Premature ejaculation is the most common sexual dysfunction in men younger than 40 years. Most professionals who treat premature ejaculation define this condition as the occurrence of ejaculation prior to the wishes of both sexual partners. This broad definition thus avoids specifying a precise duration for sexual relations and reaching a climax, which is quite variable and depends on many factors specific to the individuals engaging in intimate relations.

Premature ejaculation occurs in just under two minutes, as opposed to about eight minutes for men able to stay the course. And it can indeed lead to dissatisfaction, a sense of losing control and strained relationships.

Premature Ejaculation Remedy
5-HTP is normally used to increase serotonin levels and often used to treat depression. 5-HTP is not normally known as a premature ejaculation pill, but it may help with premature ejaculation by increasing levels of serotonin. 5-HTP may not stop premature ejaculation, but at least it may slow the process. One herb that could be tried is kava which is also found in Good-Night-Rx, a formula for deeper sleep.

Premature ejaculation cure
I am not aware of a premature ejaculation cure, however a nutrient called 5-HTP can, in my professional experience, slows the onset of premature ejaculation and in some cases may prevent premature ejaculation.

Premature ejaculation treatment
In the 1960s, premature ejaculation was considered a learned behaviour that had to be treated by behavioural therapy, such as the so-called stop-start technique. The efficacy of this method was questioned. Physicians have always looked for medication that could delay ejaculation. Many studies, controlled and open label, have now shown that rapid ejaculation can be treated quickly with clomipramine and SSRIs.
   The most commonly used pharmacologic medication or treatment to control premature ejaculation is a drug from the selective serotonin reuptake inhibitors (SSRIs) class, drugs which are used normally as antidepressants in the clinical setting. The names of some of these drugs are Prozac, Paxil, and Zoloft. I believe 5-HTP is much cheaper and worth a try before going on to a premature ejaculation drug .
   EMLA, an anesthetic cream, may be another option. EMLA appears to be effective in treating premature ejaculation. Researchers assigned 84 men with premature ejaculation to receive sildenafil (Viagra) alone; EMLA alone; sildenafil plus topical EMLA; or placebo. The rates of effectiveness were 40 percent for placebo, 55 percent for sildenafil alone, 86 percent for the combination of sildenafil plus EMLA, and 73 percent for EMLA alone. Headache and flushing occurred in patients taking sildenafil as part of their treatment, but no side effects were reported by patients taking placebo or EMLA only. Topical EMLA cream alone had effectiveness equal to that of the combination treatment. Urology, February 2006.

Cause of premature ejaculation
There may be a psychological component to premature ejaculation. Insufficient concentration of the neurotransmitter serotonin is now thought to be a physical cause.

Prevalence of Premature Ejaculation
Premature ejaculation is the most common male sexual dysfunction, affecting approximately 20 percent to 30 percent of the male population at any one time. Currently, available data suggest that only 1 percent to 12 percent of males self-reporting premature ejaculation receive treatment for their dysfunction.

Classification of Premature Ejaculation
A classification of premature ejaculation must distinguish between hyper-orgasmic or hypo-orgasmic, between situational or global; furthermore, it must define whether it occurs during vaginal penetration only or also in masturbation, and must study its latency periods and its relationships to the erectile dysfunction, with which it is often associated.

Premature ejaculation Research Update
The first drug formulated to treat premature ejaculation delayed climax and increased reported satisfaction in a late-stage study, its developer, Johnson & Johnson, said . A Phase III clinical trial of 2,614 men showed the drug provided "significant improvements in sexual function, including ejaculatory control, satisfaction with sexual intercourse for men and their partners, and increases in intravaginal ejaculatory latency time," Ortho-McNeil Pharmaceutical, a unit of J&J, said in a statement. The drug, called dapoxetine, is being co-developed by J&J's Alza Corp. and Johnson & Johnson Pharmaceutical Services, LLC units. The company's Ortho-McNeil Pharmaceutical unit will market the drug in the United States if it receives U.S. Food and Drug Administration approval.

Premature ejaculation. 1. Definition and etiology.
Arch Ital Urol Androl. 2004 Dec;76(4):181-7.
There is no general agreement on the definition of premature ejaculation, therefore scientific studies often reach discordant results depending on whether they assess the increase in ejaculatory latency or the couple's sexual satisfaction. Etiological theories can be divided into psycho-sexual (anxiety-related, behavioral) and biological (pelvic floor alteration, hypersensitivity of the glans penis, accelerated conduction and cortical amplification of the genital stimuli), both sharing the neurobiological assumption of serotonergic mediation. Premature ejaculation can be iatrogenic (amphetamine, cocaine, dopaminergic drugs) or secondary to urological diseases (prostatovesiculitis, frenulum breve) or to neurological diseases (multiple sclerosis, peripheral neuropathies, medullary expansion processes).

