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.

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Filed under: Men's Health • Sex

soundoff (1,160 Responses)
  1. jeeves

    This is a ridiculous article. Effective behavioral treatments have been available for over 40 years and are not even mentioned here. Instead, the Dr. wants us to find another medication to solve our problems. Here's an idea, try drinking 2 glasses of wine before you have sex. That'll do it. Or better yet, read Master's and Johnson's from the 70's who will tell you all about the squeeze technique.

    May 3, 2012 at 12:20 | Report abuse | Reply
    • James the elder

      Neither of those techniques is effective. Even a little.

      May 3, 2012 at 16:26 | Report abuse |
    • Bubba

      Instead of wine take about 100 mgs of oxycontin. She'll beg you to stop before you get done. Or you'll just give out and give up.

      May 3, 2012 at 17:01 | Report abuse |
    • Brad Lead

      I agree with the previous comment. Every man is born with premature ejaculation, so having it is perfectly normal to start with. Controlling ejaculation is something you have to learn just as you had to learn to control your bladder as a child. We get taught to control our bladders but no one teaches us how to control ejaculation.

      The American Academy of Family Physicians confirms that: Behavioral methods are helpful for more than 95 percent of men who have premature ejaculation. So, if you have tried exercises and they have not helped it is because they have not been explained properly to you. Many of the treatment programs offered online have not been written by professionals.
      Do not waste time or money on sprays, vitamins, herbs, dietary supplements or drugs. This is a learning problem and these things will not help you learn to control ejaculation any more than they can help you to learn to speak another language.

      There are a lot of high-priced programs advertised online but all you need is an inexpensive little book written by a doctor and sex therapist that has been used successfully around the world for more than 32 years.

      It is called "Lasting Longer: The Treatment Program for Premature Ejaculation" by Dr. Sy Silverberg M.D.

      May 3, 2012 at 18:47 | Report abuse |
    • Minorkle

      Don't "Ask Jeeves" on this issue. This "advice" is useless.

      May 3, 2012 at 19:53 | Report abuse |
    • Bart Flaster

      I thought for sure this would be about bedroom flatulence.

      May 3, 2012 at 20:03 | Report abuse |
    • Real Man

      She needs to get in the kitchen and make him dinner. And how about making that bed up for a change?

      May 3, 2012 at 20:10 | Report abuse |
    • A

      Exactly jeeves. There are several successful, behavioral treatments that have been around for decades (some might argue centuries).

      May 3, 2012 at 21:43 | Report abuse |
    • A

      James – you're absolutely wrong, and the research proves it. It may not work for you, but it does work for the average male.

      May 3, 2012 at 21:45 | Report abuse |
    • CosmicC

      I'm going to make a great leap and suggest that, like me, none of the people saying this is just a behavioral issue actually have the problem. Let's leave this one to the doctors (but not the pharma guys who will market anything).

      May 4, 2012 at 09:00 | Report abuse |
    • Jerome

      Years ago, I read in Esquire magazine that thinking about Pete Rose will help when you feel youself getting close to the edge of the cliff. Works for me.

      May 4, 2012 at 13:52 | Report abuse |
    • Tom

      Humans are the only animal to have sex for pleasure (except possibly Dolphins – that one's still under discussion). Just about every other critter on earth ejaculates rapidly, gets the job dome and moves on. "Premature" is a relative term. 60 seconds is very long compared to the other mammals. Perhaps its not that there are more men with PE, or its being talked about more, it's that more is expected of them, and those that don't meet the standard are considered flawed.

      May 4, 2012 at 17:11 | Report abuse |
    • Southerner01

      Tom, I am not certain of what you say. My dogs spend way too much time licking themselves down there to believe they are not doing it for pleasure.

      May 4, 2012 at 22:11 | Report abuse |
  2. Joshua

    Does using an acronym, make being bad in bed a medical disorder? Try the following first. Think about baseball, let her go on top, ejaculate an hour before. Once you have successfully had sex a lot of times it becomes less exciting and you might end up with no problem at all. If you are still having problems, then consider talking to your doctor about using Performance Enhancing Drugs. But if you do you can never complain about athletes taking steroids again.

