Causes, Diagnosis and Treatment of Premature Ejaculation

Secondary premature ejaculation is usually performance anxiety related. Performance pressure can come from fear of not being able to satisfy the partner, being overly worried about events not related to sex, can stem from previous erectile dysfunction.

Solutions for Male Sexual Problems

The causes for primary premature ejaculation can be a deep-seated emotional disturbance, a behavior (conditioned response) that results from teen masturbation practices, family incest, sexual assault or a serious disturbance within the family. A doctor or urologist will usually ask for a consult with a psychiatrist or psychologist for assistance with treatment.

Secondary premature ejaculation is usually performance anxiety related. Performance pressure can come from fear of not being able to satisfy the partner, being overly worried about events not related to sex, can stem from previous erectile dysfunction. A partner who belittles the male or has difficulty achieving a climax and blames him can also lead to feelings of inadequacy that can lead to penile dysfunction.

Counseling individually or as a couple with trained sex therapist is usually a part of the treatment plan.

The doctor will want to rule out other causes for the premature ejaculation such as anorgasmia or severely delayed orgasm in the female partner. The sexual response of the partner is almost always to be considered in cases of premature ejaculation.

It should be ruled out that the man isn't just confusing premature ejaculation with what is referred to as "pre-come" which is lubricating fluids that are expressed from glands during the excitement phase of sexual excitement.

Erectile dysfunction is a clinical symptom for some men who are experiencing premature ejaculation, so it is important for the doctor to be able to medically separate the occurrence of these two penile difficulties and to determine if they are both present, which one occurred first.

After the questionnaire and physical exam are finished the doctor may as part of the diagnosis ask the male to undergo some laboratory testing which may include checking the serum testosterone level and the prolactin level (blood test)

Tests to determine the presence of depression will also be conducted.

Multiple Orgasms The treatment will e designed for both the male and his sexual partner. The first thing that the history will determine is if the premature ejaculation is something that has been a lifelong occurrence (primary) or if it is a out of the ordinary problem (secondary). Multiple Orgasms

Vibrational threshold testing may be done voluntarily as well as nerve conduction times may be tested.

Treatment may be a combination of psychological therapy, couples sex therapy, medications which may include both oral and topical, and several methods may be taught that will help to teach the male how to control ejaculation (stop-start and the squeeze- pause).

Treatment almost always includes a combination of therapy (individual or couples) which will address any anxiety or depression issues, or issues with unresolved sexual misconduct perpetrated on the male during his youth. Issues of behavior modification stemming from habits fostered while a teen such as getting into the habit of speeding up ejaculation due to being pressured so as not to get caught need to be corrected and new habits formed regarding timing.

Couples sex therapy will teach both how to relax more and how to arouse the entire body so that sex can be more pleasurable and will take the pressure off of the penile area.

Medications will be prescribed to help with anxiety or depression as well as a tool for over sensitized penis (topical anesthetic). If the male is too stressed out or uptight, medications may be prescribed to relax him.

Upbeat News About Premature Ejaculation

11/14/2008
Market forces: November 9 2008 (Guardian Unlimited)
Land to put break up on hold Land Securities, the UK's biggest property firm, will report a steep fall in the value of its property assets in its interims this week. Analysts will be watching out for comments from Land's cerebral chief executive, Francis Salway, on the number of tenant defaults and vacancy rates across its portfolio. His take on the operating side of Land's business will be ...

Market forces: November 9 2008 (Guardian Unlimited)

11/18/2008
Growing Number Of Young Prostate Cancer Patients Need 'sexual Rehabilitation' (Medical News Today)
Prostate cancer is being detected and treated at an earlier age, resulting in more cases of erectile dysfunction in younger men. While for many this is a temporary setback, for some it can take much longer and others will never recover their former capability.

Growing Number Of Young Prostate Cancer Patients Need 'sexual Rehabilitation' (Medical News Today)

11/19/2008
Advanced Medical Institute Inc. Announces Results for the Quarter Ended September 30, 2008 (Business Wire via Yahoo! Finance)
SYDNEY, Australia----Advanced Medical Institute Inc. , a leading provider of treatment for Erectile Dysfunction and Premature Ejaculation in Australia and New Zealand, has announced results for the quarter ended September 30, 2008.

Advanced Medical Institute Inc. Announces Results for the Quarter Ended September 30, 2008 (Business Wire via Yahoo! Finance)

11/20/2008
Pfizer Drops Application To Switch Viagra 50mg To Non-Prescription Status In Europe (Medical News Today)
Pfizer announced today that it has withdrawn its application to switch the legal status of the 50 mg tablet strength of Viagra from 'prescription only' to 'non-prescription' in the European Union (EU).

Pfizer Drops Application To Switch Viagra 50mg To Non-Prescription Status In Europe (Medical News Today)

11/17/2008
New Study Confirms the Role of ErecAid(R) as Supplemental First Line Treatment for Erectile Dysfunction (PR Newswire via Yahoo! Finance)
Plethora Solutions Holdings PLC , the specialist developer of products for the treatment and management of urological disorders, announces results of a study confirming the role its product, ErecAid®, as a supplemental first line treatment for erectile dysfunction .

New Study Confirms the Role of ErecAid(R) as Supplemental First Line Treatment for Erectile Dysfunction (PR Newswire via Yahoo! Finance)

11/07/2008
PSD502 For Premature Ejaculation - Positive Outcomes From European Phase III Pivotal Trial (Medical News Today)
Plethora Solutions Holdings PLC ("Plethora" or the "Company", AIM: PLE), the specialist developer of products for the treatment and management of urological disorders, announces that its European Phase III double-blind placebo controlled study of PSD502 for the treatment of premature ejaculation (PE)

PSD502 For Premature Ejaculation - Positive Outcomes From European Phase III Pivotal Trial (Medical News Today)