Premature Ejaculation

Although “premature ejaculation” lacks an objective definition, the ejaculation happens too soon (usually in less than one minute after initiating sexual contact) and leaves one or both partners unsatisfied — which frequently leads to feelings of emotional distress and disconnection.

From an evolutionary point of view, premature ejaculation makes sense.

Prehistoric Romeo and Juliet did not have the luxury of having sex indoors where they were protected from lions and tigers and bears — oh my. In an eat-or-be-eaten world, taking time to make sure your partner feels satisfied could easily turn you both into dinner. When it comes to wild animals, most males ejaculate very quickly.

Maybe it’s no surprise that premature ejaculation is the most common form of sexual dysfunction in men.

A University of Chicago survey shows 30 percent of men from adolescence to age 59 report premature ejaculation at least once within a 12 month period.

After 60, erectile dysfunction (ED) becomes men’s biggest sexual complaint; however, premature ejaculation only drops to 28 percent for men ages 65-74 and 22 percent for men 75-85.

After age 30, a man’s free testosterone levels fall about 10 percent per year. As these levels decline, so does his ability to get and maintain and erection. If these levels drop significantly from a man’s youthful prime, premature ejaculation issues can mingle with ED to produce an unfulfilling experience for both partners.

Think of it this way, if a man is focused on maintaining his erection, he will unconsciously push himself towards premature ejaculation. Likewise, if a man with low testosterone is trying to prevent premature ejaculation, he is apt to lose his erection. Either way, it’s no fun for anyone.

Causes

  • Low levels of male sex hormones
  • Abnormal levels of certain neurotransmitters
  • Performance anxiety
  • Psychological issues like fear, shame, guilt, or PTSD
  • Inherited traits
  • Abnormal reflex activity of the ejaculatory system (hair trigger)
  • Thyroid issues
  • Inflammation and infection of the prostate or urethra

Prevention

  • Relaxation techniques
  • Breath control
  • Slow sex
  • Changing positions often
  • Strategic pressure
  • Condoms

      Treatments

At GR8 Alchemy, we take an integrated approach to premature ejaculation that combines physical treatment with experiential techniques to help men relax and regain their natural sexual function.

Physical Therapy

  • Biofeedback
  • Pelvic floor exercises
  • Master’s and Johnson’s squeeze technique
  • Stop and start technique

Medications

  • Antidepressants (SSRIs)
  • Topical anesthetics (gels and creams)

For more information about the treatment options for premature ejaculation, please contact us at 303-554-4444 for an initial consultation.