    May 3, 2012 at 12:31 | Report abuse | Reply
    • WolfySilver42

      Man I wish there was a like button for this post, best advice I have seen on here yet. Second my guess PE is a genetic adaptation acquired back when we were still hunted, having to leave yourself vulnerable for a hour to procreate is not a good survival plan. The faster your able to complete your task the less chance you will be interrupted and become some ones lunch. I feel bad for people who have this problem but drugs are rarely the best recourse.

      May 3, 2012 at 22:58 | Report abuse |
  3. Josh

    If PE affects 1/3 of men, then how can anyone claim it isn't simply NE (normal ejaculation)?

    May 3, 2012 at 12:35 | Report abuse | Reply
    • D

      Because it is premature for the woman.

      May 3, 2012 at 13:08 | Report abuse |
    • Daniel

      1/3 is a minority, and not normal.

      May 3, 2012 at 13:27 | Report abuse |
    • Fuyuko

      True. I think people think being a sexual athlete is the new normal, however, there could be a very good biological reason to 'get it over and done with.' In my opinion, lasting a long time is overrated.

      May 3, 2012 at 16:00 | Report abuse |
    • Bob

      Have to agree with the biological theory of getting it done. Obviously sex is required for the biological aspect of reproduction. I'm guessing that it would have been advantageous for the sperm donor to finish quickly giving him a much better chance at impregnating a female without suffering bodily harm. Especially when that female had been "claimed" by someone else. It was probably a slick biological way for the lesser males to successfully contribute to the next generation, without getting caught in the act.

      May 3, 2012 at 16:23 | Report abuse |
    • James the elder

      The 'average' sex act lasts 5-10 minutes after penetration. So unless you're lasting less than 5 minutes, you're normal.

      May 3, 2012 at 16:28 | Report abuse |
    • touch&go

      Why assume that it's a problem with the guy...maybe it's the *sex* that's not normal, or the girl. Or the reason that you're having sex.
      In any case I personally don't see why anyone should hae to go through 5 minutes of intercourse before orgasm, just because "the average couple" does.

      If it's really good, why wait 5 minutes?
      Is that something that the man is supposed to be able to consciously control?

      I'm all in favor of 1 minute of intercourse following a good 5 minutes of hot foreplay 🙂

      May 3, 2012 at 19:14 | Report abuse |
    • Josh

      While 1/3 is a minority, it is not insignificant. "Normal" would be at the 1/2 median, but 1/3 isn't all that far from that median.

      While woman might like it to last two hours, many men would like their woman to have double-D's. However, that doesn't make double-D's suddenly the normal size.

      May 4, 2012 at 08:18 | Report abuse |
    • Southerner01

      The purpose of sex is to inject sperm into the partner for the purpose of creating children. The pleasure part is an enjoyable bonus. Someone who injects their sperm quickly does not have a biological dysfunction. Their gear does the job it was designed for.

      May 4, 2012 at 22:09 | Report abuse |
  4. PEYesBut

    For me frequency does the trick in eliminating PE. While this may be fine for men who have a sexual partner or wife who likes regular sexaul intercourse, it doesn't help in cases where married couples only have sex once or twice a month and then the wife is disappointed and dissatisified, which may have led to the infequency to begin with. Also, then there is my current situation, which is doviced and not dating much, so that when I do find someone and get to the point of having sex with a her, I would feel compelled to offer a disclaimer, stating that it has been a very long time and to expect a quick ejaculation in the beginning. That said, if she is patient and mature in mind, then round two promises to be a longer and more enjoyable experience. In this situation I would be inclined to seek out a PE drug to be able to avoid that conversation to begin with.

    May 3, 2012 at 12:54 | Report abuse | Reply
    • D

      Taking care of yourself before the date would not work?

      May 3, 2012 at 13:10 | Report abuse |
    • Bob

      Lot's of sex does help!! Especially really dirty sex!! A lot of times I think it is mental stimulation that is the culprit. That is why I don't think pulling one off before a date makes any difference. However, start having some really frequent, dirty sex and it seems to take care of the problem. Of course, then you find you really want the sex as dirty as you can get it. But that's not really an issue!!!

