Premature Ejaculation Treatment Specialist Serving Concord, Walnut Creek, CA

There are several different potential causes of premature ejaculation, which can be categorized as either physical/chemical, emotional/psychological, or a mix. Some physical/chemical causes of premature ejaculation include a hormone imbalance in hormones that are related to sexual function or chemicals such as dopamine or serotonin or an overly sensitive penis. Causes of premature ejaculation that are considered emotional or psychological include anxiety (potentially including performance anxiety), depression, stress, or problems in the relationship. As we age, our hormone levels can shift and change and often can directly interfere with regular functioning, such as sexual function. Additionally, your ability to perform can be heavily impacted by your mental health. All of these potential causes make premature ejaculation a common condition that can often have an easy fix.

With so many potential causes, treatment for premature ejaculation requires an identified cause, as the treatments will vary depending on the actual factor(s) that are leading to the premature ejaculation. To identify the cause, the physician will ask a series of questions to try to pin down when it might be occurring more frequently or if there were any significant changes in your life as well as other possible symptoms that could provide more information. It is possible that the physician will also order blood and urine tests to check chemical and hormone levels. Once the cause has been identified, a combination of behavioral techniques, medications, and/or counseling will be prescribed depending on what would be considered effective for each individual case.

Potential behavioral techniques that may be recommended include masturbation an hour or two before intercourse to help delay ejaculation when with a partner or to avoid engaging in intercourse for a bit to allow for more trust and comfort to be built if the partner is newer. Premature ejaculation could also be caused by a weak pelvic floor, so it is possible that the physician will recommend some pelvic floor exercises to strengthen the muscles. Some other possible treatments include medications such as antidepressants or anti-anxiety drugs or ones that directly address erectile dysfunction, as well as topical creams that can be applied to the penis to decrease sensitivity or hormone-balancing therapies.

Testosterone levels can absolutely play a role in causing premature ejaculation, as lower levels of testosterone lead to erectile dysfunction, which can lead to premature ejaculation. The levels of testosterone being produced in your body will gradually decrease with age, making erectile dysfunction and premature ejaculation much more common for the older generations. However, low testosterone levels do not need to be accepted as a natural component of aging, as there are many safe and effective treatments available to increase testosterone levels and manage the proper balance of hormones required for proper sexual functioning.

If you suspect that a hormonal imbalance is affecting your sexual performance, scheduling a comprehensive evaluation with a men’s health specialist is the critical first step. Through specialized blood testing, a medical professional can pinpoint your exact testosterone levels and determine if Testosterone Replacement Therapy (TRT) is the right solution for you. By implementing a personalized treatment plan to safely restore optimal hormone levels, you can effectively resolve underlying erectile issues, regain control over your ejaculatory reflex, and ultimately reclaim your confidence in the bedroom.

Premature ejaculation is a very common condition that can quickly take a toll on even the healthiest and most passionate of romantic relationships. However, there are many different options available for treatment, meaning that it does not have to be a long-term or permanent issue. It is always recommended that you be open and honest with your partner about the condition, as there are some things that they might be able to do for or with you to help delay ejaculation, such as the squeeze method or stop-and-start method, which may be confusing for your partner if they are not made aware of the situation. The condition can also lead to increased anxiety or stress about the situation, which only makes the matters worse, so it is worth being candid with your partner to ease some of that anxiety and develop more trust or comfort in the relationship to help with delaying ejaculation.

Our board-certified doctor, Dr. Alexander Isazade, MD, at Regenerate Men’s Health Medical Clinic in Walnut Creek, CA, specializes in treating premature ejaculation (PE) for patients in Concord and the surrounding areas. PE can affect men of all ages, causing frustration and stress in relationships. Dr. Isazade offers personalized treatment plans that may include behavioral therapy, medication, and lifestyle adjustments to address the underlying causes of PE. Treatments such as SSRIs, topical anesthetics, and pelvic floor exercises can help improve control and delay ejaculation. Dr. Isazade takes a comprehensive approach, addressing both physical and psychological factors that contribute to premature ejaculation.

With his expertise, patients can regain confidence and improve their sexual health. If you’re experiencing premature ejaculation, contact Dr. Isazade at Regenerate Men’s Health Medical Clinic to explore effective treatment options tailored to your needs. For more information, contact us or book an appointment online. We are conveniently located at 1776 Ygnacio Valley Rd., Suite 108, Walnut Creek, CA 94598. We serve patients from Walnut Creek CA, Concord CA, Pleasant Hill CA, Alamo CA, Danville CA, Lafayette CA, Orinda CA, and surrounding areas.