What are the main causes of premature ejaculation. How is premature ejaculation diagnosed. Can premature ejaculation be prevented or avoided. What are the most effective treatments for premature ejaculation.

Defining Premature Ejaculation: A Common Sexual Concern

Premature ejaculation (PE) is a sexual dysfunction characterized by ejaculation that occurs sooner than desired during sexual activity. It can happen before or shortly after penetration, causing frustration and potential relationship issues. Up to 40% of individuals experience this problem at some point in their lives, making it a widespread concern.

PE can significantly impact sexual satisfaction and intimacy. Many individuals who experience PE report feeling embarrassed, anxious, and unable to fully enjoy sexual encounters. These negative emotions can create a cycle of performance anxiety, potentially exacerbating the issue.

Key Characteristics of Premature Ejaculation

• Ejaculation occurs earlier than desired
• Limited control over ejaculation timing
• Decreased sexual satisfaction for both partners
• Potential relationship strain and intimacy issues
• Varying frequency and severity among individuals

Unraveling the Causes: Factors Contributing to Premature Ejaculation

PE can stem from a combination of psychological, physiological, and environmental factors. Understanding these underlying causes is crucial for effective treatment and management.

Psychological Factors

• Performance anxiety
• Stress and depression
• Relationship issues
• Low self-esteem
• Negative sexual experiences

Physiological Factors

• Hormonal imbalances
• Neurotransmitter abnormalities (e.g., low serotonin levels)
• Hypersensitivity of the penis
• Underlying health conditions

Environmental Factors

• Cultural and religious beliefs about sexuality
• Upbringing and early sexual experiences
• Lack of sexual education

Is premature ejaculation always a sign of a serious health problem? In most cases, PE is not indicative of a severe underlying health issue. However, in rare instances, it may be associated with nervous system damage from surgery or trauma. If you’re concerned about PE, it’s essential to consult a healthcare professional for proper evaluation and guidance.

Diagnosing Premature Ejaculation: A Comprehensive Approach

Diagnosing PE involves a combination of medical history, physical examination, and open communication with a healthcare provider. The process aims to identify underlying causes and rule out other potential health issues.

Steps in Diagnosing Premature Ejaculation

1. Medical history review
2. Physical examination
3. Discussion of sexual habits and concerns
4. Evaluation of relationship factors
5. Potential laboratory tests

How is premature ejaculation officially diagnosed? While there’s no standardized diagnostic test for PE, healthcare providers typically rely on patient-reported symptoms and their impact on sexual satisfaction. The International Society for Sexual Medicine has proposed a set of criteria for diagnosing PE, including ejaculation occurring within about one minute of penetration and the inability to delay ejaculation on all or nearly all vaginal penetrations.

Prevention Strategies: Minimizing the Risk of Premature Ejaculation

While not all cases of PE can be prevented, there are several strategies individuals can employ to reduce their risk or manage existing symptoms.

Lifestyle Modifications

• Regular exercise and stress reduction techniques
• Maintaining a healthy diet
• Limiting alcohol consumption
• Practicing open communication with sexual partners
• Engaging in regular sexual activity to reduce performance anxiety

Behavioral Techniques

• Kegel exercises to strengthen pelvic floor muscles
• Mindfulness and relaxation practices
• Experimenting with different sexual positions
• Using desensitizing techniques during foreplay

Can premature ejaculation be completely prevented? While complete prevention may not be possible for all individuals, many can significantly improve their ejaculatory control through a combination of lifestyle changes, behavioral techniques, and professional guidance when needed.

Treatment Options: A Multi-Faceted Approach to Managing Premature Ejaculation

Treating PE often involves a combination of behavioral, psychological, and medical interventions. The most effective approach varies depending on the underlying causes and individual preferences.

Behavioral Methods

Behavioral techniques are often the first line of treatment for PE, with success rates of over 50%. These methods focus on improving ejaculatory control through practice and awareness.

• Start-and-stop technique
• Squeeze method
• Sensate focus exercises
• Pelvic floor muscle training

Psychological Assistance

For many individuals, addressing underlying psychological factors can significantly improve PE symptoms.

• Cognitive-behavioral therapy (CBT)
• Couples therapy
• Sex therapy
• Stress management techniques

Medical Treatments

In some cases, healthcare providers may recommend medical interventions to manage PE.