      May 3, 2012 at 16:26 | Report abuse |
    • touch&go

      "sexual infrequency" is due to one simple thing: they don't want to have sex often.

      If thy did, they would have sex more often.

      May 3, 2012 at 19:15 | Report abuse |
    • touch&go

      "sexual infrequency" is due to one simple thing: they don't want to have sex often.

      If thy did, they would have sex more often.

      "Not wanting to have sex because of lack of past satisfaction" is a lame excuse for simply not wanting to have sex with this person *now*.
      The man can worry about the womans' frustration later after they have *begun* to have sex but there has to be that basic desire to have sex, not "to have intercourse for 5 minutes or longer"

      that's mixing metaphors

      May 3, 2012 at 19:20 | Report abuse |
  5. Andrew

    I would love to meet the woman who coined "premature ejaculation." Every time I've ever ejaculated, it has been exactly when I wanted to, regardless of the woman's expectations.

    May 3, 2012 at 12:56 | Report abuse | Reply
    • JR

      I love it.

      May 3, 2012 at 14:49 | Report abuse |
    • Bubba

      We both start at the same time. It's not my fault she can't keep up.

      May 3, 2012 at 16:59 | Report abuse |
    • Nophah Kingweigh

      Halleleujah brother! Amen.

      May 3, 2012 at 18:49 | Report abuse |
    • Thomas

      I don't suffer from PE, but my GF does.


      May 4, 2012 at 06:57 | Report abuse |
    • not the end of the world

      Love this comment 🙂 My husband ALWAYS goes within the first two minutes..and we've tried everythin..what does seem to work is a liot of foreplay up front with ME so that I'm just as ready when he is. LOL usually doesnt take much!

      May 4, 2012 at 11:07 | Report abuse |
    • Helicoptar

      you don't get laid much do you?

      May 4, 2012 at 13:40 | Report abuse |
  6. podunda

    For most women, premature is not soon enough !

    May 3, 2012 at 13:13 | Report abuse | Reply
    • Daniel

      Ouch. Hate to be you....

      May 3, 2012 at 13:28 | Report abuse |
    • Joe

      I feel really sorry for you.

      May 3, 2012 at 14:36 | Report abuse |
    • MrsBlackwell

      You must a nightmare ti have sex with if women are praying to get it over with.

      May 3, 2012 at 15:56 | Report abuse |
    • KawiMan

      Are you finished yet?

      May 3, 2012 at 18:03 | Report abuse |
    • Sylar75

      You might be doing it wrong

      May 4, 2012 at 14:11 | Report abuse |
  7. Anon

    Exactly, if I came, it was RIGHT ON TIME. You know what I say to her, "I beat you."

    May 3, 2012 at 13:16 | Report abuse | Reply
    • Daniel

      Bet you don't get Round Two.
      And just imagine what she tells her friends....

      May 3, 2012 at 13:29 | Report abuse |
    • gatecrasher1

      And if she doesn't like it, you can get her flowers and a vib rator- if she doesn't like it she can fark herself.

      May 3, 2012 at 14:45 | Report abuse |
    • Burbank

      Gatecrasher obviously doesn't like women much. Maybe he should try men...

      May 3, 2012 at 14:54 | Report abuse |
  8. Rico_Suave

    people always make a big deal out of it. find a mature understanding girl who can laugh it off and be patient enough for rounds 2 and 3!

    May 3, 2012 at 13:26 | Report abuse | Reply
  9. Frank

    If it is not a problem for you, terrific. If it is a problem and it is making a situation worse, then its good there is a remedy to pursue. I am waiting for the third male issue to be addressed; intercourse with no ejaculation. Sometimes there is no ejaculation regardless of how long we go. It is still a pleasurable experience but its just not going to happen.

    May 3, 2012 at 13:31 | Report abuse | Reply
    • Sunflower

      I was wondering when someone was going to bring that up.... It is indeed a third category... Great for the woman, but powerfully frustrating and disappointing for the man.

