Consulting a Doctor About Ejaculation Problems

Let's start by gaining an understanding of the problem itself. Premature ejaculation is a kind of sexual dysfunction where a man regularly reaches sexual climax quicker than intended.

Learn about premature ejaculation

What you may not have seen is the other person affected by this stressful and challenging condition: his sexual partner. Given how prevalent PE is, Big Pharma prescription medication has understandably stepped up to the plate in a big way, pumping considerable resources into the research and development of premature ejaculation pills. This has led to a market awash, with countless players claiming to treat PE with a little pill. But do these premature ejaculation pills work? Can you trust any of these brands that slap a sticker on a bottle of pills and claim they can make your sex life better? This can occasionally happen to anyone, but if you consistently ejaculate during sexual intercourse within a minute or so of penetration, chances are high that you might be suffering from premature ejaculation. How can you differentiate between an off night and key symptoms of premature ejaculation? The answer lies in an understanding of the mechanics of sexual satisfaction and how ejaculation occurs. We're all familiar with ejaculation, thanks to either our efforts or a partner. But did you know that this critical moment of bliss doesn't just happen in one go? Behind the scenes, there's a well-choreographed process to deliver those few mind-blowing seconds. As you approach climax, your nerves, brain, and muscles conduct an orchestra in two phases: emission and ejaculation. In the emission phase, the brain instructs the smooth muscles in and around the epididymis in your testicles and vas deferens to contract, forcing sperm up towards the base of your penis and into the urethra. They mix with other fluids in the surrounding prostate gland and seminal vesicles to form semen.

• Consult a specialist if over-the-counter options are ineffective.
• Safety and efficacy depend on individual health status and proper use.
• Some medications might require tapering off to avoid withdrawal effects.
• Use of pills should be coupled with open communication with your partner.
• Understanding the root cause is crucial before choosing a pill-based solution.

The second stage, ejaculation, involves the rhythmic contraction of your pelvic muscles that force the semen further along the urethra, adding more fluids from the Cowper's gland to increase the volume. As the muscles at the base of your penis contract, they expel this mixture out of the urethra in several spurts. If all goes well, this entire process will only happen after sufficient sexual stimulation. Unfortunately, for some men, this time to ejaculation is shorter than they or their partners would like.

Ingredient	Typical Dosage	Known Benefits	Common Side Effects
Sertraline	50-200 mg/day	Prolongs ejaculation	Nausea, dizziness
Paroxetine	20-40 mg/day	Delays ejaculation	Fatigue, dry mouth
Dapoxetine	30-60 mg	Short-term delay	Headache, insomnia
Tadalafil	5-20 mg	Improves blood flow	Back pain, flushing
Sildenafil	25-100 mg	Aids delayed climax	Visual disturbances

A small number of men are born with this condition, known as lifelong (primary) premature ejaculation. Most reported cases, however, come from men who develop acquired (secondary) premature ejaculation later in life.

Product	Dosage	Quantity + Bonus	Price
Levitra Generic	40mg	270 + 10 Pills	561.89€ 535.13€	Buy
Viagra Generic	200mg	360 + 10 Pills	481.98€ 459.03€	Buy
Cialis Original	20mg	22 + 2 Pills	129.20€ 123.05€	Buy
Viagra Generic	25mg	270 + 8 Pills	184.26€ 175.49€	Buy
Cialis Professional	40mg	90 + 2 Pills	348.59€ 331.99€	Buy
Viagra Super Active	100mg	360 + 30 Pills	470.93€ 448.50€	Buy
Kamagra Oral Jelly	100mg	220 + 18 Sachets	662.24€ 630.70€	Buy
Cialis Original	20mg	64 + 4 Pills	274.18€ 261.12€	Buy
Cialis Generic	20mg	90 + 6 Pills	154.71€ 147.34€	Buy
Kamagra Polo	100mg	20 Pills	83.56€ 79.58€	Buy
Kamagra 100 mg	100 mg	60 + 4 Pills	201.34€ 191.75€	Buy
Viagra Generic	25mg	30 + 4 Pills	47.97€ 45.69€	Buy
Viagra Original	100mg	12 Pills	72.54€ 69.09€	Buy

Two other groups of men might think they have experienced premature ejaculation when, in fact, they haven't.

