11 Aug 2025
11m

Scientifically Proven Ways to Last Longer in Bed | Premature Ejaculation (YouTube Replay)

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Rena Malik, MD Podcast

Premature ejaculation is defined as reaching climax within one to two minutes of penetrative intercourse, characterized by an inability to delay the reflex and significant personal distress. While the average duration of sexual intercourse is approximately 5.7 minutes, many individuals seek to extend this time. The condition often stems from abnormal serotonin transmission affecting the spinal ejaculatory center. Effective management strategies include psychotherapy, the stop-start technique, and pelvic floor physical therapy. Medical interventions range from topical anesthetics, such as delay sprays or prescription creams, to daily or on-demand medications, including SSRIs like fluoxetine and sertraline, or off-label use of tramadol and alpha-blockers like silodosin. Before pursuing treatment, it is essential to ensure both partners are satisfied with current sexual activity and to address potential underlying issues like erectile dysfunction, which can exacerbate symptoms of premature ejaculation.

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