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Premature Ejaculation

Premature ejaculation is considered by most urologists to be the leading form of male sexual dysfunction, affecting about 30 percent of men of all ages. Premature ejaculation has various definitions ranging from ejaculating within one minute of vaginal penetration to ejaculating prior to a man’s partner achieving orgasm or general sexual satisfaction.

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Causes of Premature Ejaculation

The exact cause of premature ejaculation is not well known. Studies have shown a variety of factors alone or in combination may contribute to premature ejaculation including:

Psychological

Premature ejaculation can be caused by temporary depression, stress or anxiety about a relationship, unrealistic expectations about performance or a history of sexual problems.

Biological

A number of biological factors could be the cause of premature ejaculation including abnormal hormone levels, abnormal reflex activity of the ejaculatory system, hyperthyroidism or inflammation or infection of the prostate or urethra.

Neurobiological

It is believed that the neurotransmitter serotonin (5HT) plays a central role in controlling ejaculation. Low levels of serotonin in specific areas of the brain may cause premature ejaculation. Studies have shown that increases in serotonin levels can help delay ejaculation in some men.

Penile Sensitivity

Many physicians believe that penile hypersensitivity plays a predominant role in the ejaculatory response while others believe that premature ejaculation is the result of a combination of multiple contributing factors. The success of topical (applied to skin) medications provides strong reason to believe that penile sensitivity does contribute to premature ejaculation.

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Diagnosing Premature Ejaculation

A premature ejaculation diagnosis begins with:

  • Education – description of the potential psychological, biological, neurobiological and penile sensitivity causes of premature ejaculation.
  • Health issues – premature ejaculation is rarely caused by a biological health condition, but this can be determined following a basic health history.
  • Relationship issues – past or current relationship issues may be a cause of premature ejaculation.
  • Physical Examination – examination of the genital area is typically not required.
premature ejaculation

Treatments

Behavioral therapy – Some patients respond to techniques such as starting and stopping. Although effective at times, most patients report limited sexual satisfaction with these methods. There are several other options available for treating the condition.

  • Topical medications – Topical anesthetic medications are typically the first treatment option for premature ejaculation. They are effective, easy-to-use, low-cost and have a negligible risk of systemic side effects.
  • One option for patients is a new product, Promescent®, from Absorption Pharmaceuticals, which provides improved ejaculatory latency (the time from penetration to ejaculation) with minimal loss of sexual sensation.
  • Oral medications – Some men respond well to low doses of the antidepressants known as selective serotonin reuptake inhibitors (SSRIs). These are prescribed off-label, with some side effects.

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Resources & Events

Men’s Pelvic Health Seminar is Jan. 19, 2022

Relating the Pelvic Floor to Pain and Other Problems Seminar Overview: The pelvic floor muscles and the relationships these muscles have to other parts of our body are important, and often overlooked contributors to low back pain, hip, perineum, and pelvic pain. Potential pelvic floor problems may manifest as follows: Persistent pain in the abdomen, hips,

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ADT Nutrition & Exercise Class – Feb 1, 2022. This is a virtual class.

You are cordially invited to the Virtual ADT Nutrition and Exercise Class. The class will be held via HIPAA compliant Google Meet G Suite. The ADT (Androgen/Hormone) Deprivation Therapy) class provides nutrition and exercise information for men undergoing hormone deprivation therapy for prostate cancer. It is restricted to men diagnosed with prostate cancer and their

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Bladder Cancer Treatment and Research

COFFEE & CONVERSATIONS Join Dr. Dagenais, Dr. Karsh and Dr. Patel from The Urology Center of Colorado (TUCC) to learn about the latest in bladder cancer treatment and the research. Date: November 4th from 5:30 PM- 6:30 PM MT. The event is interactive, there will be a panel Q&A session to answer YOUR questions about

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Dr. Mark Moyad Returns, via Zoom, to TUCC

The Year in Medicine/Research from A-to-Z: What was new or old and hot or cold?! Join us on Tuesday, December 7, 2021 from 6:00-8:00 pm MT Some of the areas Dr. Moyad will discuss are: –Acupuncture -Adult vaccinations & the latest research -Alcohol news -Aspirin -Breast cancer research lessons -Calcium/Vitamin D recommendations -Cannabis/CBD -Cholesterol -COVID

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The Urology Center of Colorado Opens Lone Tree Location

–TUCC CONTINUES COMMITMENT TO COMMUNITY WITH EXCELLENCE IN UROLOGY – To further its commitment to all the communities around Denver, The Urology Center of Colorado (TUCC) is opening a new location in Lone Tree, Colorado. In order to better serve more patients in south Denver, TUCC is opening a new office located at 9695 S.

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