Premature Ejaculation: Breaking the Silence (cont.)
I suggest that you get some help from a sleep specialist. This is a very common problem now and we're learning more and more about sleep disorders. Sleep disorders can affect you throughout the whole day and affect your overall health. There are specialty centers that look at this. Perhaps you have sleep apnea or something else going on. The first thing I would strongly suggest is that you seek help from a sleep specialist.
On the one hand, I want the male to be responsible for his own health care. I think that's really important. Everyone needs to be responsible for their own health care and not necessarily rely on other people. On the other hand, sexual dysfunction, in virtually every case, is something that involves both people, therefore it's nice to have both people there. It certainly helps us in the arena of erectile dysfunction, and I know it does in premature ejaculation as well.
The most important thing is for the man to be responsible for his own health care, for the man to go in there and talk to his physician about it. If the woman can go -- great, all the better.
When I was a medical student, there was a Masters and Johnson text that said that 80% of erectile dysfunction was in a man's head. Now that we understand erectile dysfunction better, we realize that in 90% or more cases, it's truly due to a biological or physical problem.
I think it's the same thing with premature ejaculation; it's easy to say it's up in his head. We say that only because we don't understand the true biological nature of it. I can assure you, there's a lot of evidence out there that in the majority of cases it truly is a biological or biochemical problem.
So to finish this, I think, based on my expertise, I would say in a rare occasion is it truly just a psychological issue.
There are probably some physical causes -- things like prostatitis can cause PE. In most cases it's probably more of a biochemical problem, or a neurological problem. These are things that are hard to measure and there are numerous causes for premature ejaculation. If you had a hundred people with premature ejaculation they all wouldn't have the same cause.
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