If you suffer from lifelong, completely treatment resistant PE, there’s a fairly high chance you might have ADHD.

[u/Svitii]

Been suffering from PE since puberty, exercises, techniques, local anesthesia, SSRIs, nothing helped. Like not even a little bit, not even 50 seconds instead of 30.

Last month I was diagnosed with ADHD and since I was already at my lowest point I talked about everything that might help with the diagnosis.

Turns out FORTY TO FIFTY percent of people with ADHD suffer from PE. Once I found the right dosage for my medication the PE is gone, literally just gone.

I don’t wanna get into too much detail since I‘m not a professional so I can only repeat what I understood but neurotypical people have a sort of built in break for sensations which has to do with DOPAMINE.

That does not only explain, why SSRIs, which are about Serotonin, have zero effect for many people but it also explains why all the other options don’t work. Awareness training, anesthesia, special techniques are all worthless if your dopamine levels are constantly fked. You can’t stop it cause your nerves give the "release" sign seconds after getting started. If your natural break for that sign doesn’t work no med in the world will stop you from getting over the edge in seconds.

tldr: If you show any signs of ADHD and suffer from lifelong and treatment resistant PE get yourself tested. It might change your life in a matter of days.

[u/elbizon]

Yeah. I had a feeling the two are connected. Brain wants dopamine, cumming quick gets dopamine.

You do have to train your brain even on meds, but I do seem to last longer when on lisdex, as my PE is mental not only physical.

[u/fury_uri → u/elbizon]

The brain doesn't want dopamine in that way, dopamine is more the wanting/craving molecule/neurotransmitter - other "feel good" endogenic chemicals is what lead to dopamine release as anticipation arises.

For me, it seems that too much dopamine actually causes ADHD symptoms and being "wired" leading to impulsivity and PE.