      May 3, 2012 at 15:04 | Report abuse |
    • Al Russell

      Actually this is NOT great for the woman! We end up sore and tired after we try for hours to "get him there," using ever trick we can think up, and then feel like we somehow let him down when nothing works. I've experienced this problem personally, as have a number of my friends. It's probably just as damaging to a relationship as ED. Some women come to dread being intimate with their partners because they feel hopeless and the experience often ends up physically painful for them. I'd take PE over that any day!

      May 4, 2012 at 16:42 | Report abuse |
  10. Tom

    What about men who have the OTHER problem (that being delayed ejaculation or anorgasmia)? Sure, going for an hour or two might sound studly, but it really gets more difficult for the partner to handle after a certain threshold. Older men with this issue run the risk of heart attack from prolonged activity with no orgasm.

    I'd like to see some real research done for those of us who can go for hours, but wish it wouldn't take that long!

    May 3, 2012 at 13:37 | Report abuse | Reply
    • anna

      LOL LOL

      May 3, 2012 at 15:27 | Report abuse |
    • Fifi

      Fantasy is fun, eh?

      Going too long is not "study" to a woman (gay men may be another story). It's boring and it makes very tender tissues sore.

      May 3, 2012 at 19:59 | Report abuse |
    • Tom

      I think you're both missing the point. I don't WANT to have to go at it for an hour. And yes, it is a serious problem, and no it is not a fantasy.

      May 3, 2012 at 22:04 | Report abuse |
    • Al Russell

      I agree with Tom. This is a real problem for the woman too. I pine for those bygone days when intercourse didn't take a marathon of endurance and my parts weren't sore for an entire day afterward. I don't know a single woman who really wants her man to go for two hours consistently. Most complain about getting really sick of it after 45 minutes and wishing he'd hurry up. That's some Penthouse Forum fantasy that men have about how "studly" they might be. I'm sure there are some rare women who really like to go at it for hours, but they aren't typical, or common, I'd suspect.

      May 4, 2012 at 17:05 | Report abuse |
  11. Megan

    I saw Promescent being featured on Dr. Oz recently so I orderd it for my husband and it really does work so well without any side effects! I highly recommend giving it a try whether you have PE or if you just want your partner to last longer.

    May 3, 2012 at 13:39 | Report abuse | Reply
  12. JustDucky

    Well, uh, if you ask me, uh these here PE drugs "can't come too soon." Heh, heh, heh. Anyway, if you're in your 40's or younger, don't worry too much about it. By the time your wife is 50, the less time she's required to endure the sex and the less the frequency, the better she'll like it. 95% of women are sick of sex altogether by the time they're 55.

    May 3, 2012 at 14:01 | Report abuse | Reply
    • AbbieR

      Are you kidding?! By the time women are 55, we FINALLY don't have the risk of pregnancy and sex gets really spontaneous and fun! Are you speaking from your own personal experience or just generalizing based on what you and your buddies talk about? Try talking to women and find out what they'd REALLY like after 50 or 55. Maybe your woman isn't tired of sex – maybe she's just tired of the same old thing. Heh, heh, heh.

      May 3, 2012 at 14:21 | Report abuse |
    • Awakened

      When we first met my husband was a PE. He would always make sure to please me orally so that I was nicely comed by the time he entered me. Through the years he has been training himself to come before ejaculating. First he could only have the control while self stimulating, but during the last 5 years he has been able to be multi-orgasmic (4-8 orgasm before he ejaculates) during intercourse, and, I tell you ladies: it is heavenly!
      We've been together 29 years, now, and even though we are busy running a business, raising 2 children, exercising, etc. we make time to enjoy each other intimately at least 3 times per week. To guys with PE: most likely you don't have a "problem", all you need is fine-tuning! Be patient with yourself, engage your partner and Enjoy the process!

      make sharing pleasures a priority.

