Premature ejaculation (PE) is a common condition that affects many men, leading to frustration, distress, and relationship difficulties. According to research conducted by Pennsylvania State University and backed up by other surveys, most women consider an “ideal” sexual duration for a man to be between 7-13 minutes; with “adequate” sex lasting 3-7 minutes. If you are falling short of providing your partner with an ideal experience, read on to learn more on how you can improve ejaculatory control and experience enhanced sexual satisfaction not just for yourself, but for your partner too!
What Causes Premature Ejaculation?
Premature ejaculation can result from various psychological and physiological factors, including:
Psychological Causes: Stress, anxiety, depression, and performance-related fears can contribute to PE. Relationship problems and past negative sexual experiences may also play a role. Some men develop anticipatory anxiety, where the fear of ejaculating too soon becomes a self-fulfilling prophecy.
Biological Causes: Hormonal imbalances, abnormal levels of neurotransmitters such as serotonin, and increased penile sensitivity can contribute to early ejaculation. A lack of serotonin in the brain is one of the primary biological contributors to PE. Additionally, an overactive ejaculatory reflex can make it difficult to delay orgasm.
Medical Conditions: Underlying health issues like prostatitis, thyroid disorders, and erectile dysfunction can be associated with PE. Men with erectile dysfunction often develop PE as a secondary issue, as they may rush intercourse due to fear of losing their erection.
Genetic Factors: Some men may have a hereditary predisposition to experiencing rapid ejaculation. Studies suggest that genetic factors can influence neurotransmitter activity and ejaculatory reflex sensitivity.
Lifestyle Factors: Excessive alcohol consumption, drug use, and lack of physical activity can negatively impact sexual performance and ejaculation control. Poor cardiovascular health, which can result from a sedentary lifestyle, may also contribute to PE by reducing blood flow to the genitals.
Behavioral and Non-Medication Treatments for PE:
For some men, non-medication strategies can be highly effective in improving ejaculatory control. These include:
The Stop-Start Technique: Involves pausing stimulation before ejaculation to build control over time. Practicing this technique regularly can train the brain to delay orgasm and increase sexual endurance.
The Squeeze Technique: Applying pressure to the base of the penis before ejaculation to reduce arousal and delay climax. This method is useful for men who have trouble identifying the exact moment they are about to climax.
Pelvic Floor Exercises: Strengthening the pelvic muscles can help improve control over ejaculation. Kegel exercises, commonly associated with women, are equally effective for men and can be performed discreetly throughout the day to build endurance over time.
Mindfulness and Therapy: Cognitive behavioral therapy (CBT) and sexual counseling can help men manage anxiety and performance-related stress contributing to PE. Learning relaxation techniques, such as deep breathing exercises, can also be helpful in reducing arousal levels during intercourse.
Medical Treatments for PE:
If non-medical strategies aren’t working to achieve the 20 minutes that women say in surveys is how long they would like men to last, then you may have an underlying medical condition. The good news is that at Balanced Medical Solutions, they can help determine if there is a root physical cause and prescribe safe and effective treatments for premature ejaculation. Some of these include:
1. Paroxetine
Paroxetine is an SSRI (selective serotonin reuptake inhibitor) primarily used for depression and anxiety. However, it has been shown to significantly delay ejaculation when taken daily or on an as-needed basis. By increasing serotonin levels in the brain, Paroxetine helps improve ejaculatory control and can extend the time before climax.
Who Qualifies for Paroxetine Treatment? Men experiencing persistent premature ejaculation, particularly those who have not responded to behavioral techniques, may benefit from Paroxetine. A healthcare provider will determine the appropriate dosage based on individual needs.
2. Sertraline
Sertraline is another SSRI that has been found effective in delaying ejaculation. Like Paroxetine, Sertraline works by enhancing serotonin activity in the brain. It is often prescribed off-label for men seeking better ejaculatory control.
Who Qualifies for Sertraline Treatment? Sertraline may be an option for men who:
- Consistently experience ejaculation within one to two minutes of penetration.
- Have difficulty controlling ejaculation, leading to distress or frustration.
- Are seeking a non-invasive, medication-based approach to managing PE.
How is Sertraline Taken for PE? Sertraline is typically prescribed at a low dose, which may be increased based on response and tolerance. Some men take it daily, while others may use it on an as-needed basis a few hours before intercourse.
