Erectile dysfunction can be caused by atherosclerotic disease (blockages of arteries). The underlying reasons that cause blockages of arteries in one area of the body often cause blockages in other parts, most notably the heart arteries (possibly causing a heart attack) and arteries to the brain (possibly causing a stroke). That said, there are causes of erectile dysfunction other than blocked arteries. I would highly recommend that any man with ED be evaluated for arterial disease elsewhere as this can be very dangerous.
Premature Ejaculation
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Dr. Justin P. Levisay, MD , Cardiology (Cardiovascular Disease), answered on behalf of NorthShore University HealthSystemSee All 2 Answers -
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Dr. Arthur R. Crowley, MD , Urology, answeredSee All 2 AnswersDelayed ejaculation is a common, known side effect of anti-depressive medications, especially those classified as Selective Serotonin Reuptake Inhibitors (SSRIs).
During the past decade, considerable experience has been gained in using them to actually treat premature ejaculation (PE). Various doses and dosing regimens of the SSRIs have been evaluated for efficacy and safety in studies to treat PE. Some studies have employed continuous daily dosing while others use a situational dosing regimen whereby the medication is only taken prior to sexual activity. None of the medical therapies currently employed in the management of PE have been approved by the U.S. Food and Drug Administration (FDA) for this specific indication. -
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Dr. Harry Fisch, MD , Urology, answeredSee All 2 Answers
Premature ejaculation is the #1 sexual dysfunction, but it's an emotional killer; it makes men feel terrible! Watch as urologist Harry Fisch, MD, explains how men tend to react to PE, and why it's important to address it properly with a doctor. -
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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. Harry Fisch, MD , Urology, answeredSee All 2 Answers
Premature ejaculation can be treated in a few ways: using condoms or wipes to desensitize the penis, using certain medications, avoiding exciting sex positions, and foreplay! Watch urologist Harry Fisch, MD, explain what men can do to combat PE. -
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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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Dr. Harry Fisch, MD , Urology, answeredSee All 2 Answers
Lasting longer during sex if you have premature ejaculation can be as easy as using a condom to desensitize the penis, or avoiding exciting sex positions. Watch me give some tips for how men can last longer during sex. -
1 AnswerA
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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See All 3 AnswersAlthough more studies are needed, research suggests that premature ejaculation (PE) may affect about 30 percent of men at some point in their lives. When you consider the historical confusion over a clear definition of PE, the shame and reluctance of many men to identify themselves as having PE, and the fact that there are many women who are willing to fake orgasm in order to spare their partners the embarrassment of dealing with PE and sexual failure, it’s reasonable to say that we’ve only touched the tip of the iceberg in terms of understanding the full impact of PE on men and their partners.