      May 3, 2012 at 14:47 | Report abuse |
    • Bob

      Have to agree with Abbie here. Most of the women I know around that age have a new found sexual awareness and drive that even surprised them. Lack of pregnancy issues, changes of perspectives, and just being able to enjoy sex all seem to be contributing factors. I had a lot of sex over the past couple of years with many women in that age group. They could never seem to get enough. I'm not complaining!!

      May 3, 2012 at 16:39 | Report abuse |
    • Fifi

      Wrong, justducky. They are sick and tired of their husbands. Very, very true in my case.

      May 3, 2012 at 19:55 | Report abuse |
    • KC

      It's not her, it's you. I'd had quite enough of the last guy who was only in it for himself, so when he decided to move on to a new relationship I was happy to see him go. His replacement has much better technique, listens to my input on refining his technique, and at 50-something, we're only just getting started.

      May 4, 2012 at 02:09 | Report abuse |
    • CosmicC

      It's gotta be you. For me things really started heating up after my wife passed 50.

      May 4, 2012 at 09:06 | Report abuse |
  13. Victor

    This topic makes me laugh...I apologize to any of my brothers struggling with this...but you have to admit it is funny. If you have PE and you are out of your teens...you need to work on your technique or get an uglier girlfriend/wife.

    May 3, 2012 at 14:13 | Report abuse | Reply
  14. Peter Longlast

    Six beers or 3 shots of hard liquor will do the trick.

    May 3, 2012 at 14:21 | Report abuse | Reply
  15. Slammy

    From my experience, you can keep an erection for some time after ejaculation when taking Cialis. Even after it goes soft it comes back pretty quick... what's the problem when taking the drug?

    May 3, 2012 at 14:29 | Report abuse | Reply
  16. AbbieR

    Americans are so goal-driven. In sex, as in other pursuits, the focus is on the destination, not the journey. I know that clinically these are valid problems, but emotional immaturity and impatience of one or both partners contribute greatly to, and can even cause, these problems. Slow down, get to know one another and, if one has a true clinical concern such as PE or ED or something else, seek help together and work together on solutions. Juvenile embarassment or giggling or scorn or rejection does nothing for either partner.

    May 3, 2012 at 14:36 | Report abuse | Reply
    • Bob

      Do I know you?! As a guy, I've always laughed at other guys that were always in it for themselves. Sex isn't just the final act of copulation. Sex is an all the time thing with teasing, touching, kissing, looking at her, and even just smiling. The hotter you have her and the longer she has anticipated it she'll be finishing early. And you don't go straight for your finish. A man's goal should be to have her "finish" 4 or 5 times before his penis has even gotten near her. By the time he actually enters her, she'll be ready to explode again and it won't matter that you are exploding withing a minute, because she'll be swearing that was the greatest sex she ever had as she finishes again while she is feeling you unload inside of her. Ladies love that simultaneous orgasm. Can't say that I don't like it either!!

      May 3, 2012 at 16:46 | Report abuse |
    • Awakened

      Agree with Bob 🙂

      May 3, 2012 at 19:04 | Report abuse |
    • Southerner01

      Bob, you're a cunning linguist and a master debater. Hehe. Always wanted to use that in a chat forum!

      May 4, 2012 at 07:16 | Report abuse |
    • Bob

      Southerner, do I know you!!!!

      May 4, 2012 at 12:10 | Report abuse |
  17. gatecrasher1

    It's not premature ejaculation- it's orgasmic dysfunction by the woman. Premature ejaculation is a myth.

    May 3, 2012 at 14:43 | Report abuse | Reply
    • Burbank

      LOL! I bet you don't get many partners!

      May 3, 2012 at 14:51 | Report abuse |
  18. LKT

    Geez. How did I get so lucky to have a husband with both ED and PE?

    May 3, 2012 at 14:43 | Report abuse | Reply
    • Pappa Smurf

      Sorry dear... I'll try harder next time.

      May 3, 2012 at 15:18 | Report abuse |
  19. Burbank

    PE is no big problem, just do it twice in a row. The second time is for her and will naturally take longer.

    May 3, 2012 at 14:50 | Report abuse | Reply
  20. Pappa Smurf

    Having sex more often works for me!!! If I'm only getting it once a month then yea I'm excited as he!! when I get it and well oops!!!!

