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Urologists and other medical doctors typically treat early ejaculation with a combination of medications and creams. In such cases, some men develop early ejaculatory problems later in life. With the instructions from the therapist, these medications may be combined with various creams aimed at reducing sensitivity. Issues such as depression, a sex therapist, problems such as delayed ejaculation seldom disappear without professional intervention.

In some cases, treatment for these cases is similar to younger men but psychological issues are probably even more critical to address. It is theorized that the central regulation is by dopamine and penile hypersensitivity, medical insurance typically covers 30 pills for SSRI’s and only 4 sildenafil tablets per month. In this manner, sensitivity may be improved with the use of androgens such as testosterone or by using a vibrator.

The literature suggests that early ejaculation is the most common of any male sexual difficulties. As a result, sexual activity can be perceived as more work than pleasure. Often the first step, deciding to seek treatment and finding the proper professional is the most difficult. A common cause is pudendal neuropathy, caused by a crush to the perineum such as from bike riding with a narrow saddle. The dosages are usually adjusted as the patient progresses.

In the vast majority of cases, the most effective therapeutic approach for ejaculatory dysfunction is a combination of biologic and psychologic therapy. At other times, there is the hope that ejaculatory problems will disappear without proper treatment. In addition to early sexual experiences, family attitudes toward sexuality as well as cultural and religious beliefs all play a role in sexual development and ejaculatory control. Please forward this error screen to 192.

Ignoring these important emotional issues can lead to difficulties resolving the problem or to a future re-occurrence of the sexual dysfunction. For men, erectile dysfunction and ejaculatory problems are the most common sexual difficulties. Anti-depressant medications such as Paxil and Zoloft are often prescribed and are taken by the patient 2 hours prior to sexual activity.

In spite of the lack of information regarding delayed ejaculation, the most successful approach, for sex therapists, is to engage both members of the couple into addressing the problem. For some men, there may be additional psychological issues that underlie an ejaculatory dysfunction. The partner feels equally unsatisfied and frustrated. Resolving the problem is most successful when both partners can work together as a team toward a successful solution.

Delayed ejaculation carries with it issues of inability to achieve orgasm and infertility. It is important that the couple have an understanding of the problem, it’s origins, the prognosis and the need to work together toward a satisfying solution. As mentioned, the most effective approach is a combination of psychological assistance and medical intervention. The psychological definition of delayed ejaculation refers to the inability to have an ejaculation during sexual intercourse. With the introduction of Viagra however, problems of erectile dysfunction are much less frequent and more easily treated.

Specific instructions are adapted to the individual and unique characteristics of each patient. For many men, finding the right professional, who has experience and realizes the seriousness of the problem may be one of the most difficult aspects in the treatment process. Although less common, some men develop early ejaculatory problems later in life. In this way, both the emotional and physical aspects of the problem can be addressed. Fast acting SSRI’s specifically for rapid ejaculation are currently in development.

In spite of his best efforts, the man experiences a sense of helplessness in controlling his ejaculation. The disorder may be lifelong or acquired, global or situational, with different treatments. Anti-depressants or agents which act centrally such as Valium, anti-hypertensives and alchohol abuse all can affect this.

It is theorized that the central regulation is by dopamine and penile hypersensitivity, so treatment may be with Sildenafil and local anesthetic. In contrast, ejaculatory problems continue to be commonplace among men and often create feelings of shame and embarrassment for those men who struggle with this difficulty. The time from initiating sexual activity to ejaculation varies from one individual to another. For example, there may be issues of performance anxiety related to infertility, fears of rejection or the desire to please a partner. As a result, an important diagnostic question for sex therapists is the context in which the problem occurs.

This question will ultimately be important as a treatment program is designed and implemented. The most important lesson to be learned by men and their partners is that there is hope and there are therapies that can help resolve the distress of ejaculatory difficulties. At other times, there may be no clear precipitating events to the onset of a early ejaculation pattern.

For many men, feelings of shame prevent them from seeking medical and professional help. This treatment works better for people whose rapid ejaculation is acquired. They feel that they have little to offer in a relationship and to tend to avoid emotional and physical intimacy.