9270
PREMATURE EJACULATION
For a more current report see #9859.
Premature ejaculation means that a man doesn't last as long as he wants to, regardless of time or strokes, so 90% of teenage boys suffer from that condition, while 90% of men over the age of 55 suffer from delayed ejaculation. Doctors used to treat this condition with the Masters' regimen of alternating stimulation and squeeze/rest, but it doesn't work, nor do anaesthetic ointments inserted into the urinary tube (2).
Ten years ago, doctors noted that many depressed men refused to take their medications because it prevented them from reaching a climax, so they prescribed antidepressants, such as Anafranil, Paxil, Prozac and Zoloft, to premature ejaculators and made them very happy (5,8). A recent study from the Netherlands shows that 20 mg of Paxil one to four hours before the event may be the most effective treatment (1).
1) Antidepressants and ejaculation: A double-blind, randomized, placebo-controlled, fixed-dose study with paroxetine, sertraline, and nefazodone. Journal of Clinical Psychopharmacology, 2001, Vol 21, Iss 3, pp 293-297. MD Waldinger, AH Zwinderman, B Olivier.
2) Berkovitch, AG Keresteci, G Koren. Efficacy of prilocaine-lidocaine cream in the treatment of premature ejaculation. Journal of Urology 154: 4 (OCT 1995):1360-1361.
3) Journal of Sex and Marital Therapy 1994(Winter);20:321.
4) U Yilmaz, A Tatlisen, H Turan, F Arman, O Ekmekcioglu. The effects of fluoxetine on several neurophysiological variables in patients with premature ejaculation. Journal of Urology 161: 1 (JAN 1999):107-111.
5) M Fava, MA Rankin, JE Alpert, AA Nierenberg, JJ Worthington. An open trial of oral sildenafil in antidepressant-induced sexual dysfunction. Psychotherapy and Psychosomatics 67: 6 (NOV-DEC 1998):328-331.
6)CG McMahon, K Touma.Treatment of premature ejaculation with paroxetine hydrochloride.International Journal of Impotence Research, 1999, Vol 11, Iss 5, pp 241-245.
Checked 8/9/05