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

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.

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