Premature Ejaculation
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Private MD Lab Services offers a single panel to help diagnose premature ejaculation: Premature Ejaculation Screen.
What is premature ejaculation?
Ejaculation is commonly called premature, or too fast, if a man has an orgasm before or within a few minutes after entering his partner. It is a problem only if it prevents a couple from having sexual experiences that are satisfying for both partners.
About one third of American men are not able to control the timing of their ejaculations. This problem is more likely to affect younger men. It is less common as men get older. However, some men may struggle with this problem into old age.
How does it occur?
Many mental and physical factors affect the timing of orgasm. Examples of mental factors are guilt, anxiety, fear, and excitement. Physical factors include the intensity of sexual arousal and the sensitivity of the skin of the penis.
Infrequent sex also affects control. A man with normally good control may reach orgasm quickly after a long time without sex. Premature ejaculation is also common the first few times a man has sex with a new partner. Medical problems are rarely a cause.
- Pinpoint hormonal imbalances affecting performance
- Reveal stress levels impacting your stamina
- Clarify nutrient deficiencies affecting your endurance
Percent of saturation; serum iron; total iron binding capacity; unsaturated iron binding capacity
Hemoglobin (Hgb) A1c
Color; appearance; specific gravity; pH; protein; glucose; occult blood; ketones; leukocyte esterase; nitrite; bilirubin; urobilinogen; microscopic examination of urine sediment.
Total Testosterone
Note: If total testosterone results are expected to be >1500 it is best that the Testosterone LC/MS-MS version of this test be ordered. Reporting values that exceed 1500 will now be reported as >1500 for all regions, as this standard operating procedure will now be nationwide.
Thyroid-Stimulating Hormone (TSH)
This test is also known as:
Third-generation TSH
Thyrotropin
Hematocrit; hemoglobin; mean corpuscular volume (MCV); mean corpuscular hemoglobin (MCH); mean corpuscular hemoglobin concentration (MCHC); red cell distribution width (RDW); percentage and absolute differential counts; platelet count; red cell count; white blood cell count; immature granulocytes.
C-Reactive Protein (CRP), High Sensitivity (Cardiac Risk Assessment)
This test is also know as: Cardiac C-Reactive Protein. Cardiac C-Reactive Protein (CRP) ; Cardiac CRP ; Cardio C-Reactive Protein (CRP) ; Cardio CRP ; C-Reactive Protein (CRP), High Sensitivity ; C-Reactive Protein (CRP), HS ; CRP, Cardiac ; CRP, Cardio ; CRP, High Sensitivity ; CRP, HS ; High Sensitivity CRP ; HS CRP .
Cholesterol, total; high-density lipoprotein (HDL) cholesterol; low-density lipoprotein (LDL) cholesterol (calculation); triglycerides; very low-density lipoprotein (VLDL) cholesterol (calculation).
A:G ratio; albumin, serum; alkaline phosphatase, serum; ALT (SGPT); AST (SGOT); bilirubin, total; BUN; BUN:creatinine ratio; calcium, serum; carbon dioxide, total; chloride, serum; creatinine, serum; globulin, total; glucose, serum; potassium, serum; protein, total, serum; sodium, serum; eGFR.
Total Prostate-Specific Antigen (PSA); free PSA when total is between 4 and 10.
How is it treated?
Many men can learn to control their ejaculation. Men with good control can enjoy a long period of sexual arousal before choosing to ejaculate. This means learning how to control the various factors affecting the timing of orgasm.
Men with concerns about premature ejaculation should seek help from a health professional who has training and experience in treating sexual problems. The health care provider or therapist can suggest ways to lengthen the time between sexual arousal and orgasm. For example, a man might change the usual thoughts and fantasies he has during sex. Also, learning and practicing the "start-stop" or "squeeze" techniques can help.
In rare cases your health care provider may prescribe medicines that help prevent premature ejaculation.
To learn more, ask your provider or a sex therapist for information. Check with your State Board of Mental Health or State Board of Healing Arts for specialists in this area.
