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Premature Ejaculation Treatment in New York, Newark, New Jersey, Premature Ejaculation Doctor
Premature Ejaculation:
Premature ejaculation occurs when a man has an orgasm and ejaculates earlier during intercourse than he or his partner would like. It’s a common problem, affecting 30% to 40% of men. Causes include physical problems, chemical imbalances and emotional/psychological factors. Treatments include learning techniques to delay ejaculation, counseling and medications.
SYMPTOMS AND CAUSES
What causes premature ejaculation?
Physical, chemical and emotional/psychological factors cause premature ejaculation.
Physical and chemical problems include:
An underlying erectile dysfunction diagnosis.
A hormonal problem with oxytocin levels, which has a role in sexual function in men. Other hormone levels that play a role in sexual function include luteinizing hormone (LH), prolactin and thyroid stimulating hormone (TSH)
Low serotonin or dopamine levels, chemicals in the brain that are involved in sexual desire and excitement.
A penis that is extra sensitive to stimulation.
Emotional or psychological causes include:
Performance anxiety. Could be due to the nervousness of being with a new partner, anxiousness of having sex again after a long period of abstinence, lack of confidence, guilt, being overly excited or stimulated or other reasons.
Stress.
Relationship problems.
Depression.
DIAGNOSIS AND TESTS
How are the causes of premature ejaculation diagnosed?
If you have frequent premature ejaculations, or if premature ejaculation is causing you anxiety or depression and affecting your relationship, make an appointment to see a urologist.
Your urologist will begin an exam by asking about your sexual experiences. You will likely be asked:
How long have you had this problem?
Under what circumstances does it happened?
How often does it happen?
Does premature ejaculation happen at every sexual attempt?
Does it happen with all partners?
Does premature ejaculation occur when you masturbate?
Do you have trouble maintaining an erection?
While the questions are personal, it is important that you answer your urologist honestly so they can best diagnose the source of your problem.
Your urologist will also ask about any other medical conditions you may have and any medications including over-the-counter medications, supplements and herbal products you are taking. You will also be asked about any alcohol and illegal drug use.
Are lab tests needed to make the diagnosis of premature ejaculation?
Lab tests are usually not needed unless your healthcare provider suspects that an underlying health problem is contributing to the problem.
MANAGEMENT AND TREATMENT
How is premature ejaculation treated?
There are many different treatments options for premature ejaculation depending on the cause. These include behavioral therapy, counseling and medications. Most causes of premature ejaculation are usually treated first with behavior therapy and/or counseling to help with emotional concerns, performance anxiety or stressors that may be contributing. Often more than one treatment approach may be tried at the same time.
Behavioral therapy
Behavioral therapy involves trying different methods to delay your orgasm. Its goal is to teach you how to control your body and your feelings. Methods include:
Start and stop: With this technique, you or your partner stimulates your penis close to the point of orgasm then stops the stimulation for about 30 seconds until you regain control of your response. Repeat this “start and stop” approach three or four times
efore allowing yourself to orgasm. Continue practicing this method until you have gained good control.
Squeeze therapy: With this technique, you or your partner stimulates
Distracted thinking: With this technique, the idea is to focus your attention on ordinary nonsexual things while you’re being sexually stimulated. Naming sequences are a good way to focus your attention. For example, visualize naming all the businesses you pass on your drive to the gym, naming all the players on your favorite sports team or naming all the products on the aisles of your favorite store.
Counseling
If the cause of your premature ejaculation is psychological, emotional, or due to relationship issues – due to performance anxiety, depression, stress, guilt, or a troubled relationship – seek the help of a psychologist, psychiatrist,
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