• Selective serotonin reuptake inhibitors (SSRIs)
• Topical anesthetics
• Phosphodiesterase-5 (PDE5) inhibitors
• Hormone therapy (in cases of hormonal imbalance)

What is the most effective treatment for premature ejaculation? The most effective treatment varies depending on the individual and the underlying causes. A combination of behavioral techniques and psychological support often yields the best results. For some, adding medical treatments may provide additional benefits. It’s crucial to work with a healthcare provider to determine the most appropriate treatment plan.

The Role of Communication: Fostering Intimacy and Understanding

Open and honest communication plays a vital role in addressing PE and its impact on relationships. Discussing concerns, expectations, and treatment options with partners can help reduce anxiety and strengthen emotional connections.

Benefits of Open Communication

• Reduced performance anxiety
• Improved emotional intimacy
• Better understanding of each other’s needs
• Increased willingness to explore treatment options
• Enhanced overall relationship satisfaction

How can couples effectively communicate about premature ejaculation? Start by choosing a relaxed, non-sexual setting to discuss concerns. Use “I” statements to express feelings without blame, and actively listen to your partner’s perspective. Consider seeking guidance from a sex therapist or counselor to facilitate productive conversations and develop strategies for addressing PE together.

Exploring Alternative Therapies: Complementary Approaches to Managing Premature Ejaculation

While traditional medical treatments and behavioral techniques form the cornerstone of PE management, some individuals may find benefit in exploring complementary therapies.

Alternative Therapies for Premature Ejaculation

• Acupuncture
• Herbal supplements (e.g., Ayurvedic remedies)
• Yoga and meditation
• Aromatherapy
• Pelvic floor physiotherapy

Do alternative therapies effectively treat premature ejaculation? While some individuals report positive results from alternative therapies, scientific evidence supporting their efficacy is limited. It’s essential to approach these treatments with caution and consult a healthcare provider before trying any new remedy, especially herbal supplements that may interact with other medications.

The Impact of Lifestyle: How Daily Choices Affect Premature Ejaculation

Lifestyle factors can play a significant role in the development and management of PE. By making conscious choices in daily life, individuals may be able to improve their sexual health and overall well-being.

Lifestyle Factors Influencing Premature Ejaculation

• Diet and nutrition
• Physical activity levels
• Sleep quality and quantity
• Stress management techniques
• Substance use (alcohol, tobacco, recreational drugs)

How does a healthy lifestyle contribute to managing premature ejaculation? A balanced lifestyle can help reduce stress, improve overall health, and boost self-confidence – all of which may positively impact sexual function. Regular exercise, a nutritious diet, adequate sleep, and stress-reduction techniques like mindfulness can create a foundation for better sexual health and potentially alleviate PE symptoms.

Breaking the Stigma: Promoting Open Dialogue About Premature Ejaculation

Despite its prevalence, PE remains a topic shrouded in stigma and misconceptions. Encouraging open dialogue and education can help individuals seek help and support more readily.

Strategies for Reducing Stigma

• Promoting accurate information about PE
• Encouraging media representation of sexual health issues
• Supporting educational initiatives in schools and communities
• Fostering a culture of openness in healthcare settings
• Challenging harmful stereotypes and myths about masculinity and sexual performance

How can society work to destigmatize premature ejaculation? By normalizing conversations about sexual health, providing accurate information, and creating supportive environments for individuals to seek help, we can reduce the shame and embarrassment often associated with PE. Healthcare providers, educators, and media outlets all play crucial roles in shaping public perception and fostering a more open dialogue about sexual health concerns.

Future Directions: Emerging Research and Innovations in Premature Ejaculation Treatment

As our understanding of PE continues to evolve, researchers are exploring new avenues for diagnosis, treatment, and management. These advancements hold promise for improving outcomes and quality of life for individuals affected by PE.

Emerging Areas of Research

• Genetic factors influencing PE
• Novel pharmacological treatments
• Neuromodulation techniques
• Personalized medicine approaches
• Technological innovations for at-home treatment

What are some promising new treatments for premature ejaculation on the horizon? While research is ongoing, some areas of interest include the development of on-demand medications with fewer side effects, the use of botulinum toxin injections to modulate penile sensitivity, and the application of virtual reality technology in behavioral therapy. As with any emerging treatment, it’s essential to await rigorous clinical trials and regulatory approval before considering their use.

