If you have been experiencing problems with premature ejaculation, you should talk to your doctor about trying a number of different medications. The goal is to find the best medication for the specific symptoms that you are experiencing. Prescription medications are sometimes prescribed alongside sexual therapy. Sexual therapy can include masturbation training, herbal supplements, and other exercises that will help delay ejaculation during intercourse.
Selective serotonin reuptake inhibitors (SSRIs), like sertraline, tadalafil, and vardenafil, are used in conjunction with psychotherapy for the most severe cases of premature ejaculation among men. SSRIs are primarily used to treat clinical depression, but sometimes one of their side effect is delayed ejaculation, which is associated with decreased libido. Vardenafil is one of the few SSRIs that have been approved by the FDA for pre-ejaculatory syndrome, which is associated with decreased libido and premature ejaculation as a side effect.
Other medications that may be prescribed to alleviate premature ejaculation are tricyclic antidepressants (TCAs), especially Tofranil (also known as Norpramin), milnacipran, and moraine. Tofranil works by preventing the release of a large amount of testosterone, which is believed to be responsible for causing feelings of sexual arousal and excitement. It also helps to reduce anxiety levels in the body. Tricyclics are often prescribed in conjunction with another form of therapy to help patients deal with the stress of chronic sexual problems. Like most antidepressants, they can cause a decrease in libido in some men and increase the frequency of erectile dysfunction in others.
Erectile dysfunction is also associated with other psychological factors such as anxiety and depression. When a man experiences these symptoms, he will typically begin to worry about his performance during intercourse and he may even begin to excessively think about his lack of ability to perform. The longer this becomes an issue, the more distress and lowered self-esteem he will experience. These psychological issues that can be associated with premature ejaculation are typically more prevalent in men who are in their forties or older. The condition usually occurs within approximately 30 seconds to a minute of stimulation and may be triggered by a number of factors.
Some men experience premature ejaculation as a result of physical issues such as enlarged prostate, spinal cord injuries, nerve damage, or neurological disorders. In these cases, patients may be given medications that help to lower their testosterone levels. Doctors may also prescribe medications to stimulate the mind, such as those that block ejaculatory response. One study has shown that using intravaginal ejaculatory latency time to compare treatment efficacy is significantly more effective than using conventional therapies alone.
In a recent study published in Clinical Psychological Review, it was found that there are many differences between how men experience premature ejaculation depending on their relationship status. Those relationships where one partner is highly sexually engaged with another reported the least sexual dysfunction compared to those relationships where one partner had very low or no sexual activity with another partner. Those relationships were also found to be less likely to report problems with premature ejaculation when one partner had an orgasm during intercourse. Further, those relationships where both partners had an orgasm during intercourse were also found to have fewer emotional problems as opposed to those where only one partner had an orgasm. Therefore, it is known that the condition can be treated to provide improved quality of life for those who suffer from it.
Premature ejaculation is the condition where you ejaculate sooner than you or your partner would like. There are various factors that can contribute to premature ejaculation. Premature ejaculation is usually defined as “ejaculating before you or your partner wishes to end that particular sexual encounter”. Occasional occurrences of early ejaculations are common and aren’t typically a cause for concern unless they are becoming more frequent. But if you are noticing that around thirty percent of all your sexual attempts at sex are resulting in premature ejaculation, then it may be time to seek treatment.
The most common reason for early ejaculations is erectile dysfunction. Erectile dysfunction can result from both physical and psychological factors. If your erectile dysfunction is related to an imbalance in hormones or if your body is reacting to stress by releasing excessive amounts of lidocaine, then the solution may be different than the side effects caused by low lidocaine levels in your body.
If your premature ejaculation is the result of emotional problems such as depression, stress, or anxiety, then your treatment will likely center on those issues. Your treatment will most likely include psychotherapy and/or medication. To treat physical causes of premature ejaculation (e.g., blockages in your urinary passages), your doctor may prescribe anti-depressants or other mood-stabilizing medications. If your premature ejaculation is caused by physical stress (e.g., your mind is mentally set to orgasm too quickly), then your treatment may focus on reducing the stress that is causing the premature ejaculation. Other possible treatment includes herbal remedies such as St. John’s Wort, ginkgo biloba, and Valerian.
Other possible causes of premature ejaculation include injury, trauma, or infection of the penis, the bladder, the prostate, the urethra, the clitoris, and/or the vagina. The cause of your premature ejaculation can affect how long and deep your penetration will be during sex. Men who are self-employed or currently experiencing financial difficulties may be at a greater risk for premature ejaculation. Men who are obese, suffer from diabetes, kidney disease, and a family history of premature ejaculation may also experience more frequent and intense orgasms and ejaculations, but they may also find that their partner is not as sensitive to their orgasms, which can lead to decreased satisfaction with sex.
Some of the medications that may help delay ejaculation include antidepressants and anti-depressants. These medications may help lessen anxiety that may be causing the premature ejaculation. If your doctor recommends using antidepressants to help with the premature ejaculation of men who suffer from anxiety-induced sexual dysfunction, then you should see if your doctor is able to discuss the medications with you. Your doctor may also suggest using anti-depressants to help men who suffer from premature ejaculation due to the depression that often accompanies the disorder. SSRIs, such as fluoxetine, tricyclic antidepressants, and selective serotonin reuptake inhibitors may help some men with their premature ejaculation by changing the chemical balance in the brain that regulates orgasm and ejaculatory response.
Premature ejaculation is usually treated with psychological and behavioral therapies, such as at an ED and PE treatment center in Jacksonville Florida. Therapies often include desensitization techniques, masturbation control, and cognitive restructuring. Cognitive restructuring trains the couple to think about the sexual encounter in a different manner, which can help them overcome some of the common stressors that can cause the man to ejaculate prematurely. Some men find that behavioral therapy, which includes controlling ejaculatory response and increasing libido through the use of different strategies, is particularly helpful for them. Many couples therapy programs focus on anxiety as a cause of premature ejaculation. Couples who are experiencing difficulties dealing with stressors in their relationship may benefit from psychological and behavioral counseling in order to learn new ways to better care for one another.