Erectile dysfunction is often an early indicator of poor cardiovascular health, according to a study in the Journal of the American College of Cardiology. Studying 2,300 men for an average of four years, researchers found that those with ED had a 58 percent greater risk of coronary heart disease.
Premature Ejaculation
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A selective serotonin reuptake inhibitor (SSRI) can boost your sexual confidence and give you a base from which to build a comprehensive plan for tackling premature ejaculation (PE). Medication alone won’t “cure” your PE, so it’s hard to become too dependent on it or to use it like a crutch. When you view it that way, taking a pill isn’t a sign of weakness or laziness. It’s just one more tool in your PE arsenal. An SSRI may also have other positive effects, such as helping you cope with PE-related anxieties and depression that may have seeped into other aspects of your life. Many men with PE are depressed and anxious, and so an SSRI has the double benefit of helping to delay ejaculation and helping ease overall anxiety and depression.
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See All 2 AnswersPremature ejaculation (PE) can trigger a whole range of negative emotions: He might feel angry and frustrated with himself, insecure and anxious about his sex life, embarrassed, worried about his relationship, or a combination of these.
Many men with PE worry that their partners will think they're sexually lazy or selfish -- and some women who don't understand PE may indeed think that. The irony is that guys with PE tend to be extremely sensitive lovers but are incapable of putting that intent into action. But being constantly hung up on delaying his orgasm can make it difficult for him to enjoy sex, and he may end up avoiding women, relationships, and sexual situations as a result. -
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For many guys, premature ejaculation (PE) is a chronic problem that they've been dealing with their whole lives. If your partner has chronic PE, he's probably experiencing the following three issues:
- He doesn't last long. Most guys can actually only have intercourse for an average of about two to five minutes before ejaculating. For men with PE, though, that's an eternity -- most can only last about a minute or less before they come. How do we know this? Researchers have devised a system called Intravaginal Ejaculatory Latency Time (IELT), which measures how long a man can have intercourse before he ejaculates. Different researchers have found different times, but most report that men with PE typically last somewhere between 15 and 60 seconds. Many guys with PE can't even make it to penetration, so they have a hard time enjoying the full spectrum of sexual possibility. They also have a difficult time explaining why it's so hard for them to receive sexual stimulation, which can often leave you feeling confused and less engaged.
- He can't hold back. The old "think about baseball" trick doesn't work for guys with PE. They can't control or delay ejaculation and often orgasm at or shortly after penetration -- whether they want to or not. All men have a point of what we call ejaculatory inevitability during sex, as well as an ejaculatory threshold. That threshold is lower in guys with PE, and their point of ejaculatory inevitability arrives much more quickly. In fact, one of the worst things you can say to man with PE is to ask him to "wait" to have his orgasm, because the stress of being told to wait until he's ready is likely to speed up ejaculatory inevitability In general, men with PE can't last long enough to satisfy a woman during vaginal intercourse.
- PE affects his life. I don't have to tell you that those first two issues do nothing to inspire sexual confidence. Instead, they can trigger a whole range of negative emotions in men with PE: He might feel angry and frustrated with himself, insecure and anxious about his sex life, embarrassed, worried about his relationship, or a combination of these.
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Dr. Jan L. Shifren, MD , Reproductive Endocrinology, answeredSee All 2 AnswersIf an underlying physical problem isn't to blame, treatment for premature ejaculation usually involves medication, sex therapy, or both. Ironically, an adverse side effect of certain antidepressants can be put to positive use in treating premature ejaculation. In several studies of paroxetine (Paxil), sertraline (Zoloft), and clomipramine (Anafranil), men reported having more time before ejaculation and greater sexual satisfaction for themselves and their partners.
In sex therapy, the therapist will help you and your partner explore and address the issues that may be contributing to the dysfunction. In addition, you'll learn behavioral exercises such as sensate focus and a start-stop technique that is often very helpful. You'll also be encouraged to adapt your foreplay and lovemaking style to increase your sexual enjoyment. -
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Dr. Harry Fisch, MD , Urology, answered
Premature ejaculation is a very common sexual dysfunction, but it is typically not indicative of a more serious medical problem. Watch urologist Harry Fisch, MD, explain why the opposite - delayed ejaculation symptoms - tend to be more serious.
Find out more about this DVD:
Can Premature Ejaculation Be a Sign of a More Serious Health Problem?
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A crying baby, a barking dog, a whining car alarm: These distractions can interrupt any couple trying to get busy. But for the couple dealing with premature ejaculation (PE), they’re not just annoying. They can derail sex altogether. Being startled by the wails of your newborn or other sudden noises can trigger ejaculation; so can fear of having someone walk in on you or concerns about being able to perform. Sudden interruptions can trigger ejaculation and it’s easy to see why some circumstances can be particularly stressful for guys with PE. If you want to be able to manage PE and enjoy a healthy sex life, you have to recognize that certain situations may be off-limits to you -- and your partner will need to accept that, too. Take your standard “quickie,” for instance. Hurrying to finish with the added excitement of getting caught is a turn-on for some people. But for couples dealing with PE, it only reinforces habits that worsen PE.
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See All 2 AnswersWhen you use your less-sensitive areas to stimulate her most-sensitive spots, you’ve got a winning formula for longer-lasting, pleasurable sex. In terms of your overall sex script, many of the perpendicular positions are best used prior to intense clitoral stimulation that could lead her to orgasm (such as oral sex), or before the transition into a sex position such as female-superior, from which she will orgasm.
Here’s the basic principle: You hold your erect penis in your hand so that it’s at a near-right angle to your partner’s body. You can incorporate this model into a number of different positions, including lying side by side, spooning, and standing. All have different sensations. For example, if you’re stretching out on your sides facing each other, your penis will be somewhat perpendicular to her genitals. From there, you can touch and rub her vulva and clitoris with the top side of your penis. The result? You’ll both feel blissful, she’ll feel worshipped, and you’ll stay in control.
The Good in Bed Guide to Overcoming Premature Ejaculation -
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Dr. Harry Fisch, MD , Urology, answered
The inability to ejaculate, or delayed ejaculation, can be caused by certain medications, and also too much self-stimulation or masturbation. In this video, urologist Harry Fisch, MD, discusses some of the most common causes of delayed ejaculation. -
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Dr. Harry Fisch, MD , Urology, answeredSee All 3 AnswersThe #1 male sexual problem is premature ejaculation -- ejaculation that occurs sooner than desired, either before or shortly after penetration, causing distress to one or both partners. Roughly 1 in 5 men experience premature ejaculation.