Premature ejaculation is a multifactorial condition that can be influenced by biological, psychological, and lifestyle factors.

Common Causes of Premature Ejaculation:

• Psychological Factors – Stress, anxiety, depression, or relationship issues.
• Hormonal Imbalances – Abnormal levels of serotonin, dopamine, or testosterone.
• Nerve Sensitivity – Increased penile sensitivity may contribute to rapid ejaculation.
• Erectile Dysfunction (ED) – Difficulty maintaining an erection can lead to unintentional early ejaculation.
• Neurological Disorders – Conditions such as multiple sclerosis or spinal cord injuries.

Because premature ejaculation often has underlying causes, a proper medical evaluation is essential to determine the best course of treatment.

At Northwest Urology, we take a comprehensive approach to diagnosing premature ejaculation. Our evaluation includes:

1. Medical History Review – Understanding past and current sexual function, medical conditions, and lifestyle factors.
2. Physical Examination – Identifying any physical or neurological causes contributing to PE.
3. Laboratory Testing – Blood tests to evaluate hormone levels and rule out underlying medical conditions.
4. Psychological Assessment – Evaluating stress, anxiety, and relationship dynamics that may be affecting sexual performance.

Based on these findings, we develop an individualized treatment plan to help men achieve greater control and satisfaction in their sexual health.

The best treatment for premature ejaculation depends on the underlying cause and severity of symptoms. At Northwest Urology, we offer a range of effective treatment options, including:

1. Medications

• Selective Serotonin Reuptake Inhibitors (SSRIs) – Originally used as antidepressants, SSRIs (such as sertraline or paroxetine) have been shown to delay ejaculation in men with PE.
• Topical Anesthetic Creams – Lidocaine or prilocaine creams help reduce penile sensitivity and prolong sexual activity.
• PDE5 Inhibitors (Viagra, Cialis, Levitra) – Used primarily for erectile dysfunction, these medications can sometimes help delay ejaculation when combined with other therapies.

2. Behavioral Therapy and Pelvic Floor Exercises

• Cognitive Behavioral Therapy (CBT) – Helps men manage performance anxiety and improve control over ejaculation.
• Pelvic Floor Exercises (Kegels) – Strengthening the pelvic muscles can enhance ejaculatory control and improve sexual performance.
• The Start-Stop Technique & Squeeze Technique – Simple, self-guided methods to gradually build endurance during intercourse.

3. Psychological Counseling and Sex Therapy

• For men experiencing stress, anxiety, or relationship difficulties, working with a licensed sex therapist or psychologist can significantly improve sexual function.

4. Hormone Therapy

• In cases where low testosterone contributes to premature ejaculation, testosterone replacement therapy may be recommended.

Men should schedule a consultation if they:

• Consistently experience ejaculation sooner than desired.
• Feel frustration, embarrassment, or relationship strain due to premature ejaculation.
• Have noticed a sudden change in sexual performance.
• Experience erectile dysfunction (ED) or low testosterone alongside premature ejaculation.

Seeking early treatment can lead to improved confidence, stronger relationships, and greater sexual satisfaction.