Conditions and Treatments

Premature Ejaculation

Premature ejaculation is a condition in which a man regularly ejects semen very soon after the onset of sexual arousal, or sooner than he or his partner desires.

SYMPTOMS

Ejaculation before or shortly after sexual penetration.

RISK FACTORS

  • Psychological or Physiological
  • Abnormal hormone levels
  • Medical conditions
  • Inflammation
  • Decreased serotonin
  • Penile Sensitivity
  • Depression
  • Stress

EVALUATION & DIAGNOSIS

You provider will go over your medical history and do a physical exam. They may order blood tests to check your hormone levels.

TREATMENT

Psychological Therapies: We believe that the best care often involves a combination of medical intervention and behavioral support. 

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: Some men respond well to low doses of the antidepressants known as selective serotonin reuptake inhibitors (SSRIs). SSRIs increase the levels of serotonin in certain areas of the brain. These medications prescribed off-label are often 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. They are effective, easy-to-use, cost effective, only need to be applied when you want to engage in sexual relations and have a negligible risk of significant side effects.