Premature Ejaculation: Breaking the Silence (cont.)
If somebody has erectile dysfunction and also premature ejaculation, it's possible that curing the erectile dysfunction could help in the premature ejaculation, but this is rare. Usually people with premature ejaculation don't have problems with erections, it's just that they ejaculate quickly and then the erection goes away. But, you expect that -- after you ejaculate, your erection does go away.
In most cases, we don't know why a person has premature ejaculation. In theory, people who take medications that stimulate the sympathetic system, such as Sudafed, could contribute to PE, but we haven't found that to be the case. I don't think there are many medications that we can identify today that we can say are to cause premature ejaculation.
I also don't think that people should be overly hung up about this because in most cases if you're on a medication, you should take it. Again, we think it's from some neurological or biochemical cause that we don't know about at this point.
Men tend not to take care of themselves very well; they don't go to the physician as often as they should, often times it's the woman that's dragging them in to the physician.
It's just going to take some time for this to get out there, for people to understand it and to start talking about it. I think it's going to be a long, long time before men talk about it amongst themselves. They will talk about backaches and how their golf swing is not good and how they have plantar fascitis or something, but they do not talk about this issue.
I think that we need to start educating men more about taking care of themselves and men's health issues. Not just when you hit 40, but this education really needs to start early on in life.
Much of what we do is based on habit. For many reasons girls and young women, very early in their lives, will go and see the physician on a routine basis, at least once a year. So women get in the habit of going to the physician and taking care of themselves. Men don't do that - they go to the physician when they need to for a sports physical, and that's it. Then it's not until they have a significant problem like a broken arm or crushing chest pain that they finally go again. By that point you have had all the bad habits instilled in you.
From the very beginning, in junior high, actually in grade school, I think we should start teaching some basic things about taking care of yourself. I know that's not about premature ejaculation, but as a health educator, I feel strongly about it.
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