8. Opioids

It turns out there isn't a single easy answer because not all premature ejaculation (PE) is the same, and not all men are the same. What works for one man may be ineffective for another. In this article, we break down the causes of PE, the available treatments, and the best way to find the treatment that works for you. Walk down the street and take note of the men you see. Then you've likely seen at least one of the 3 out of every 10 men who suffer the ego-crushing embarrassment of premature ejaculation (PE). Either they have suffered a one-off (natural variable PE), or they have fallen short of some personal or societal standard for an "ideal" ejaculation time (subjective PE).

Key takeaways:

However, PazonaMD specialists can determine if tramadol is appropriate so you can request a prescription from your primary care doctor. Better known as sildenafil (Viagra) and tadalafil (Cialis), PDE5 inhibitors are usually used to treat erectile dysfunction. Since ED and premature ejaculation often occur together, it makes sense that using PDE5 inhibitors may improve premature ejaculation. A collection of 15 studies demonstrated that sildenafil (Viagra) delays ejaculation as well as SSRIs. You can even use sildenafil in combination with an SSRI to last even longer in the sack.

Is premature ejaculation serious?

They can cause headaches, facial flushing, and blurry vision to name a few of the more common side effects. One reason you may have premature ejaculation is that your one-eyed pant monster is a little sensitive. To decrease this sensitivity, a numbing spray, wipe or cream can be prescribed via telemedicine. Lidocaine, benzocaine and prilocaine are some of the more common “numbing” medications used to treat premature ejaculation. EMLA cream (lidocaine-prilocaine) 5% is commonly used in telemedicine for premature ejaculation.

3. The squeeze technique

EMLA cream is best applied for about 20 minutes before cleaning it off. Longer usage can lead to ED which kind of defeats the purpose. When used in this setting, ejaculation can be delayed for up to 7 minutes. A similar combination of anesthetics is available as a spray. The spray is less messy and can work within 15 minutes. We'll focus on the primary and secondary causes of premature ejaculation.

• Selective Serotonin Reuptake Inhibitors (SSRIs) are commonly used for delaying ejaculation.
• Some pills are designed to extend the time before ejaculation, improving confidence.
• Pills might interact with other medications, so inform your healthcare provider.
• Results may take several weeks to become noticeable with some medications.
• Regular monitoring by a doctor is recommended when using sexual performance pills.

Men who suffer from this form of PE have never had a standard ejaculation time since becoming sexually active.

10. Statins

Results from one study showed that men lasted on average for 11 minutes compared to under 2 minutes at their baseline. One cenforce 150mg tablets of the “male digital health clinics” sells benzocaine 4% wipes to patients. The quoted study shows an improvement in time to ejaculation from <2 minutes to 5.5 minutes. Not quite as good as the spray but better than nothing. Now you know the definition and treatments for premature, what’s next?

Paying with insurance

How about a visit with the men’s health expert, a board-certified urologist? Listen if all you want is a pill pusher then go see the other “digital health” clinics. They make money from prescribing you pills via their prescription services. But if you’re interested in speaking with an expert to make sure there’s nothing else wrong and to answer your questions, then PazonaMD may be the right fit. With telemedicine, our experts can prescribe premature ejaculation medications and send them to your local pharmacy at no added cost.

