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Phimosis & Premature Ejaculation

December 10 2008 at 9:22 PM
Jim 

 
So i have moderate phimosis; recently able to retract when flaccid but not erect. I am also sensitive when walking around/touching my penis against my pants or anything. Ever since becoming sexually active about 10 years ago (im 24) I have ejaculated after about 5-10 min of intercourse and cant control it whatsoever, except to stop. This is not boding well for some relationships obviously. just wondering if my early phimosis (also have frenulum brevae) led to hypersensitivity of the glans and Premature ejac.??.... the only thread i found on here regarding this just briefly mentioned that a lot of the nerves are located in the foreskin - im thinking about circumcision to decrease sensitivity and hopefully decrease PE. i have tried to desensitize by staying retracted throughout the day but i get swelling and it doesnt seem to help much.



thanks for any input, JD

Phimosis & Premature Ejaculation
December 10 2008 at 9:38 PM JD

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so im 24 and have mild phimosis (able to retract when flaccid - only within the last year) Since becoming sexually active 10 years ago I have always ejaculated within about 10 minutes, and also ejaculate quickly during masturbation. I was wondering if there is an association between premature ejaculation and phimosis/frenulum brevae or even not being circumcised (as the foreskin has a lot of nerves). I have tried to desensetize the glans by staying retracted during the day, this is uncomfortable and I seem to get swelling after a couple hours and truly hasn't made any difference. This problem is no good for relationships, and I generally only have 'good' sex when really drunk and completely desensitized! thinking about circumcision-- any experience with circumcision being an effective treatment for PE?

thanks for any advice- JD


    
This message has been edited by jimsplacetofixthings on Dec 11, 2008 4:11 PM


 
    
AuthorReply
Jim

Five to ten isn't enough?

December 11 2008, 4:09 PM 

I think the average time is reported to be about two minutes, so five to ten is great. Who is complaining? Maybe she needs more warming up before the main event???

Circumcision is definitely not your answer. You're twenty-four! You're supposed to be quite sensitive and responsive. As time goes on, you'll wish you could return to these days.

There's an old saying: "Some day, you'll take all night to do what you used to do all night." Think about it.

Leave your foreskin forward and work on the stretching.

BTW, your posts won't appear until I approve them. Everyone gets approved for the most part.

 
    

The Real World

December 12 2008, 3:39 AM 

Well you are correct insofar as being circumcised definitely would reduce sensitivity, and by a substantial amount. I can just visualise you being extremely "pissed off" when you found out that having reduced the sensitivity, you ended up with exactly the same time to ejaculation (give or take a minute either way) even though it was no longer as enjoyable.

The significant part of what you post here is where you observe you "cant control it whatsoever, except to stop". If you can't control it, that should be telling you that the degree of stimulation has little or nothing to do with the matter. Specifically, if you slow right down in your thrusting and still ejaculate after the same time, that would demonstrate the point.

What is interesting, is that your observations so well demonstrate the theme of a lecture I attended a few months back on "PE" (as well as the treatment of impotence). As Jim mentions, the normal duration of intercourse from intromission to ejaculation, is something of the order of two minutes whenever actual surveys are carried out (which makes one wonder about the methodology - would these have been observed acts of intercourse, or was the fellow thrusting away while watching the clock? Even if it was his partner watching the clock, would that not have interfered with the matter being observed?). wink.gif

Now the other aspect here, is why men would (as the studies clearly demonstrate) have such a distorted concept of "normal" or "good" intercourse, as to imagine there was a "problem" with their time to ejaculation, presuming themselves to have "PE"? Of course, we have to address the (relatively recent it would seem) presumption that in order to "please their partner", prolonged coital thrusting is required.

The facts are actually otherwise. Women may indeed be "hard to please", but however this may be, it is unlikely to be overcome by prolonged thrashing in the pubic region. If the young lady does not achieve an orgasm within the first couple of minutes, she is hardly likely to have one in the next half hour. More likely, she may get somewhat jaded and "fake" an orgasm to terminate the enterprise. Actually, the majority of women do not have an orgasm from penile thrusting in the vagina, but require some clitoral stimulation in addition (or indeed, instead), and this is a simple fact of physiology which cannot be overcome by thrusting harder, longer, or faster. If anything, the opposite; slower gentle thrusting may be in order.

And I do hope you are not acquiring any of your "information" on these matters from pornography ...

 
    
JD

Re: The Real World

December 14 2008, 11:41 PM 

I appreciate your responses; another question, at your seminar was there talk of any treatments used to prolong ejac? I think I have read about tricyclics, SSRIs, or alpha-antagonists? do these work? i always hear about the Boston Medical clinic on the radio--- what is there approach?

 
    
Paul B.

Most certainly.

December 17 2008, 4:55 AM 

That was after all, one of the two themes of the lecture. SSRIs in fact are well known for the consequence of retarding orgasm (and ejaculation) - in both sexes, which becomes a point of some concern for women in particular. This quite often occurs to the extent that ejaculation becomes virtually impossible for men while women who often already have considerable difficulty experiencing an orgasm, are even worse off.

OK, it was explained that it may be appropriate to "titrate" this effect by taking a small dose of a SSRI, possibly quite a while (12 to 24 hours) before anticipated intercourse, to obtain just the desired degree of delay. But this was in men with genuine PE which essentially means ejaculation within a minute or so, possibly immediately on intromission - or even before! What you have described is quite clearly not genuine PE but rather "social" or "pornographic" PE!

Another point made, was that the "traditional" treatment which I have always recommended for PE (but not the "squeeze") is perfectly valid and appropriate to some extent.

I'm afraid I wouldn't have the foggiest idea about the Boston Medical Clinic. We have however, come to become a little shy of "clinics" offering "special" treatment of erectile dysfunction (ED), PE and such - (again, it was stated at this lecture that) with Viagra and the like readily available through virtually any General Practitioner/ Family Physician, the knowledge of how to use these therapies should be "out there" and not just the province of "specialists" including urologists - let alone clinics which are set up as "single issue" providers which may well suggest that those operating them have no specialist training at all.

Again, I clearly cannot speak about the clinic you mentioned, but this sort of thing has been an issue in some places!

{Somewhat delayed in answering here - very busy lately for various reasons and the monitor I presently have in front of me went berserk as I was researching this. The fault is elusive, in the push-button switches along the front; having figured out just how to pull the monitor apart - which is always difficult - and de-soldered the likely culprit, they then tested OK but having reassembled the monitor, the fault is back again. Sigh! happy.gif}

 
    
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