3. Trimix
Trimix is a compounded medication used to treat erectile dysfunction, but it may also benefit men with PE. By improving erection quality and duration, Trimix can enhance overall sexual performance and control. Unlike Paroxetine and Sertraline, which target serotonin levels, Trimix works by relaxing blood vessels and increasing blood flow to the penis.
Who Qualifies for Trimix Treatment?
- Men experiencing both premature ejaculation and erectile dysfunction.
- Those who have not found success with oral medications.
- Individuals seeking an injectable solution for enhanced sexual performance.
What are the impacts of Premature Ejaculation on Relationships?
Premature ejaculation doesn’t just affect the individual—it can also impact romantic relationships. Some common relationship challenges associated with PE include:
Decreased Intimacy: Frustration around PE can reduce intimacy and connection between partners.
Increased Anxiety: The stress associated with PE may lead to avoidance of sexual activity.
Communication Barriers: Men may feel embarrassed discussing their condition, leading to misunderstandings.
However, open communication and seeking treatment can significantly improve both individual confidence and relationship satisfaction. Couples counseling may also be beneficial for those who struggle to discuss sexual health openly with their partner.
Frequently Asked Questions (FAQs) About Premature Ejaculation
Is premature ejaculation permanent?
No, PE can often be managed or treated with medication, behavioral techniques, or therapy.
How long does it take for medication to work?
SSRIs like Paroxetine and Sertraline may take a few weeks to reach full effect, but some men notice improvements sooner.
Does PE get worse with age?
Every man is different and this can vary; while some men experience more control over time, others may develop PE due to underlying health conditions, the most common being low testosterone production, a change in hormone levels that come with age (AKA andropause or “male menopause”).
Affordable Sexual Wellness Evaluations at Balanced Medical Solutions
Balanced Medical Solutions offers comprehensive sexual wellness evaluations for only $99. This evaluation includes:
- Comprehensive lab testing, including free/total testosterone blood tests
- A medical evaluation with a licensed provider
- Silver membership for life
- Free follow-up visits for life in all the areas of medicine that Balanced Medical Solutions specializes in: sexual health, hormonal imbalances, medical weight loss, and anti-aging, including stem cell treatments.
Their expert providers can assess your condition in a confidential manner and recommend the most effective treatment plan tailored to your needs.
Take Control of Your Sexual Health Today
Balanced Medical Solutions stands out in the treatment of premature ejaculation by prioritizing a comprehensive evaluation to identify the root cause of the condition. Rather than offering a one-size-fits-all solution, the expert medical team at Balanced Medical Solutions in Hayward, CA conducts in-depth assessments, including hormonal testing, to determine if underlying issues like low testosterone (which can be addressed with testosterone replacement therapy or TRT) are contributing to PE.
How is Balanced Medical Solutions different from other similar clinics?
Many clinics that treat PE are 100% online and operate more like “pill mills,” giving all men the same treatment with a one-size-fits-all approach. They also offer little guidance and support for patients without them having to pay additional fees to speak to a provider. Balanced Medical Solutions is a one-location, locally owned clinic that provides unlimited free in-person and over the phone visits and can usually fit in patients for an appointment within 2 business days.
In addition, the team at Balanced Medical Solutions focuses on personalized treatment plans that go beyond symptom management, incorporating root cause therapies to enhance long-term sexual health. Additionally, they ensure the highest quality of care by sourcing all medications from FDA-certified U.S.-based pharmacies, guaranteeing safety, potency, and effectiveness in every prescription. This commitment to excellence allows us to provide their patients with the most reliable and results-driven solutions for improving sexual performance and confidence.
If you are experiencing premature ejaculation and want to see if your testosterone is low or explore treatment options like Paroxetine, Sertraline, or Trimix, schedule an appointment with Balanced Medical Solutions today. Their team is dedicated to helping men not only regain confidence and satisfaction in their intimate relationships, but experience long term success and optimization in all areas of their lives. They have helped thousands of San Francisco Bay Area men, from Oakland to San Jose and from Santa Clara to San Mateo, become superman in the bedroom and elevate their sexual experience for themselves and their partners. Book your initial confidential evaluation by calling (510) 679-3300 or through the Book Now button below:
