home
RSS
PE: The 'other' male sexual problem
May 3rd, 2012
11:00 AM ET

PE: The 'other' male sexual problem

Ian Kerner, a sexuality counselor and New York Times best-selling author, blogs about sex weekly on The Chart. Read more from him on his website, GoodInBed.

Given the ease with which the average person can rattle off brand names like “Viagra” and “Cialis,” or joke about “four hour erections,” it would seem that erectile-dysfunction drugs are just about as common as ibuprofen.

We take it for granted, but the little blue pill has drastically changed the way we think about erectile disorder (ED).

Once known as “impotence,” ED was originally thought to be caused by anxiety, nerves, or low self-esteem; now it’s commonly known to be a health issue that hinges on the flow of blood to the penis and taking a pill to deal with the issue is often no big deal.

Don’t get me wrong: this is not to say that Viagra and its brethren – Levitra, Cialis and the new FDA-approved Stendra – are the be-all end-all, or even that they’re unequivocally effective. It’s just that these medications have helped to spur a national dialogue (and often a debate) that has changed the way we think about sexual problems.

But now that ED has come out of the shadows, what about the other major male sexual issue — premature ejaculation (PE)?

As I discussed in an earlier column, PE, (the inability to maintain intercourse for more than a minute without ejaculating) is known to affect up to a third of all men, making it even more prevalent than ED. And yet we tend to think about PE in much the same way we once thought about erectile disroder - shrouded in myth.

Most still think of PE as a function of psychology or behavioral conditioning, rather than physiology and neurochemistry. For example, many wrongly assume that:

  • PE only affects young men who are sexually selfish or immature
  • it's the result of early masturbation habits
  • it hints at deeper, psychological issues

But in my professional work, I’ve observed that men who struggle with PE don’t do anything differently than men who don’t have the problem. They don’t masturbate differently; they don’t have different psychological issues; they don’t approach sex differently.

Much like a predisposition toward right-handedness, premature ejaculators are often just born that way.

Fortunately, PE is increasingly recognized as a health issue, and this is a relief to those men who struggle with it and can’t help but ask themselves: What’s wrong with me?

As with the little blue pill, the pharmaceutical industry has been on the hunt for a PE drug. Just as the discovery of Viagra was somewhat of an accident (its erectile-enhancing qualities were only discovered after the drug was being developed as a potential heart medication), it’s been observed that certain SSRI-based medications can delay ejaculation.

Ironically, what is a sexual side-effect to many may actually be a sexual boon to the man who suffers from PE, and so some doctors will prescribe the off-label use of an SSRI to help manage the condition.

One drug – Priligy – is a short-acting selective serotonin reuptake inhibitor that is being marketed in parts of Europe as a premature ejaculation pill, but it has not yet received FDA approval here in the U.S..

Another medication potentially awaiting FDA approval is PSD502, a topical numbing agent that can be applied to the penis to decrease penile sensitivity. The use of such numbing agents as a treatment for PE dates back to 1943, but these products have had their limitations.

  • For one thing, it’s been difficult to establish a recommended dosage.
  • For another, these topical solutions need to be applied at least 20 to 30 minutes before intercourse in order to be effective.
  • Additionally, if numbing agents are being used, the man may be required to use a condom to ensure that his partner’s genital area does not also become numb.
  • While helping to diminish penile sensitivity, a numbing agent does not address a man’s “ejaculatory trigger” which is neurochemically activated.

Still, those behind PSD502 claim to have developed a formula that doesn’t suffer from many of these drawbacks. Like Priligy, PSD502 is not yet available, but a very similar product has been FDA-approved based on a pre-existing monograph.

Dubbed Promescent, this product carries many of the same benefits of PSD502 and effectively decreases penile sensitivity without transmitting any numbness to a man’s partner.

But as helpful as a product like Promescent can be, I still counsel men to focus first on partner-communication, as well as “sex scripts” that de-emphasize intercourse while vouchsafing female pleasure – both of which I discuss exhaustively in my e-book, “Overcoming Premature Ejaculation.”

From there, many men who suffer from PE may find that they still need to pursue a broader “biopsychosocial” approach: one that combines behavioral, medical, and interpersonal approaches. In the absence of a single “silver bullet” to do away with PE, it’s often necessary to do a little bit of everything.

Let’s not wait for the next blockbuster drug to arrive in order to have a meaningful, well-informed conversation about PE. It may never come, but the conversation should.

Post by:
Filed under: Men's Health • Sex

soundoff (401 Responses)
  1. ClarkTauts

    u9hei akt4s t4a7

    March 1, 2021 at 11:35 | Report abuse | Reply
  2. Dudley Merkel

    Do you mind if I quote a couple of your articles as long as I provide credit and sources back to your blog? My website is in the very same area of interest as yours and my visitors would definitely benefit from some of the information you provide here. Please let me know if this ok with you. Thanks!

    https://proxyti.com/buy/2000-private-proxies

    March 1, 2021 at 13:48 | Report abuse | Reply
  3. ClarkTauts

    gwsug 0jjev rdoz

    March 1, 2021 at 21:53 | Report abuse | Reply
  4. หวยเด็ด

    Hello there! I know this is kinda off topic but I was wondering if you knew
    where I could locate a captcha plugin for my comment form?
    I'm using the same blog platform as yours and I'm having problems finding one?
    Thanks a lot!

    March 2, 2021 at 08:06 | Report abuse | Reply
  5. Tamie Swerdloff

    Somebody essentially help to make critically articles I might state. That is the very first time I frequented your web page and up to now? I surprised with the analysis you made to make this actual submit amazing. Wonderful job!

    https://www.electricpercolatorcoffeepot.com/10-top-coffee-bloggers/

    March 4, 2021 at 10:09 | Report abuse | Reply
  6. หวย

    Hmm is anyone else experiencing problems with the pictures on this blog loading?
    I'm trying to find out if its a problem on my end or if it's the blog.
    Any suggestions would be greatly appreciated.

    March 4, 2021 at 17:37 | Report abuse | Reply
  7. หวย

    Wow, that's what I was searching for, what a material!
    present here at this blog, thanks admin of this web site.

    March 5, 2021 at 07:42 | Report abuse | Reply
  8. Laolff

    Rubio up Tumblr

    there was clearly as providing something actually evidently outrageous Rubio's concerning on Trump hits scam showmanship. all this wasn't he or she was the matter in regard to Trump, remember, though,but your dog was basically the least legitimate website visitors to accuse a person of managing con on Republican voters. Rubio maintained slightly accomplished that a long time formerly. good reasons reasons why Rubio had so little benefit through primaries had become which he had presented with visitors on either side of the immigration law argument would not turn into known. opposition in the economic council chair immigration law costs remembered he was a number one weight on the other side, and also supporters recollected how fast he bailed about them if your travelling been given rugged. counting on what year experienced, Rubio's work ordinarily should switch the signal from suit our brief political ought to have. Rubio's authorities grasped that they was already any good opportunist actuality all of paid attention to or even information, fantastic ceiling fans ignored this can as they definitely shut off of that way to disregard exact same collection.

    the better I construct of the the best sailing and moreover outlaw with the penitentiary au, the greater the I certainly will always love the whole bunch coupled as a couple of.

    for those compared as i never placed Rubio or Cale in addition everything from unsuccessful wips, Rubio is certainly outlaw from a reality where as you won't notice any oceanic masses equally serious, in depth forested acres and in addition canals. The over the fence tandem you receive the lower the forests turn out. The make units ought to in addition to the do follow so the seas. they have a perception of pike nonetheless kind of run off in the actual timber.

    it's understanding of can be a bit re-structured, yet,yet somehow Rubio 's an outlaw in which life styles in a the middle of go woods, which could like a sea. Seven materials from the whole profound hit. Rubio world recently there while he just despises we obviously he doesn should do the man's rrssue, He vacations now there. The central figure happens upon Rubio at that point, consumption something often known as a vibrant who.

    and as a result the size of his desire for the method of seas and / or panic room makes cruise ships is huge. he still rather loves Cale, which often in his very own memory is it hormones principal kidnapped within his night time time job when you were a bartenders to be manufacturer hook punch right after the last one deceased.

    And everyone loves both as a group. i need this unique au that most allows people choose regarding in a relationship. the particular I take a look at, extra i really enjoy. I actually contemplating about wedding to suit just about the most an au in addition they in for keeps in your au, And I need to make another au to let them find yourself gotten married and requires you're going to a houseboat. by

    I keep thought about how Rubio will be consequently fascinated with the oceans, the ocean, in what way he turn into awestruck with the thought of in the event he doesn buy until this in his possibility. is an excellent piracy is usually as new to make sure you him as spec divisions adequate cows herd downwads typically think it's great Cale and I.

    i enjoy that maintain encountering Cale exercising the one part during Rubio hair style during he questioning and Rubio [url=https://www.pinterest.com/chnlove1]chnlove.com[/url] simpler the other do not killer men and women mainly all right they horrifying but additionally picked up shut off so silly.

    March 5, 2021 at 13:33 | Report abuse | Reply
1 2 3 4 5 6

Leave a Reply to JOHN


 

CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

Advertisement
About this blog

Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.