DSI Newsletter: Premature Ejaculation

DSI Newsletters, Issue 51:
Premature Ejaculation
What is premature ejaculation?

Premature ejaculation (Trigger happy) refers to when a man reaches orgasm before he wants to during sexual intercourse. Ejaculation is commonly called premature, or too fast, if a man has an orgasm before or within a few minutes after entering his partner. It is a problem only if it prevents a couple from having sexual experiences that are satisfying for both partners.
About one third of American men are not able to control the timing of their ejaculations. This problem usually affects younger men and tends to improve with age. However, some men may struggle with this problem into old age.
How does it occur?
Many mental and physical factors affect the timing of orgasm. In addition to physical factors, guilt, anxiety, fear, excitement, and other emotions can contribute.
Infrequent sex also affects control. A man with normally good control may reach orgasm quickly after a long time without sex. Premature ejaculation is also common the first few times a man has sex with a new partner. Medical conditions are rarely a cause.
How is it treated?
Many men can learn to control their ejaculation. Men with good control can enjoy sustained levels of sexual arousal before choosing to ejaculate. To control the timing, a man must learn to exercise some control over the various factors affecting the timing of orgasm.
Seek help from a health professional who has training and experience in treating sexual problems. The doctor or therapist can suggest ways to lengthen the time between sexual arousal and orgasm. For example, you might change the usual thoughts and fantasies you have during intercourse. Also, learning and practicing the "start-stop" or "squeeze" techniques can help.
In some cases your health care provider may prescribe medications that help prevent premature ejaculation. A new one by Alza and Ortho McNeil is Dapoxetine.

Sincerely:

Joseph Saponaro, MD, DABIM, FACP, CPI, CCI, CCTI, CCRC, CCRP
Board Certified Internist, JPMC
Principal Investigator, DSI
Diplomat American Board of Internal Medicine
Fellow American College of Physicians
Certified Physician Investigator by the AAPP
Certified Clinical Investigator by the DIA
Certified Clinical Trial Investigator by the ACRP
Certified Clinical Research Coordinator by the ACRP
Certified Clinical Research Professional by SoCRA
Member: The American College of Preventive Medicine
Founder, www.CertifiedResearchers.com
Member, Jupiter Medical Center IRB
Expert Medical Witness, www.ExpertMD.MD

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