Phosphodiesterase-5 (PDE5) Inhibitors

Your best buddy below the belt needs some help. Don’t just dial up any telemedicine service for premature ejaculation. Contact us for a telemedicine for premature ejaculation consultation today. Premature ejaculation pills are common in the market, but their effectiveness varies greatly—some men benefit, while for many they fall short. The article walks you through what’s behind these pills and how to figure out what might work for you. Some of us drew a bad hand when we were conceived in the form of a gene that interferes with the brain's role in the orgasm and ejaculation process. This gene leaves men with faulty receptors for the neurotransmitters that the brain requires for sexual desire-related functions. The brain chemical serotonin plays a key role in delaying ejaculation during sexual activity.

User	Pill Used	Effectiveness Rating	Duration of Delay	Noted Side Effects
John D.	Dapoxetine	4/5	1 hour	Mild nausea
Mike P.	Tadalafil	3/5	2 hours	Headache
Alex K.	Herbal Blend	2/5	Varies	No side effects
Steve M.	Paroxetine	3.5/5	4 hours	Fatigue

When serotonin levels are low, you're more likely to experience premature ejaculation. Yet some men who previously enjoyed regular orgasms and ejaculation in sexual encounters run into issues later, an acquired PE.

11. Antiepileptics

Simulate your penis until right before the point of no return, then stop. This is best performed with your partner via oral or manual stimulation. The idea is to get your penis and brain used to the idea that someone else is playing with your junk. You want to enjoy the feeling without exploding too quickly. With time, you’ll build some stamina.

2. Magnesium

Another commonly described technique is the “squeeze” technique. Again this is best with manual stimulation by a partner. It involves squeezing your penis as you approach orgasm to prevent blowing your load. Although I’m sure it could work, it doesn’t sound fun either (we’re trying to be thorough). There’s nothing like a piece of latex or sheep’s skin to decrease the sensitivity of your penis.

Is there a treatment for premature ejaculation?

My guess is you may have tried this one already. If not, slipping on a condom not only prevents sexually transmitted infections, it can also prevent a quick release. Assuming none of the above conservative treatments for premature ejaculation have helped yet, then you may need medication. PazonaMD telemedicine visits for premature ejaculation can involve prescribing some of the following medications: When fluoxetine (Prozac) hit the market in the 1980’s, patients began reporting a bothersome side effect. Frustrating for many, but an opportunity for others. Both Biological factors and psychological factors can contribute to Secondary PE. The head and tip of your penis have several nerves that contribute to physical arousal and pleasant sensations during sex.

6. Medications that affect sex hormones

The urology community quickly noted, “Hey, I know who that can help!” And thus was born a medication to treat premature ejaculation. Since then, a number of SSRIs have been released such as sertraline (Zoloft) and paroxetine (Paxil). They have been used by urologists as an off-label medication for premature ejaculation. Off-label means that the medication was not originally intended nor FDA-approved to treat a particular condition. Regardless, its use in this setting is generally accepted by the medical community.

What to expect from your doctor

There is some evidence to support that paroxetine (Paxil) is better tolerated with good results. There are a handful of small head-to-head studies with different SSRIs, but nothing is definitive. The best SSRI is the one that your body responds to most effectively. Although on-demand usage has been reported, taking a SSRI every day seems to work better. It may take 1-2 weeks to take effect so be patient.

DRUGS/MEDICATION IMPACT ON SEXUAL DYSFUNCTION

The most common side effects are GI upset, changes in energy or mood. If you have any side effects please stop the medication immediately and contact your primary care doctor. Commonly used as a pain medication, tramadol has also been shown to help treat premature ejaculation. The main concern with tramadol is that it is a narcotic. Controlled substances are typically not prescribed via telemedicine for premature ejaculation because of legal concerns. Stimulating these nerves during foreplay or intercourse can bring a man closer to orgasm and ejaculation, making overly sensitive nerves a risk factor for early ejaculation.

Country	Approved Medications	Over-the-counter Availability	Prescription Required
United States	Dapoxetine (not approved)	No	Yes
UK	Tadalafil, Sildenafil	Yes	Yes
Canada	Tadalafil, Sildenafil	Yes	Yes
Australia	Tadalafil	Yes	Yes