When it comes to topics many men are uncomfortable discussing, premature ejaculation is at the top of the list. In a new episode of the Balls Deep podcast, Dr. Joe Pazona is joined by Ken Mitchell, a leading men’s health practitioner, to discuss the treatment and causes of premature ejaculation, and to shed light on the fact that it’s more common than many men believe. If you’re a man hoping to boost your confidence in the bedroom, here are a urologist’s secrets to fixing premature ejaculation (PE):
Understanding Premature Ejaculation
What’s one of the most surprising things that many listeners might take away from this episode? Premature ejaculation is often more prevalent than we believe, and it's multifaceted. Ken states that for a lot of men, PE is not just one isolated event. It might stem from a mix of a man’s physical factors, like sensitivity and hormone levels, as well as mental stressors like trauma, anxiety, or even performance pressure.
The good news is it’s not as hopeless as it seems.
The 3-Pronged Approach to Beating Premature Ejaculation
Dr. Pazona and Ken discuss a well-organized strategy to combating premature ejaculation:
1. Behavioral Techniques
Some practical tools are:
- Start-Stop Method: Stop all sexual stimulation when nearing climax, let the arousal die down, and then resume.
- Sensate Focus Exercises: Mindfulness-based meditation that helps you understand your arousal levels.
- Masturbation Before Sex: Self-stimulation before sexual engagement with a partner tends to increase the time taken in later performance.
- Partner Involvement: With the help of manual touch and words, one can help ease pressures thus helping the partner to gain better control.
This isn’t about learning some secret sex kung fu. It’s about practice and reflection.
2. Medical Options
Medications aren’t the enemy, but rather a bridge.
- Delay Sprays (like Promescent): Numb the penis just enough to take the edge off without ruining sensation for your partner.
- SSRIs (like Paxil/paroxetine): These are antidepressants that have a “happy side effect” of delaying ejaculation. No, it doesn’t mean you’re depressed. We’re using the side effect to your advantage.
- Hormone Testing (if needed): In certain situations, checking testosterone or cholesterol levels may be useful if there is a concern with arousal or erection.
Medications, in these cases at least, are mostly short term. The aim is to aid the patient while behavioural techniques are implemented and take effect.
3. Sex Therapy
This may well be the most overlooked yet significant avenue. A lot of men struggle with pre-existing emotional issues alongside shame or underlying personal and interpersonal dynamics. All of these factors contribute greatly to PE. Working collaboratively with an experienced sex therapist makes it much easier to deconstruct this.
Ken shares a great quote from sex therapy legend Mike Metz:
“When people are having great sex, they don’t talk about it. When people are having bad sex, they don’t know how to talk about it.”
That’s where a therapist comes in to assist couples in communicating about the issues at hand, and in the healing process.
Why Telehealth Is a Game-Changer
A point made during the episode: you don’t need a physical exam for PE. No need for a physical exam means zero needle work and no awkward undressing. Much of this can be mediated through telemedicine.
So if embarrassment has been a barrier to seeking help, the good news is this can be managed while relaxed at home.
Final Thoughts
Premature ejaculation is not something to be embarrassed about. In fact, it is far more common than people realize. What is imperative is taking steps forward. With the right combination of active lifestyle shifts, safe medications, counseling, and adequate emotional support, regaining the ability to enjoy sex fully is realistic.
Dr. Pazona and Ken believe every man should know: you deserve to have good sex. You deserve to feel in control. You deserve help.
Ready to Fight Back Against Premature Ejaculation?
If you’re ready to fix premature ejaculation and take back control of your sex life, we’re happy to help at Pazona MD. Learn more about our services for premature ejaculation and male sexual dysfunction and how we can help you.
Disclaimer: This blog is for informational purposes only and does not substitute professional medical advice. Always consult with your healthcare provider for personalized guidance.