In conclusion, premature ejaculation is a complex and multifaceted sexual health concern that affects many individuals worldwide. By understanding its causes, seeking appropriate diagnosis and treatment, and fostering open communication, those affected by PE can work towards improved sexual satisfaction and overall well-being. As research continues to advance our understanding of this condition, new and more effective treatment options may become available, offering hope for those struggling with PE.

Premature Ejaculation – Causes and Treatment

Table of Contents

What is premature ejaculation?

Premature ejaculation happens when an individual has an orgasm sooner than they or their partner would like. Premature ejaculation can happen before or shortly after penetration.

There is no set time for how long a person should “last” during sex. But when an individual has an orgasm before they want to, they lose their erection and can’t continue with intercourse. Premature ejaculation can be frustrating and embarrassing. You may feel you don’t have enough time to enjoy sex. You may have difficulty satisfying your partner. For some people, embarrassment about premature ejaculation can cause problems with intimacy and damage their relationships.

Premature ejaculation is a common problem. Up to 40% of individuals have this problem at some time in their lives.

Symptoms of premature ejaculation

Most often, you will have no other symptoms other than the premature ejaculation itself.

What causes premature ejaculation?

A number of emotional and physical factors can lead to premature ejaculation. It may happen when a person becomes too excited or stimulated, or if their penis is very sensitive. It may also happen if they’re nervous or uncomfortable with a new partner. Other common causes include the following:

• Anxiety about performance
• Guilty feelings
• Depression
• Stress
• Relationship problems
• Erectile dysfunction

People who have a low amount of a special chemical called serotonin in their brain may have problems with premature ejaculation.

Is premature ejaculation a sign of a serious health problem?

Not in most cases. Rarely, premature ejaculation results from a serious health problem, such as nervous system damage from surgery or trauma.

How is premature ejaculation diagnosed?

If premature ejaculation is interfering with your sex life, talk to your doctor. They will perform a physical exam and ask you some questions. Based on your answers, your doctor may order some lab work and will provide a diagnosis. They will also be able to answer your questions and reassure you that this is a common problem.

Can premature ejaculation be prevented or avoided?

Premature ejaculation can be prevented or avoided, depending on what is causing it. Most of the time, using the behavioral methods listed below will work to prevent it.

Can premature ejaculation be prevented or avoided?

Premature ejaculation can be prevented or avoided, depending on what is causing it. Most of the time, using the behavioral methods listed below will work to prevent it.

Behavioral methods

Behavioral methods are helpful for more than 50% of people who have premature ejaculation.

In this type of treatment, you practice controlling your ejaculation, either alone or with a partner.

 In the start-and-stop method, you or your partner will stimulate your penis until you feel like you are about to have an orgasm. Then the stimulation stops for about 30 seconds. Once you regain control of your response, stimulation begins again. This process is repeated 3 or 4 times before you allow yourself to have an orgasm.

• The squeeze method works in a similar way. When you feel like you are about to ejaculate, you or your partner will gently squeeze the head of your penis for about 30 seconds so that you begin to lose your erection. You repeat this process several times before you allow yourself to reach orgasm.

In addition to using a behavioral method, you may want to try thought distractions. For example, while you’re being sexually stimulated, think about the names of players on your favorite sports team.

Psychological assistance

Anxiety, depression, and other emotional issues can lead to premature ejaculation. For these issues, seeking the help of a psychologist, psychiatrist, or sex therapist may be helpful. Couples therapy may also help if relationship problems may be the cause.

Medical treatments

Several medical treatments may help people who have premature ejaculation. Some antidepressants seem to help delay ejaculation, including antidepressants called selective serotonin reuptake inhibitors (SSRIs). These antidepressants are available with your doctor’s prescription. However, the U.S. Food and Drug Administration (FDA) has not approved the use of these medicines to treat premature ejaculation. Also, antidepressants may cause side effects such as nausea, dry mouth and drowsiness. Antidepressants may also decrease your desire to have sex. Your doctor can help you decide if an antidepressant is right for you.

Medicines used to treat erectile dysfunction may also help prevent premature ejaculation. Your doctor may prescribe one of these medicines alone or in combination with an antidepressant.

Anesthetic creams can also be used to prevent premature ejaculation. These creams are applied to the head of the penis to make it less sensitive. Usually, the cream is applied about 30 minutes before sex and then washed off once it has decreased the feeling in your penis. The cream must be washed off before sex. If it is left on, it can cause a loss of erection and vaginal numbness.

