Premature Ejaculation (PE) Treatment and Therapies
Dr. Pugach no longer treats men with PE and refers patients to USC Institute of Urology at Keck Medicine USC.
INFORMATION ON PE
There are several treatment choices for premature ejaculation including psychological therapy, behavioral therapy and medications. In most cases there is medication that can be of help for patients with PE.
Dr. Robert Pugach advises men that there are two forms of medication – pills and topical preparations.
In years past, urologists used a numbing gel called lidocaine to delay erections. The problem was that it was not absorbed through skin so results were not very good. In addition, sexual partners could absorb the medication and feel numb.
Believe it or not, anti-depressants can retard ejaculation. We don’t prescribe these for depression (although patients can be depressed when they have PE!). A side effect that some patients report when they take anti-depressants is delayed ejaculation. So, using a very low dose can significantly improve PE without an anti-depressant effect.
Occasionally, an overly sensitive frenulum can be the cause of PE. If that is the case, frenular reduction surgery may be of significant benefit. When appropriate, psychological therapy or behavioral therapy to help a patient and his partner discuss their feelings about sexuality, intimacy, performance anxiety, and any concerns in the relationship that develop because of performance issues.