Medication for Premature Ejaculation | Erection Problems

Premature ejaculation is a common condition
that affects an estimated 30 percent of men. By this fact alone it makes this condition
one of the most common forms of male sexual dysfunction. It’s also very anxiety-provoking
for men and very stressful. People have tried various processes
or techniques, self- treatments, things such as slow intercourse,
or withdrawal, or something called purposeful ejaculation or masturbation
prior to actually having sexual intercourse. These processes sometimes work, but often
are frustrating for patients. And so they often come in asking about other things
that they can try. Things that we talk about are techniques that can
be done to improve the ability to sustain the sexual intercourse. There are a couple techniques that have been
described including the squeeze technique. What’s involved here is,
after withdrawal from intercourse the head of the penis is actually
squeezed and that will take away the urge or the desire for ejaculation. There’s also something called the start, stop
technique. And this technique requires coordination, with your partner during
the course of intercourse. It’s important to recognize the signs that
you’re getting close to ejaculation. And before you reach that point
than you and your partner would stop. You’ll wait for that urge to go
away, prior to resuming intercourse. This is called the start stop
technique. And it can work in some cases. As you can imagine, these types
of problems can cause a lot of performance anxiety for men and stress related
to that. So, there are abundant relaxation techniques
that you can also use. And these can be incorporated at the time of sexual
activity. Things like, massage therapy, relaxation techniques, creating
the mood or atmosphere that is relaxing and not stressful. A lot
of these types of interventions can often help to create a better experience
for you and your partner. Now, when these things have been tried and
are unsuccessful, then we can talk about other treatments that are available.
There are various numbers of desensitizing creams, or what we call topical
anesthetics that you can purchase at your local pharmacy, that can
be applied to the head of the penis to decrease the sensitivity to that
area. These can have certain side effects, like
it can decrease the sensual pleasure for both you and your partner in
some cases. As a last resort, or kind of more aggressive
medical therapy can be pursued. And these medical therapies involve
the use of a class of medications called SSRI’s. This stands for
Selective Serotonin Reuptake Inhibitors. This is a class of medications
that include anti-depressant medications, such as Paxil, Prozac. And what
these medications do, is that they increase the levels of serotonin in your
body. One of the side effects of these medications
is to allow you to be able to go longer, decreases sensitivity during sexual
activity and can improve the problem with premature ejaculation. However,
you have to be committed to taking these medications regularly. You also have to be aware that these medications
may have certain side effects, and so it’s important to talk to
your physician about these potential side effects before starting some
of these medical therapies.