For some people, simply wearing a condom can help delay ejaculation because it may make the penis slightly less sensitive.

Living with premature ejaculation

Premature ejaculation is very common. But if it happens frequently, talk to your doctor. There are many techniques you can use that may help prevent it. You should also talk to your partner. Often, they may feel responsible or disconnected. Talking about it can help put both of you more at ease. Also, your partner can help with the strategies described above for controlling your ejaculation.

Questions to ask your doctor

• What can I do to stop myself from ejaculating so quickly?
• Is there a medicine that I can take that will help?
• I’m embarrassed by this—is there someone I can talk to about it?
• Premature ejaculation is causing problems in my relationship; should we go to counseling?
• Should I wear a condom when I have sex?
• Is there an underlying problem that could be causing my premature ejaculation?

Resources

American Association of Sexuality Educators, Counselors and Therapists

American Urological Association

Copyright © American Academy of Family Physicians

This information provides a general overview and may not apply to everyone. Talk to your family doctor to find out if this information applies to you and to get more information on this subject.

Premature ejaculation – Better Health Channel

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Summary

Read the full fact sheet

• Premature ejaculation is the most common sexual problem in in the world.
• Occasionally losing control is normal. Most men orgasm sooner than they would like from time to time. 
• There is a variety of treatments to choose from, including exercises, therapy and medications.

Premature ejaculation is the most common sexual problem in in the world.

Most men orgasm sooner than they would like from time to time; that’s normal. If you ejaculate too quickly most of the times you have sex, and it’s a problem for you and your partner, there’s treatments that can help.

Some men ejaculate as soon as foreplay starts. Others ejaculate during penetration or very soon after.

Some men will have premature ejaculation from the time of their first sexual experience (lifelong), while in others, it will develop after a period of having a longer, satisfactory time to ejacualtion (acquired).

Causes of premature ejaculation

• Genetic causes related to the molecules that signal between nerves
• Psychological causes (e.g. anxiety, stress, relationship problems)
• Other health problems (e.g. abnormal hormone levels)

One-third to one-quarter of men with premature ejaculation also have problems with getting or keeping an erection.

Treatment for premature ejaculation

Seeking help for premature ejaculation from a GP (doctor) or sex therapist is a good idea.

Treatments for premature ejaculation vary depending on the cause and whether it is lifelong or acquired.

Treatments include:

• ‘The stop-start technique’. If you feel close to ejaculating during sexual activity, stop and rest until the feeling has gone, and then start again.
• ‘The squeeze technique’. If you feel close to ejaculating, squeezing your penis just below the glans (the ‘head’ of the penis) can make the feeling go away
• Acupuncture or pelvic floor exercises
• Masturbation before sex
• Reducing sensitivity of your penis (e.g. wearing a condom)
• Medication (e.g. antidepressants can slow the time to ejaculation)
• Treatment of the underlying problem (e.g. medication for erectile dysfunction, hormone treatment)

Where to get help

• Your doctor (GP)
• Sex therapist

• Premature ejaculationExternal Link, 2018, Healthymale.

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Content on this website is provided for information purposes only. Information about a therapy, service, product or treatment does not in any way endorse or support such therapy, service, product or treatment and is not intended to replace advice from your doctor or other registered health professional. The information and materials contained on this website are not intended to constitute a comprehensive guide concerning all aspects of the therapy, product or treatment described on the website. All users are urged to always seek advice from a registered health care professional for diagnosis and answers to their medical questions and to ascertain whether the particular therapy, service, product or treatment described on the website is suitable in their circumstances. The State of Victoria and the Department of Health shall not bear any liability for reliance by any user on the materials contained on this website.

Reviewed on: 06-12-2022

Why does a guy finish quickly, what to do?

Studies say that 40-70% of men experience premature ejaculation. Often it is the girls who complain about their boyfriends, saying that he ends very quickly and she does not get pleasure and cannot get it. What girl will not be upset by this, because no matter what the relationship is, you really want to feel like in heaven, at least occasionally.

Some say that the guy ends quickly, most likely for the reason that the girl is incredibly beautiful and during intercourse he just goes crazy from her divine appearance. Yes, in a very small percentage there may be such a reason, men in the subconscious build a goddess out of her for themselves, and have been doing this since the moment they met. It is impossible to eradicate this “defect”, no matter how much you would like to. But I repeat once again, this is a small percentage of all those who suffer from premature ejaculation.