    May 3, 2012 at 15:17 | Report abuse | Reply
  21. anna

    These comments really make me laugh, one would think that it is the end of the world if you cant have sex!

    Men are sooooo silly.

    May 3, 2012 at 15:31 | Report abuse | Reply
    • TheSara

      Here's a girl that says it will be the end of the world if i can't have sex. It's the only use I have for a man.

      May 3, 2012 at 15:46 | Report abuse |
    • lol

      Spoken like a true women. As a man speaking for men I will say sex is everything.

      May 3, 2012 at 15:53 | Report abuse |
    • Bob

      I think I'm in love with TheSara!!

      May 3, 2012 at 16:31 | Report abuse |
  22. palintwit

    Remember when Bristol Palin was on DWTS and her buttplug popped out? The janitor picked it up thinking it was a chew toy.

    May 3, 2012 at 15:56 | Report abuse | Reply
    • Southerner01

      Seems like someone has an anal obsession with the Palin family. This isn't even a politics topic. Can you keep the stupid hate filled crap on the politics pages please.

      May 4, 2012 at 22:05 | Report abuse |
  23. andrew

    ed is when the girl is too ugly, pe is when the girl is too fine for your genetics.

    May 3, 2012 at 16:56 | Report abuse | Reply
  24. Dick

    Oxycontin or oxycodone mixed with a couple drinks and a healthy sex life and you will wear both of you out before you finish...

    May 3, 2012 at 17:50 | Report abuse | Reply
  25. Dick

    And by the way – James the Elder – you don't know squat...

    May 3, 2012 at 17:55 | Report abuse | Reply
  26. Rico_Suave

    Haha leave it to some tool immediately after me to leave snide remarks...i have an extremely satisfying sex life, tyvm:) yes, that includes round 1:) something tells me YOURS leaves something to be desired tho...bitter much?

    May 3, 2012 at 19:10 | Report abuse | Reply
  27. Dr. MD

    Studies have shown that many men with ED in fact have several erections while asleep. Sex is a mental thing and most sexual problems are mental as well. A good therapist could solve most of these problem, but that involves many 1 hour talk therapy sessions. I could give a patient a nice 1 hour talk therapy session or I could give 6 patients a nice prescription during that same hour.Is making a patient drug dependent a violation of the Hippocratic oath? I think it is, but the AMA, which is a bunch of doctors saying what is OK for doctors to do, disagrees. Why try to face and overcome your problems when a pill can do it for you? Maybe the empowerment that comes from overcoming a problem by yourself has no value?

    May 3, 2012 at 19:11 | Report abuse | Reply
    • Dr. MD

      Sorry for the slightly off topic post as I talked about ED not PE.

      May 3, 2012 at 19:45 | Report abuse |
  28. Dr. Uro

    I am a practicing urologist in Colorado and had nothing to offer my patients for many year and shared their frustration. Last you at the Sexual Medicine society of North America conference I was introduced to Promescent which is mentioned above. It is safe, effective, inexpensive and unlike SSRI's is used only per episode.
    I have 10-12 patients using it regularly and they range from fairly satisfied to ecstatic and many are going on 7-8 months of using it. P.E. is totally misunderstood and some of the banter here proves how truly misinformed people are. There are numerous physiological components that behavioral therapy can't address. SSRI's have a laundry list of issues including but limited to dry mouth, Nausea, loss of libido. Regular anesthetics transfer to the woman and numb the man, Promescent does not do either one. There is no perfect answer but it is clearly the best first line treatment option for Urologists like myself who have patients suffering with the issue. It is great that Dr. Oz and this writer have found it and are bringing it to the public's attention because a lot of men surf te net instead of seeing a physician.

    May 3, 2012 at 19:16 | Report abuse | Reply
    • Canucklady

      I saw Promescent featured on the Dr. Oz show by Dr. Laura Berman and my husband ordered it. We have tried it twice and loved it. We had decent lovemaking sessions but sometimes had to switch positions or slow down to so he could keep going. Now it is not an issue , we really have eliminated that variable form the equation. So for us it wasn't a PE issue but an ability to go with the flow and reckless abandon that was great.

