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Question:
Hi, my problem is premature ejaculation. If I am masturbating, or with someone, I ejaculate prematurely, even though I try not to. After that happens, the erection goes down too. Are there any suggestions you have that will help this? Thanks

Answer:
by Julian Slowinski:
(05/19/2004)
Difficulties with controlling ejaculation are quite common. There are a number of theories about the cause of rapid ejaculation (premature ejaculation- PE), including: simply highly aroused sexual excitement; initial anxiety about sex with a new partner; worrying about it happening AGAIN with a regular partner; individual differences between men and their ability to control ejaculation; relationship and partner issues; certain medical conditions which a physician can evaluate. Traditional treatments have involved practicing stop-start exercises with masturbation or sex with a partner to taking advantage of the side effects of some of the newer antidepressant (SSRI) medications which can inhibit ejaculation. Worrying about it make PE a self-predicting problem. Traditional techniques for treating PE are often outlined in up to date books by qualified professionals (for example, see The Sexual Male: Problems & Solutions, Milsten & Slowinski). While treating PE is often met with considerable success, it is aways important to continue to pay attention to what has worked and not to get back into old habits which can contribute to a return of symptoms. For peace of mind, seeking professional advice is always a wise option. Dr. Slowinski

Reviewed by Sexual Health Editorial Team

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