About seven or eight years ago, it was discovered that there are two types of premature ejaculation, that is, primary and secondary. The primary manifests itself even at the time of puberty of a guy. It happens almost always at the moments of masturbation, and after that, at the moments of the beginning of a full-fledged sexual life. It is important that this type of ejaculation is congenital. Scientists believe that this is due to the malfunctioning of the nerve centers in the brain and it is impossible to cure it.

A secondary cause of premature ejaculation is a malfunction of the body. Whoever suffers from the second type does not have any birth defects that affect sexual life, but during his lifetime the man suffered some damage to his body. Such damage can be both physical and psychological. Since a man once had the experience of sexual intercourse, normal sexual intercourse, the process of ejaculation was formed back then, and with such premature ejaculation, doctors can really help a man.

It is important that you do not personally begin the treatment of your illness, because this is a disease that necessarily requires observation by doctors and treatment under their control. Specialists will identify exactly what the guy’s problem is and what was the impetus for the development of his illness.

There are a number of physiological and mental problems, because of which the guy ends quickly.

1. The first and most common physiological problem is the very high sensitivity of the penis, or rather its head. Such a problem can be both congenital and acquired.

2. Hormonal disorders take their place in this list. Hormonal imbalance occurs due to a lack of the male hormone testosterone.

3. Poisoning by harmful substances. Once a guy, he was poisoned by alcohol or toxins, and now he has too fast ejaculation, it happens sometimes, and maybe also because of taking certain medications.

4. Violation of the internal organs. Know that before treating the genital organs of a man, it is worth going through a complete diagnosis of the whole organism, because the problem can lurk anywhere. Either injuries to the bones or pelvis, or diseases of a urological nature.

5. Of psychological problems, trust between partners comes first. Fear of romantic relationships, betrayal, dissatisfaction with life with your sexual partner, a complete lack of trust between a guy and a girl, which is why a guy can quickly finish.

6. Chronic stress. The problem of stress in our time is so big that scientists are scared when talking about numbers, percentages and possible future consequences. The world is crammed with everything that can cause stress in an ordinary healthy person, and protracted. Men are hunters by nature, earlier they went away for weeks in search of food, today men go to work “with their whole heads”, which harms the body, while also sleeping little. It is this situation that can cause frequent stressful situations and depression. Such problems can cause early ejaculation in a man.

7. Fear. A premature end in bed can be caused by a man’s fear. Fear can be acquired from the first sexual experience, when perhaps something went wrong, etc. Fear includes the reason to be ridiculed and refuted by your partner for various reasons. Such thoughts can very strongly “settle” in the subconscious of a man and cure him of such a problem, only a psychologist can do it.

The problem of rapid or premature ejaculation in men can occur at any age. According to statistics, it is in young guys that this problem is more common. In such a situation, the support of a partner is very important. And hoping that the problem will resolve itself with time and age is not at all worth it, you need to see a doctor.

Do not be afraid to talk to your sexual partner about the problem of premature ejaculation, there is nothing to worry about, solve this problem together.

what to do if a guy finishes quickly, reasons

02/22/2022

5-7 minutes

20 166

Contents

• Why men cum fast
• Classification
• Diagnostic methods
• What to do if a man finishes quickly

According to statistics, premature ejaculation is detected in every third man under the age of 40. Of the total number of urological patients, about 20% suffer from this problem. In almost half of them, premature ejaculation is combined with erectile dysfunction. At the same time, this violation is not only a medical, but also a social problem. Due to the fact that a man cannot have a normal sexual intercourse, his self-esteem decreases and his quality of life deteriorates.

At the same time, there are no clear criteria that could establish a time frame for the normal duration of sexual intercourse. Experts agree that it should be from 2 to 10 minutes. That is, premature ejaculation should be spoken of when ejaculation occurs earlier than this time. However, the International Classification of Diseases (ICD-10) does not provide any time frame.

According to the definition, ejaculation is considered premature if both partners do not get proper satisfaction from intimacy for the reason that the partner ends quickly. ¹

Why do men cum fast

There are several hypotheses that describe why men end quickly during sex. However, none of them has been confirmed in large studies. However, it is believed that the following conditions can lead to the development of a problem:

Classification

In addition to the reasons that help to understand why a man quickly finishes, there is a classification that describes the time of occurrence and frequency of manifestations of premature ejaculation. It includes the following types of this problem.

