113: Premature Ejaculation and Treatment – Jeff Abraham

Summary: Jeff Abraham is a man dedicated to doing the right thing. After winning a court case against Hyundai who asked him to actively discriminate against female and African American candidates in 1999, he moved to Promescent as CEO, a company founded by his late friend, Dr. Ronald Gilbert. Jeff has continued his legacy by fulfilling his companies dreams in his honor. In addition to this Jeff has spent the last decade advocating sexual health and wellness by educating the public on the importance of intimacy and how to resolve common sexual dysfunctions. <br><br>Premature Ejaculation Can Cause Erectile Dysfunction <br>Jeff learned that 10% to 15% of erectile dysfunction cases are misdiagnosed cases of premature ejaculation. He clarifies that premature ejaculation is diagnosed when a man suffers from a complete inability to have sex, masturbate, or engage in oral or anal sex for more than 90 seconds without ejaculating. He explains that having clinical PE often causes erectile dysfunction, as when men are aware that PE is going to be the result of sexual play, anxiety can prevent an erection from forming. He says clinicians often diagnose this as ED, but as treating the PE would also cure the ED, a PE diagnosis and treatment is more correct. <br><br>Healthy Male and Female Climaxes, “The Orgasm Gap.” <br>According to Jeff, a healthy male climaxes after an average of five minutes of sexual stimulation. Meanwhile, he reports that women who are capable of orgasms from penetration take an average of 18 minutes of thrusting to reach orgasm. This gap in climaxes is called the “arousal gap” or “orgasm gap” among sex therapists and neurologists. He points out that even healthy males have good reason to want to last longer, even if they don’t meet the diagnostic criteria for PE. He hopes that treatment for longer-lasting sex becomes more respected and acknowledged by the medical community. <br><br>Causes of Premature Ejaculation <br>Jeff reminds us that premature ejaculation has been needlessly stigmatized. People claim that men ejaculate early due to not caring enough about their partners or not having the mental fortitude to wait longer to orgasm. Jeff admits that some cases of premature ejaculation are psychological in nature, but he lists hypersensitive penile nerves, prostatitis, and low testosterone as some of the physical causes of the condition. Due to the number of physical causes of PE, he hopes that we can reject the notion that men with PE don’t care about their partners or that they’re mentally weak. PE is a problem with physical roots and as real and treatable as diabetes or cancer. He advocates a combination of behavioral therapy and products like Promescent or SSRIs to help men build confidence and overcome their physical and psychological difficulties. <br><br>Consequences of Premature Ejaculation <br>Jeff points out that PE destroys men’s confidence and limits their ability to satisfy their partners. This lack of confidence, he suggests, isn’t confined to the bedroom, but extends to all aspects of life. He calls it the layering effect, which he describes as a sort of chain reaction. In the layering effect he describes, PE can lead to lowered sexual confidence, which leads to being less amorous, which leads to the PE sufferer’s partner feeling unattractive due to the lack of sexual attention, and finally leads to a disconnect between the members of the couple. He says he’s seen this happen over and over again, all without people realizing that the root of their problems is a single, treatable issue. Jeff advises men not to avoid sex due to PE, pointing out that this leads to men having less control over his own ejaculation, and creates a less pleasant sexual experience than the couple had before. <br><br>How to Approach Your Partner About PE <br>When approached by women on how to tackle PE with their partners, Jeff suggests setting up a special date night with any sexual accessories you and...