      May 3, 2012 at 22:49 | Report abuse |
    • Southerner01

      So explain to me why it is better to risk dry mouth, nausea, loss of libido and other side effects when you could just whack it an hour or two before and have a slower second round?

      May 4, 2012 at 22:01 | Report abuse |
  29. Fifi

    Why do so many men care whether they are too quick to cross the finish line? It doesn't mean they can't attend to their partners' needs. The truth is, I get bored and irritable when my husband tries to drag it on and on. That's all for him, not me. Far from seeing PE as a sign of selfishness, I would care only about what the man did next...for his partner.

    May 3, 2012 at 19:45 | Report abuse | Reply
    • Dr. MD

      A good point, just because I am done does not mean I cannot still please a woman.

      May 3, 2012 at 19:49 | Report abuse |
  30. D Train

    Easy fix. Pleasure the lady orally first. She won't mind the 30 seconds of pumping as much. Everyone goes to sleep happy.

    May 3, 2012 at 21:13 | Report abuse | Reply
  31. JR

    Did anyone mention Groucho Mrs's hysterical observation about 'lasting longer' creams like PSD502...'I tried some but I came rubbing it on'..ore something to that effect...

    May 3, 2012 at 21:24 | Report abuse | Reply
  32. scotty

    Who CARES if the woman is satisfied as long as i get my nut.

    May 3, 2012 at 21:27 | Report abuse | Reply
  33. treblemaker

    I have a simple solution. Find any method of taking care of her needs first, not yours! Then it doesn't matter when you let it go. Once her needs are met (and she'll keep it going on and on while you do it), she'll have you any way your heart desires.

    May 3, 2012 at 21:33 | Report abuse | Reply
  34. Pete

    Once in the air, once in her hair, once in the meat...they call me three-second Pete!!

    May 3, 2012 at 21:33 | Report abuse | Reply
  35. sportreform

    I have PEED. Luckily those extra absorbent peed pads make clean up a breeze.

    May 3, 2012 at 21:37 | Report abuse | Reply
  36. Pete

    How do real men tell if their girlfriend has had an orgasm? Real men don't care!

    May 3, 2012 at 21:45 | Report abuse | Reply
  37. Paul

    After getting the courage to talk to my doctor about it three years ago, he came across studies with Tramadol/Ultram. I've used it for 3 years with fantastic results. I take it if the possibility of sex is there. If it doesn't happen, then the effects of the drug are minimal. I find it just takes the edge off of the sexual pleasure and allows me more control. So while it's slightly less pleasurable with the drug, I last 3-4 times longer. Married for 24 years and this has just made it that much nicer. Google 'tramadol' and PE and decide for yourself.

    May 3, 2012 at 21:59 | Report abuse | Reply
    • Paul

      By the way, Tramadol is usually prescribed for moderate pain relief. So if you're not willing to talk to the doc about PE, then maybe that sore back, shoulder, or whatever is easier to discuss. And it functions like the other SSRIs so weigh the use and side effects with the benefits.

      May 3, 2012 at 22:11 | Report abuse |
  38. JOHN

    1/3 of men have PE?. & only 5-10 mins for sex? That's not been my experience with literally hundreds of other men. Now I now how the other half lives and its worse than I thought.

    May 3, 2012 at 22:21 | Report abuse | Reply
    • Answer

      Really, John, you've had 'experience with hundreds of other men'? I guess no women were involved in your experience.

      May 4, 2012 at 11:51 | Report abuse |
  39. chris

    search for a product called 'cialis with dapoxetine'. order some and consume. be prepared to last a very long time. problem solved.

    May 4, 2012 at 00:18 | Report abuse | Reply
    • Dr. bob

      That must be a witches brew made out of someones basement. Everyone with an I.Q> above 10 knows that Dapoxetine is not approved in North America and Lilly (maker of Cialis) has no manufacturing agreement in place with Dapoxatine so this is a fake.

