Premature Ejaculation Urologist - Dr. Angelo Gousse, MD

When a man has sex with a woman, he’ll want to make the experience last for as long as possible because his ultimate goal is to achieve orgasm for both himself and his partner. However, there is no telling how long it will take for an orgasm to occur during sex. This puts the man under pressure to prevent premature ejaculation.

Premature ejaculation is when a man ejaculates before he or his partner can reach maximum pleasure during sex, such as an orgasm. Most men who suffer from premature ejaculation will ejaculate within less than 60 seconds after penetration. Men with severe premature ejaculation may ejaculate before fully penetrating the woman.

Numerous studies have been conducted to determine how long sex must occur before achieving orgasm. Most results show that men have to refrain from ejaculation for at least five minutes before reaching orgasm. Unfortunately, 20% to 30% of men suffer from premature ejaculation. And contrary to popular belief, premature ejaculation can affect both younger and older men.

How to Treat Premature Ejaculation

Premature ejaculation is not the worst urologic condition in the world because it is not painful or life-threatening. But, it is a condition that can cause unhappiness for men and their partners. Many men take their sexual health very seriously, so premature ejaculation can lead to depression and anxiety if left untreated. Furthermore, it can cause problems in people’s relationships.

Now some couples may not put too much emphasis on their sexual pleasure, and that is okay. Some relationships are strong enough to ignore the premature ejaculation problem. On the other hand, if premature ejaculation is a problem for you or your relationship, you’ll want to seek treatment from a doctor.

At least four types of treatments are available to reduce or eliminate premature ejaculation in men. They are as follows:

Sex Therapy 

Premature ejaculation may be more of a psychological issue than a physical one. If you were to consult with a certified sex therapist, they could help you resolve whatever thoughts or feelings are causing this problem.

Perhaps you have sexual anxiety or past sexual trauma that contributes to the problem. A sex therapist can help you work out these issues to have better control over your ejaculation in the future. 

It may be a good idea for your partner to attend your sex therapy sessions with you. Then your partner can learn more about premature ejaculation and how to help you overcome it.

Behavioral Therapy 

Behavioral therapy trains men to tolerate sexual stimulation without ejaculation. You’ll have to undergo a series of simple physical exercises to train yourself in this manner. The most popular exercise is the squeeze and hold technique.

If you practice your behavioral therapy regularly, you can learn to delay and control your ejaculation during sex.

Oral Medications 

Oral medications are the easiest treatments for premature ejaculation because they only require you to swallow pills. However, the effectiveness of oral medications depends on several mental and biological factors in the body.

Doctors may describe a low dose of certain antidepressants to delay premature ejaculation. There is no guarantee it will work for you, but it may be worth trying.

Topical Anesthetics 

Your doctor may suggest applying a topical anesthetic cream to delay ejaculation after sexual stimulation begins. Make sure you follow their instructions because too much anesthetic may cause you to feel no sexual stimulation.

Frequently Asked Questions

Is premature ejaculation strictly a mental health problem? 

Doctors used to believe premature ejaculation was all psychological, but that is no longer the belief amongst the medical community. After numerous studies into premature ejaculation, the results indicate that low serotonin levels could contribute to the problem.

Serotonin is a natural chemical compound that comes from the nerves. If your nerves don’t generate enough serotonin, it could lead to premature ejaculation. Of course, the medical community is still debating this specific cause of premature ejaculation. But they do agree that mental health is not always the sole reason for this condition.

The treatment solutions are going to be different for all men. Some men may find that psychotherapy is all they need to overcome premature ejaculation, while others may require medication and psychotherapy. It is best to consult with your doctor regarding the best treatment ideas for your particular situation.

Are older people the only ones suffering from premature ejaculation? 

Premature ejaculation affects both younger and older men. In fact, many studies have shown that younger men are more affected by premature ejaculation than younger men. Some theories suggest the reason has to do with the sexual inexperience of younger men. But as they continue to have sex, they learn to control their ejaculation better each time.

Contact Us 

Would you like to discuss your premature ejaculation issue with a qualified urologist? If so, make an appointment to visit Gousse Urology at any one of our South Florida locations. Call (954) 362-2720 to get started.