Causes

Low self-esteem, anxiety, depression or problems with their relationship can contribute to rapid ejaculation. Experiencing rapid ejaculation is often emotionally stressful and can lead to performance anxiety in the future. However, psychological causes are typically secondary to physical causes.

Physical Causes

There are three underlying conditions that may contribute to rapid ejaculation.

Biological Certain disease states such as hyperthyroidism may lead to rapid ejaculation. It is important to receive a physical examination to establish the current state of your health. This is especially important if your issues with rapid ejaculation have developed more recently.

Neurobiological Abnormalities with serotonin or serotonin receptors in the brain are known to shorten the time to ejaculation in some men.

Genetic - Higher sensitivity of the penis to sexual stimulation is gaining wider acceptance as cause of rapid ejaculation.

Behavior Therapy

Some patients prefer to address rapid ejaculation without any medication and they can be taught several behavioral techniques such as the start/stop or squeeze methods. Generally, however, patients report reduced sexual satisfaction with these methods and often request some type of medication.

Topical Medications

Topical anesthetic medications are often used first course of action for rapid ejaculation. They are effective, easy-to-use, and have a low risk of significant side effects.

Our 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 overall increased sexual satisfaction.

Oral Medications

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 are prescribed "off label" and can be accompanied by negative side effects.

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Premature Ejaculation Treatments - New Insights
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Premature Ejaculation Treatment Regimens and Medications
Premature Ejaculation Treatment Regimens and Medications
Springer Premature Ejaculation: From Etiology to Diagnosis and Treatment
Book (Springer)
People s Medical Press Pub. Date :2011-04-01 diagnosis and treatment of premature ejaculation(Chinese Edition)
Book (People s Medical Press Pub. Date :2011-04-01)
Aromatase inhibition for the treatment of idiopathic hypogonadotropic hypogonadism in men with premature ejaculation. (Original Article).: An article from: Southern Medical Journal
Book (Southern Medical Association)
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