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Premature Ejaculation (PE) is a condition that can affect men emotionally and physically and take a toll on their relationships. The most common way to describe this condition is an ejaculation that occurs before both partners would like it to.  Intercourse plays a huge role in the success and happiness of a relationship and marriage. Over time, unresolved sexual problems can slowly chip away at this bond for both partners.

Effective communication is crucial to a healthy and long lasting relationship; however it can often be difficult for a man to discuss his premature ejaculation concerns. There is a lot of unnecessary shame that is associated with the condition and many men think that admitting they have problem makes them less of a man. More so than not, not talking about the problem is what actually makes it worse. Misunderstandings, hurt feelings, and anger can quickly escalate.

On an evolutionary level, intercourse promotes what scientists like to call “pair bonding.” During sex, and particularly during an orgasm, chemicals like oxytocin and dopamine are released; these chemicals help strengthen the bond between both partners. During this time, there is also an increased feeling of trust and security as well as an emotional attachment. These bonding emotions are crucial to the overall health and longevity of a relationship therefore when both partners miss out on these healthy bonding chemicals they are instead left with negative feelings of inadequacy and disappointment.

Premature ejaculation is a common condition and it is usually caused by a combination of an over sensitive glans penis (head of the penis) and nervousness and performance anxiety during sex. It affects 25- 40% of men in the United States. PE is more common in younger men and often resolves itself with increasing experience.  During sex, anxiety plays a key role in PE.  If he’s inexperienced and doesn’t know how to control his urges, he can also experience something called “short intravaginal ejaculatory latency time (IELT).” This means he ejaculates after a few thrusts and therefore might be dubbed a “two minute man” by his partner. This behavior can also trigger feelings of remorse in his partner and leave them to think that he is behaving selfishly and that she is merely a vehicle of his sexual pleasure.

Despite the high prevalence of PE, a study presented at the 2004 American Urological Association meeting revealed that only 50% of those affected by PE were distressed by their condition and out of the other 50%, only 12% sought out treatment for their condition. Due to the stressful nature of PE, men are not apt to discuss their issues and view PE as a sign of their masculinity. This may also prevent them from pursuing relationship.

But don’t give up.  Some of the methods used to help erectile dysfunction, (like Viagra and injection therapy), can help.  Medications used to treat depression like Zoloft and Paxil, (SSRI’s), can reduce the normal ejaculatory response and a new medication called Ristenza combines elements of SSRI’s and the active ingredient in Viagra and works for many men.

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Author: drmaxmccullen

When Max McCullen first read Alfred Kinsey’s landmark book, Sexual Behavior In the Human Male, he began contemplating why so little is known about human sexuality. Since its publication in 1948 that body of knowledge has grown marginally. Why do we think about sex all the time? How much does sex really influence our behavior? And why do we still know so little about it? He completed undergraduate studies at University of the Pacific and The University of London and then his research led him to the Institute for the Advanced Study of Human Sexuality in San Francisco. IASHS was founded by Kinsey’s research assistant, Wardell Pomeroy. His initial curiosity soon evolved into a passion, which drove him to acquire his Doctorate of Education in Human Sexuality and Gender Studies. In 2004 Dr. Max began working for GlaxoSmithKline Pharmaceuticals (GSK), one of the largest pharmaceutical companies worldwide. This experience contributed to his understanding of medical treatments for male sexual dysfunction. He became familiar with how Viagra, Levitra, and Cialis function on a biological level and their social implications. His expertise naturally transitioned into him working with some of the most prestigious Urology offices in Southern California. These doctors and passionate medical personal, illustrated firsthand the impact treatment of male sexual dysfunction can have on patient care and their overall well being. This experience made him yearn for more direct contact with patients in a clinical setting. So after GSK he worked with Boston Medical Group (BMG), an international, clinic based organization, comprised of board certified Urologists and other specialties. BMG focuses on low libido, erectile dysfunction, premature ejaculation and testosterone replacement therapy. With BMG, Dr. Max was not only their spokesperson doing radio interviews and lecturing but worked as the physician liaison connecting patients with doctors for treatment. He also worked as a consultant for University Specialty Urologicals, based in San Diego, meeting with Urologists all over the west coast to train them on various treatments for men and women's sexual health issues, including hormone replacement therapy. During this time he also hosted online webinars for patients with questions; he also has a written and video blog series and does private consultation for patients. Dr. Max McCullen brings a historical knowledge of the human sexuality field together with the reailties of living in a digital age. “The issues that confronted our elders in the 50’s and 60’s are different today - but no more impactful. Where they were learning about their sexuality and beginning to embark into the sexual revolution we are over exposed to the commodification of sex. This makes the navigation of sex and emotional intimacy difficult” Dr. Max McCullen

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