Premature Ejaculation affects 20-30% of men and many are reluctant to ask for help. There are several options. Video presentation here: https://youtu.be/SswuE9qNk6U

1. PE More common that U think

2. when a man experiences orgasm and expels
semen within a few moments of beginning sexual
activityand with minimal penile stimulation

3. International Society of Sexual Medicine
(ISSM)
20-30% of Men
1. occurs prior to or within about 1
minute of vaginal penetration from the
first sexual experience (lifelong)
2. about 3 minutes or less–Acquired
Premature Ejaculation (APE)

4. Not Standardized
Average 4-8 minutes

5. Genetic
ED
Anxiety
Depression
Hypersensitvity
Prostatitis
Chronic Pelvic Pain
Thyroid Disorders
Potential Causes of PE

6. ED & PE
ED often is an underlying cause of PE
attempt to keep themselves erect with increasing levels of stimulation
intense stimulation can inadvertently result in ejaculation
ejaculation can occur even without full erection

7. Options:
• Antidepressants
• ED meds
• Topical
• Condoms
• Behavior Modification
• Psychotherapy/CBT

8. Topical
• Benzocaine
• 2017 American Urological Association
80% of the study participants were no longer considered to have PE by the conclusion of the 2-month study. The time to orgasm with vaginal
intercourse was just 75 seconds at the start of the study but was nearly 3 minutes after 1 month and 5.5 minutes at the 2 month mark. This is a
340% increase in the time to ejaculation.

9. ED Meds
Increase erection strength
Decrease required stimulation
Delay Ejaculation

10. Antidepressants
• SSRI
• Sertraline
• Paxil

12. Unsplash Photo credit