Author: Paul Nelson, LMHC
Premature ejaculation (also called rapid ejaculation/early ejaculation) is the most common of all sexual function disorders. It affects one out of three men. And even though it is incredibly common, there is not much discussion about it, there is a lot of shame surrounding it, and an enormous level of misunderstanding. Let’s start with definitions. …
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Because premature ejaculation (PE) is such a common condition, people have been seeking treatments for millennia. Even the ancient Chinese were trying to deal with it. Fangzhongshu is a compendium of sexual skills and methods. Skills to control ejaculation are part of this ancient work. PE is hardly a modern invention! Yet modern health care …
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One of the shortcomings of American healthcare (and I think a reflection of the American culture in general) is that specialties have evolved to become expert in a specific topic. This has produced a level of expertise in subjects that is simply amazing. Specialization has resulted in turning HIV into a managed disease, making leukemia …
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We have all felt “Why me?” at some point in our lives. When it comes to Chronic Pelvic Pain Syndrome (CPPS), this is a very common phrase we hear. The short answer is, “Because you are human.” Basically, if you have a pelvis, things can go wrong with it. But there are a few common …
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One of the most common questions I hear, even by mental health professionals, is that if sexual function issues are anxiety based, why do we recommend using medical intervention? Their assumption is that if it is not a physiological problem, why treat it medically? I could write a whole book on the interconnectedness of the …
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So what exactly is pelvic floor dysfunction, also known as chronic pelvic pain syndrome? This requires a bit of male anatomy education. The pelvic floor is a complicated network of muscles that support our bowels and abdominal organs. These muscles overlap and interact with each other. Nerves and blood vessels wrap around and through these …
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One of the most common concerns I hear from patients is regarding the use of pornography and masturbation. There is a lot of buzz on the Internet these days about the idea of porn addiction and websites devoted to “Porn-induced erectile dysfunction.” The topic causes a lot of anxiety and concern. I hear parents worrying …
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Rapid or premature ejaculation has been reported to affect as many as one third of all men at some point in their lives. It can be a very distressing condition for both the man and his partner. Not a day goes by where we do not have a man seeking help in controlling his ejaculation …
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I was on the phone with a young man in Texas the other day who had called me because he was very distraught. He was sure a fulfilling sex life was never going to be for him because his penis was only 5 ½ inches long. I told him that was a perfectly average size …
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Jason sat in front of me on the sofa. He had spent most of the time looking at the floor and answering my questions. He had warmed up a little bit over the course of the session, but he was still clearly uncomfortable. He was 29, tall, athletic, and seemed to be the picture of …
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