Premature Ejaculation and ED

What is Premature Ejaculation?

Premature ejaculation, or simple PE, is when you ejaculate (release semen) earlier on during a sexual experience than you or your partner would have liked to. It tends to happen more often in new relationships, as you may be less comfortable or more excited than you would be in a long-term relationship.

Of course, it can happen with a lifelong partner as well. It is very common and is typically not a cause for concern. In fact, it’s the most prevalent sex related condition for men under 40. According to Medscape, in the United States 30-70% of men experience premature ejaculation at one point or another during their lives.

So if you have recently experienced premature ejaculation, take comfort in the fact that it is very common, and treatments are available.

What causes PE? As with many health conditions, the precise cause is unknown, but experts believe that it is related to the feel good chemicals in your brain, known as serotonin. High levels of serotonin may expand the amount of time it takes to ejaculate; conversely low levels may shorten that time. So serotonin concentration may be a contributing component to the problem, the extent of which is currently unknown.

It is considered a psychological issue, which erectile dysfunction also can be. Conditions such as stress, depression, anxiety, pressure to perform, relationship issues, lack of confidence, history of related issues can all cause premature ejaculation on their own or together.

PE can occur at any age, but as you get older you may have more difficulty maintaining an erection, or postponing ejaculation…so it may or may not become more of an issue as you get older.

What is Erectile Dysfunction?

We’ve discussed the definition of ED throughout the site, but it’s worth going over again so you can understand the difference. Erectile dysfunction is either the inability to achieve an erection or the ability to maintain one long enough to perform.

As opposed to premature ejaculation, it is more often associated with old age, although it too can happen at any point in a man’s life. It’s causes are also more defined, and include not only the psychological components but also physical and lifestyle causes. Various health conditions and diseases can cause impotence, as can alcohol use, smoking, certain medications, lack of exercise and obesity.

With either condition, it can be very difficult to determine the exact cause, especially if more than one of the above potential issues applies.

For example, if you smoke, you’re stressed and you take three different medications, any one of those things could be the culprit. Or they could be working in tandem to cause the problem. There may also be an underlying health condition that you are not aware of that is causing the problem, even though it may appear that your lack of exercise is the only definitive cause.

Regardless of what is causing your erectile dysfunction, again rest assured that just like premature ejaculation it is quite common.

How to treat Premature Ejaculation?

How long should a man last before ejaculation?

The average (median) time before orgasm was about 6 minutes, and ranged from a blissful 6 seconds to a marathon-paced 53 minutes. The majority of men lasted between 4 to 11 minutes, with anyone lasting longer than 21 minutes being considered an outlier.

Topical anesthetics

Anesthetic creams and sprays that contain a numbing agent, such as benzocaine, lidocaine or prilocaine, are sometimes used to treat premature ejaculation. These products are applied to the penis 10 to 15 minutes before sex to reduce sensation and help delay ejaculation.

What is the best pill to delay ejaculation?

For this reason, selective serotonin reuptake inhibitors (SSRIs), such as escitalopram(Lexapro), sertraline (Zoloft), paroxetine (Paxil) or fluoxetine (Prozac, Sarafem), are used to help delay ejaculation. Of those approved for use in the United States, paroxetine seems to be the most effective.

Treating Premature Ejaculation and ED

Whether you are dealing with premature ejaculation, erectile dysfunction or both conditions, know that effective treatments are available.  Talk to your doctor and see what your options are.