Premature Ejaculation IN LOS ANGELES AND BEVERLY HILLS

Premature ejaculation (PE) can stem from various psychological and biological factors. Psychological causes include performance anxiety, stress, depression, and relationship issues. Biological factors encompass irregular hormone levels, abnormal neurotransmitter activity, inflammation or infection of the prostate or urethra, and genetic predispositions. Additionally, erectile dysfunction and certain medical conditions may contribute to PE.

Premature ejaculation (PE) is categorized into four types: lifelong (primary), acquired (secondary), natural variable, and subjective PE. Lifelong PE begins with a man's first sexual experiences and persists throughout life, while acquired PE develops after a period of normal sexual function. Natural variable PE involves inconsistent episodes of early ejaculation, and subjective PE is when a man perceives he has PE, but his ejaculation timing is within normal ranges. To determine your specific type, consult a healthcare provider for a comprehensive evaluation of your sexual history and symptoms.

Premature ejaculation (PE) can significantly impact overall sexual health and relationships. Men with PE often experience feelings of embarrassment, frustration, and reduced self-esteem, which may lead to avoidance of sexual intimacy. This condition can also cause partners to feel unsatisfied, leading to decreased sexual satisfaction and potential relationship strain. Addressing PE through medical consultation and therapy is crucial to improving sexual function and relationship quality.

While low testosterone is commonly linked to sexual issues like reduced libido and erectile dysfunction, its direct connection to premature ejaculation (PE) remains inconclusive. Some studies suggest that both high and low testosterone levels may be associated with PE, but strong evidence indicates that testosterone levels do not significantly affect PE. Therefore, it's essential to consult a healthcare provider to identify the specific causes of PE and determine appropriate treatment options.

Testosterone replacement therapy (TRT) may benefit men with secondary premature ejaculation (PE) who also have low testosterone levels. Studies have shown that TRT can significantly increase intravaginal ejaculation latency time in such individuals. However, the relationship between testosterone levels and PE is complex, and TRT may not be effective for all men with PE. A thorough medical evaluation is essential to determine if low testosterone contributes to your PE and if TRT is an appropriate treatment option.

Testosterone replacement therapy (TRT) may help improve ejaculation control in men with low testosterone levels. While individual responses vary, some men report noticeable improvements in sexual function within 3 to 6 weeks of starting TRT. However, achieving maximum benefits, including enhanced ejaculation control, may take up to 6 months. It's essential to consult with a healthcare provider to determine if TRT is appropriate for your specific situation.

Certain supplements and vitamins may help manage premature ejaculation (PE). Folic acid supplementation has been suggested as a potential treatment. Additionally, low serum vitamin D levels have been associated with an increased likelihood of acquired PE. However, more research is needed to establish clear connections between these supplements and PE, and it's essential to consult a healthcare provider before starting any new supplement regimen.

Stress management plays a crucial role in treating premature ejaculation (PE), as heightened anxiety and stress can exacerbate or even trigger PE symptoms. Incorporating relaxation techniques such as deep breathing, mindfulness, or yoga can help manage anxiety and promote better control over ejaculation. Behavioral therapies, including the "stop-start" technique, are also effective in reducing performance pressure and improving ejaculatory control. Combining these stress-reduction strategies with other treatments may enhance sexual satisfaction and alleviate PE.

Yes, medications can be used alongside behavioral and psychological treatments to enhance their effectiveness in managing premature ejaculation (PE). Selective serotonin reuptake inhibitors (SSRIs), such as paroxetine or dapoxetine, are commonly prescribed to delay ejaculation. Additionally, phosphodiesterase-5 inhibitors like sildenafil (Viagra) may be beneficial, especially for men with concurrent erectile dysfunction. Topical anesthetics, including lidocaine or prilocaine creams, can also be applied to reduce penile sensitivity and help delay ejaculation.