Rapid or Spontaneous ejaculation? Advice for men who come within seconds

[@greenshroud]

Interesting content. The topic of PE is, I think, highly mysterious. It could simply be evolutionary wiring, where quick ejaculation had survival benefits, and some people are just more primed towards that. Or it could be that this primal pathway is activated whenever we are carrying a lot of unconscious stress, which basically pertains to the perception of threats, but in a more abstract sense, and so dealing with lowkey anxiety is important to it. It could also be due to physiological training, as in squeezing the PE during sexual experiences, we train ourselves to ejaculate as quickly as possible, and if we've been doing that since we first become sexually cognizant, then it has become a lifelong habit, which in turn could be reflected in other areas of life. The PC muscle can trigger the ejaculatory reflexive system, which in turn is the activation of the sympathetic nervous system, which pertains to our fight or flight response, hence its overarching relationship with anxiety and fear. I've heard of cases where a person ejaculated simply from a sexual massage from their partner (without sexual stimulation), or from viewing certain explicit content, without any sexual touching occurring. What would such cases indicate? We know that they are passing from a parasympathetic system activation and arousal state into a sympathetic nervous system ejaculatory state without sexual stimulation. Could there be the association of arousal with stress? And so when aroused, there is this attempt by the body to escape stress or this fearful situation?

[@LastingLongerLab]

I completely agree, and I share your curiousity. For a presentation that seems so straightforward on the surface, we're still trying to understand the many biopsychosocial factors that contribute to PE. In most guys presenting with PE, I tend to see a combination of excitement and anxiety. Closely related emotions and both drivers of sympathetic activation. And just as you suggest, stress is a factor too. Both latent stress and performance stress, which keeps men stuck in a cycle of disappointment and worry about the next time. And, again as you mention, our natural wiring. PE does have some genetic inheritance. Some men are wired to ejaculate sooner than others. We all have some degree of agency over this, but stress and excitement make it difficult to exercise this agency in the moment. We panic or get carried away, or both. For cases of ejaculation without touch, I suspect these are acute experiences of going from parasympathetic to sympathetic engagement due to purely psychological/perceived stimulation. Us humans seem to be the only species that can do that, for better or for worse!

[@greenshroud]

@@LastingLongerLab Thanks for the response, insightful as always. There is one exercise I've been experimenting with and using to help notice my own physical response. For many years I've been interested in, and using, cold showers/ice baths to help train myself in relation to anxiety. There are a lot of good studies on that and I think that I can say that it's helped a lot, being able to stand in the cold shower while your body enters into a sympathetic nervous response state. But then, learning to be calm within it, almost as if perhaps transitioning back to a parasympathetic response. In regards to PE training, I notice that it is very hard to simply not constrict or squeeze the PC muscles when the cold shock hits the body. But I notice that the more I train to relax the pelvic floor through reverse kegels, the easier it becomes, although still not at a level where it's comfortable. Do you think this sort of training can be effective based on the theory? It might be worth investigating as a type of training for future use cases. So far I haven't seen anyone investigate this, but it certainly does highlight the relationship between sympathetic nervous system activation and pelvic floor activity.

[@JasonDeanTherapist]

@@greenshroud That's interesting, thanks for sharing. I know that cold exposure/showers has traditionally been viewed as a remedy for PE and possibly for good reason. Though I'm not aware of any contemporary research (except related to Wim Hof method, but that has quite a different objective) and I haven't investigated it up to now. The pelvic floor response you describe sounds completely plausible to me and I would consider it worthy of investigation. Thanks - for my part, I'll give this more consideration!

[@vitalik.shulyk]

can psilocybin microdosing help with PE? Thanks!

[@LastingLongerLab]

Well, I understand that psilocybin works on serotonin receptors so it may well have a delaying effect similar to SSRI meds. But psilocybin has a different emotional stimulation effect too, so further research on this is needed. It's an interesting question and topic though!

[@vitalik.shulyk]

@@LastingLongerLab I tried it and it was better, but I still need to experiment myself. thanks!