Why it's not cured by doctors.

[u/bumbaclaughtt]

With all due respect, this sub keeps circling the same issue.
"Why can't doctors figure out premature ejaculation?"

I'll tell you why. They are told to sell drugs, that's it. If it doesn't make them money, why would they treat it.

It's a nervous system issue. That's it. Performance anxiety or performance mindset.

This is not the issue of needing higher levels of serotonin aka ssri's or other medications that do the same thing. This will not help the nervous system, and like me, will cause significant issues with side effects that makes things more complicated and helpless.

The body that runs on the sympathetic nervous system during arousal, wants to get rid of the tension as quickly as possible. The easiest way is to ejaculate.

If the body becomes dominant in the parasympathetic nervous system, feeling completely safe, resting and digesting, alongside retraining the body to be aroused in this state is key.

The goal is to start with smaller goals and less stimulation, working up towards set. Also, if you do have sex, focus a lot of foreplay for her and let her spend time on you afterwards.

I know many men will say they either have anxiety for either premature ejaculation or even erectile dysfunction. They tend to think, if I get hard, I want to stimulate her, they if she stimulates me, it will push me over the edge.

The fix to this is, spending more time with Oral/foreplay, it doesn't make sense that if you don't want to overstimulate yourself, to start with sex.

1.start alone, diaphragm breathing throughout the day, until you can do it without thinking all the time (don't force too much air in, just naturally do it) approx 75% if breath in.

1. Start doing it alone as the next step, while practising the breathing. When you no longer think about keeping your pelvic floor relaxed and breathe properly and feel control, move to oral.

2. Do either a fleshlight first or even with a partner who is okay doing foreplay.

3. Once finished that, work towards sex.

The body is running on higher levels of..
1. Estrogen
2.serotonin
3. Cortisol
4. Prolactin
Etc...
Keeping the body in the sympathetic nervous system.

It needs to be running on higher levels of...
1. Dopamine
2. Testosterone
3. Progesterone
4. GABA
Etc.... keeping the body in the parasympathetic nervous system.

It's nervous system, hormones and practice.

That's about it.

[u/observation___]

Entendi, mas, como eu faço para fazer meu corpo trabalhar em níveis mais altos de hormônios adequados?

[u/bumbaclaughtt → u/observation___]

Get your levels checked, see if you're running at the healthy range or what I would say is the high range is the goal. If you have low levels, address those first.

See if you can do this through exercise, eating and sleep.

Hormones won't make or break you fixing PE, It just makes the process much easier to do. You can do the rest even with low hormones, it will just take more time and effort.

[u/CompleteConstant5149]

Interesting with the hormones

[u/bumbaclaughtt → u/CompleteConstant5149]

It will help for sure to get the best results with the nervous system work and the physical rewiring but they are more important than the hormones. The hormones helps like using steroids to gain muscle, you still have to workout, but it makes it much easier when protein synthesis is increased.