      May 4, 2012 at 06:53 | Report abuse |
  40. Greg

    I'm really happy to see more open discussion about early ejaculation. PE is the new ED !!! I've researched PE for years and have tried all the products, techniques, etc. Most of that stuff is junk. SSRIs did help some but I just don't like taking pills. Promescent works best for me. I had been waiting for PSD502 to come to the US. Not sure why Promscent is approved by the FDA and PSD502 is not, anyone know?

    May 4, 2012 at 06:57 | Report abuse | Reply
  41. Southerner01

    The biological purpose of sex is to inject sperm into a female to cause reproduction. A male who can do so quickly has a biological advantage over one who cannot. It is amazing that we are calling something that should be a useful survival trait a problem.

    Although i have to wonder, if someone who "prematurely ejaculates" is shooting for the pleasure aspect of things, why not just get the first ejaculation out of the way and then go back for a second round. Or a third. While I've never been a quick gun myself, I have noted that the second and third rounds take a whole lot longer than the first.

    Also, I certainly hope that insurance doesn't pay for these "treatments". It's BS enough that my insurance has to go up to cover the ED treatments for guys with limp cannons.

    May 4, 2012 at 07:10 | Report abuse | Reply
  42. John Smith

    Actually, early masturbation habits have been proven to lengthen a mans love making time.
    Of course I know little since I am an all night kind of guy 😉

    May 4, 2012 at 08:15 | Report abuse | Reply
  43. Doubtful

    The problem with PE is that no one can tell you how long it should take. 😛 So its not really a medical problem..now is it. Working 'quickly' isn't necessarily broken especially if you can't scientifically deternine how long you "need"to be able to go..

    I can tell you that almost no woman wants 'all night' despite the boasters.

    May 4, 2012 at 09:19 | Report abuse | Reply
  44. PumpNDump

    The "other" male sexual problem? If you're foolish enough to get married. NOT being married cures ALL sexual problems since variety is what men want.

    May 4, 2012 at 09:37 | Report abuse | Reply
  45. DisReverent

    I thought this was going to be about Dutch ovens.

    But seriously, it is good to see problems like these, and their solutions out in the open. Many people suffer internal embarrassment over issues like these when there is help available.

    May 4, 2012 at 09:48 | Report abuse | Reply
  46. LouAZ

    To improve on most things human . . . Practice, Practice, Practice ! ! !

    May 4, 2012 at 11:56 | Report abuse | Reply
  47. Portland tony

    When I was younger, much younger, and for lack of a better word, promiscuous ....I found that foreplay had a great effect ion my PE.....that and not knowing how to work with my new partner. My problem was solved after learning my partner's needs and likes.

    May 4, 2012 at 12:42 | Report abuse | Reply
  48. Stacey

    Personally I think the "other" male sexual problem is CHEATING LOL Can't seem to be happy with what they have....then again, I guess neither are women....

    May 4, 2012 at 13:58 | Report abuse | Reply
  49. sharonie

    a stupid article and a stupider subject.
    Ya'll are obsessed w/s ex, as is our entire country.

    May 4, 2012 at 16:02 | Report abuse | Reply
  50. Erica

    Great. Wonderful. I'm so glad that the guys are getting yet MORE attention for their sexual disfunctions, but we women are left behind.


    Hey Docs... I know it's asking a lot, but couldn't you do something for all the women that have problems

    May 4, 2012 at 16:20 | Report abuse | Reply
    • Professor

      You have to be kidding, right? We have pink ribbons for breast cancer- what is the prostate cancer ribbon? Women drone on and on and on and on about their sexual dysfunctions on CNN and on thousands of web sites. Half the posters on this thread are women.

      It is interesting how ED is apparently both a male and female problem which is EASY to fix- CHANGE THE MAN'S BEHAVIOR. No problem really, it just takes practice.

      Since you want to discuss female sexual dysfunction how about the most common one- low sexual desire or as I prefer: FRIGID! No problem: Change FEMALE BEHAVIOR. Ooops. Can't do that now can we? Wait, why not again?

      May 24, 2012 at 01:58 | Report abuse |
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