In this follow/up blog on premature ejaculation a condition that affects 30% of men understanding the complex interaction of nerves in the penis spinal cord and complex areas in the brain it is remarkable that any man achieves an erection or controls his ejaculation. We are learning of the special interaction between such neurotransmitters as serotonin dopamin and several others which seem to control the timing of ejaculation. There are clearly psychologic and biologic causes for premature ejaculation. Frequency of sex, sexual technique and newness of the partner may conrtribute as well as biologic issues such as erectile dysfunction, prostatitis and certain medications.

The best current approach is a combination of sexual techniques and serotonin drugs. Speak to your doctor they can surely help you. I encourage you to share your successes...as well as failures with us.