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Park City, MT
A 31-year-old female asked about a 40-year-old male:

Spouse,40yo/350lbs/osa but no other probs. fast ejaculation due to extreme sensitivity-<30sec after penetration. no other erectile problems. causes?

2 doctor answers3 doctors weighed in
Dr. Steven Celestin
A Verified Doctoranswered
Family Medicine 21 years experience
Less can be more: Premature ejaculation is the product of heightened sensitivity and excitement, and this can be managed in a productive and engaging way. First, condoms should be (re?)-introduced to lessen his sensation and prolong sex. Next, start-stop therapy consists of increased levels of foreplay and brief stages of intercourse interrupted intentionally for more play as endurance will increase with practice.
Dr. Jovita Anyanwu
Internal Medicine 31 years experience
Complicated: Psychological issues as well as biological issues can interplay to contribute to premature ejaculation. Anxiety, relationship matters and earlier learned behavior are some of the pschological. Biologic issues could include thyroid disease, abnormal reflex ejaculation and abnormal hormones. Cognitive therapy, Sex educatin, treating anxiety , exercise, weight loss and sex therapy may be of benfit
Dr. Craig Smith
Dr. Craig Smith commented
Urology 36 years experience
Agree with the above. Topical anesthetic agents are now available over the counter to decrease sensation and work well to delay premature ejaculation
Aug 2, 2014

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