Ejaculatory dysfunction affects a significant number of men and often gets ignored because it feels too uncomfortable to bring up. We’re used to having this conversation. Come in, and we’ll figure out what’s going on.
Some men ejaculate too quickly. Some struggle to ejaculate at all. Some experience retrograde ejaculation. Each has different causes and responds to different treatments. We run a thorough workup to make sure we're addressing the right thing.
Hormone imbalances, nerve sensitivity, certain blood pressure medications, antidepressants, and anxiety all contribute. Once we identify the cause, treatment becomes much more straightforward.
Some men have had early sexual experience that required sex to be over quickly (such as masturbating to avoid getting caught by parents, having sex in a car, etc.) that still persist and result in rapid ejaculation. Most men gradually learn to control their orgasm, and these prior experiences have no lasting effect.
Some men will develop a longer-term anxiety regarding sex, which results in persistent premature ejaculation as a result of a vicious cycle of performance pressures. Frequently this pattern is seen in new relationships.
Researchers interviewed men who could last a long time prior to orgasm to discover their secrets. Unlike premature ejaculators, these men were better able to identify that point where ejaculation cannot be stopped and take corrective action before that point is reached.
The sexual response cycle is made up of 3 phases: desire, arousal, and orgasm. With premature ejaculation, sometimes the underlying problem is a low initial sexual desire, or a lack of sexual arousal. Believe it or not, it is possible for a man to have a good erection without strong sexual desire and even without being fully aroused. In these cases, the premature ejaculator actually needs to be MORE turned on, which will allow him more control over his ejaculation.
Hormone imbalances, nerve sensitivity, certain blood pressure medications, antidepressants, and anxiety all contribute. Once we identify the cause, treatment becomes much more straightforward.
Depending on what we find, treatment may include hormone therapy, medication adjustment, or targeted therapy. We explain every option clearly and let you decide what feels right. Most men see improvement faster than they expected.