• Initial (primary) premature ejaculation . Appears at the first sexual contact and persists in the future. In this case, ejaculation occurs before the moment of vaginal penetration or 1-2 minutes after it.

• Acquired (secondary) premature ejaculation . Occurs against the background of normal sexual contacts. Moreover, a man can have a normal sex life for a long time, but at some point he encounters this problem.
• Naturally changing premature ejaculation . It appears inconsistently and irregularly. That is, a man can quickly finish any of the sexual acts for various reasons.
• Ejaculatory dysfunction in the form of premature ejaculation . In this case, we are talking about the subjective perception of premature ejaculation. At the same time, the time until the onset of ejaculation may be normal or even exceed the norm.

You can figure out why a man quickly finishes sexual intercourse and why there is a rapid ejaculation in men, you can determine the causes of this violation during an examination by a specialist⁵.

Diagnostic methods

If a husband or boyfriend cums quickly, the first thing to do is to contact a specialist. As a rule, this is a urologist or andrologist. Only a specialist will be able to make a correct diagnosis and select an effective treatment.

The diagnosis is based on a detailed analysis of complaints and the most detailed history taking. Detailed information can be obtained using special questionnaires, and everyone can measure the duration of sexual intercourse on their own using a stopwatch.

Also, to identify the exact causes, carry out:

The specialist also takes into account the sexual constitution of a man and the peculiarities of his sexual behavior.

At the diagnostic stage, many methods can be used, ranging from the simplest (determining the level of hormones) to more specific ones (the speed of nerve impulses to the glans penis)³.

What to do if a man finishes quickly

Treatment is always selected individually and comprehensively. The main focus is on psychotherapy and pharmacological therapy. Main tasks psychotherapeutic treatment are:

Teaching a man skills that will allow him to gain control over the process of ejaculation.

Elimination of psychological problems between a man and a woman.

For this, methods such as compression technique, start-stop technique, marital psychotherapy, etc. are used. The doctor also gives recommendations regarding lifestyle. As a rule, a man should maintain a sufficient level of physical activity and observe the regime of work and rest. As part of psychotherapy, drugs (sedatives, tranquilizers, nootropics) may also be prescribed.

Pharmacological treatment has more options. To reduce the sensitivity of the glans penis, local remedies are prescribed in the form of a cream, spray or gel, which have an anesthetic effect. As a rule, these are preparations based on lidocaine.

To control serotonin receptors, drugs from the group of selective serotonin reuptake inhibitors are used. With their help, you can achieve improvement within 5-10 days after the start of treatment.

If erectile dysfunction is detected in a man simultaneously with premature ejaculation, then phosphodiesterase type 5 inhibitors can be prescribed as a treatment. However, they are recommended to be used only when these violations are combined. If a man does not have problems with erection, then it is not advisable to prescribe such treatment.

You can also treat premature ejaculation with the help of surgical techniques aimed at reducing the sensitivity of the penis. ^2.3 These include:

Intersection of nerve fibers that are responsible for the sensitivity of the glans penis.

Injection of the head of the penis with hyaluronic acid.

Circumcision of the foreskin.

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It contains L-Tyrosine, L-Tryptophan, L-Glutamine, Magnesium Citrate, Vitamin B ₆ , L-Isoleucine – components that can not only help prolong sexual intercourse, but also increase the brightness of orgasm, as well as improve general the well-being of a man. ⁶

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References

1. M.M. Sokolshchik, S.N. Nesterov, S.V. Gagarina, Ya.A. Vaziev, A.I. Babel Modern methods of treatment of premature ejaculation // Bulletin of the National Medical and Surgical Center. N. I. Pirogova. 2007. No. 1.
   https://cyberleninka.ru/article/n/sovremennye-metody-lecheniya-prezhdevremennoy-eyakulyatsii
2. Popov S.V., Orlov I.N., Vyazovtsev P.V., Grin E.A., Gulko A.M. Premature ejaculation – the current state of the problem // ECU. 2018. №3.
   https://cyberleninka.ru/article/n/prezhdevremennaya-eyakulyatsiya-sovremennoe-sostoyanie-problemy
3. Zhukov O.