Premature Ejaculation emails
Q. Is there another supplement besides 5-htp that helps with premature ejaculation. I saw this in your book "NATURAL SEX BOOSTERS" and wondered was there something else that helped also.
   A. Sometimes kava works for premature ejaculation, but each person is different, it is hard to make a prediction since herbs have not been studied in this area much.

Q. I am 50 years old and been suffering from premature ejaculation since I am 17 years old. I had tried all kinds of aphrodisiac herbs including tongkat ali but it does not help at all. My partner is very disappointed with my sexual performance. I have no problem with my erection but my sexual act lasts for a few seconds only. My second ejaculation can last longer like 10 to 15 minutes.

Q. I am 29 years old and have had a sever case of premature ejaculation for most of my sexual life. I last about10-15 seconds and thats if I actually penetrate. I know part of the reason is performance anxiety, but I also belive part of the reason is neurological. It seems like its an involuntary reflex and that i can't control it. I was hoping you can give me your take on it? Supplements, drugs, relaxation techniques?

Q. I am taking a supplement called Deferol which is supposed to cure premature ejaculation. I am also taking Passion Rx to help with ED. After reading some parts of your website, I noticed that you mentioned 5-HTP can cause ED. I believe Deferol works by using 5-HTP. My question is, am I defeating my own efforts by taking both (is the Deferol working against the Passion RX), and if so, what can I do to assist with the premature ejaculation problem without running the risk of increasing the ED problem. Do you have a Deferol review?
   A. A search on the internet reveals Deferol is Manufactured by IDlST Laboratories, LLC. The proprietary blend of Ingredients in Deferol are: Each capsule contains: Passiflora Coerulea leaf extract, Griffonia seed extract, Pyridoxyl 5-phosphate 12.5 mg, Pyridoxine HCl 20 mg, Folic Acid 0.4 mg. We really don't know much about this product or the dosages of some of the ingredients, so we don't have a Deferol review and can't advise you. We don't know if Deferol is effective for premature ejaculation. In general, though, we don't suggest using other supplements at the same time as Passion Rx.

Q.  I have a very serious problem of premature ejaculation for about last 7 years. SSRI especially paroxetine and then fluxotine has a little effect on me, but this last only for 1-2 month after its starting. I also trid some herbs from herballove.com (Via growth3 + MoodMax + Dopa fibra). I was unable to find any information regarding this disease. Although im fit but this make me a bit depreesed. Kindly adivse me any herb from your site. thanks.

Q. First of all I just wanted to say you have very informative information on your website keep up the good work. Secondly I wanted to know if you recommond anything for premature ejaculation problem? And if there is something for premature ejaculation problem is it permenant or I have to take it everyday? One other thing about Passion Rx do I have to take this everyday or is it something that once you reach your goal you can stop using it?
   A. Passion Rx can be used as needed, and each person is different on how often and how much they will need to take Passion Rx to enhance sexuality.

Q. Your literature describes supplements to promote harder and longer erections, but does not mention retarding the urge to ejaculate. I have heard this urge is controlled by hormones or by neurotransmitters, and is independent of the blood flow that maintains an erection. Is there a product that reduces this urge? I can maintain an erection indefinitely if there’s no friction stimulation, but get an overwhelming urge for premature ejaculation as soon as friction begins.

Q. I wanted to know does passion rx or any other supplements that you know of help cure premature ejaculation? And what would you recommend for premature ejaculation? Your help in this regard is greatly appreciated.

Q. I was wondering if premature ejaculation can be controlled by passion Rx. I have premature ejaculation and I don't last more than 20-30 seconds when I am fully aroused. I am a healthy 26 year old male, with no other health problems. No stress either. This will be the first time I will be using a sexual enhancement product. Also, I was thinking of using an external spray called Indian God Lotion.
   A. We are not familiar with Indian God Lotion. Some people find benefit for premature ejaculation with Passion Rx, others from kava or 5-HTP, but it is difficult to predict who will respond to what supplement.

Q. I just wondering, if you know any herbs or homeopathic medicine for premature ejaculation.
   A. We have not seen studies but kava could be tried. As far as homeopathy, we are not aware of homeopathic medicines treating premature ejaculation.

Q. I need to know if using Passion RX & Yohimbe Bark 500mg will solve premature ejaculation. Since i can not perform sex more than a minute. I have good erection.
   A. We have not tested Passion Rx for premature ejaculation, so we don't know.

Q.  I am very much interested in Herbal Products. I would like to ask you kindly whether increasing the level of serotonin in the brain helps stop premature ejaculation.
   A. There is a possibility that some people find they can stop premature ejaculation by raising serotonin levles which can be done with SSRI drugs such as Prozac and Paxil, or through natural a supplement such as 5-HTP.

Q. I am looking for a treatment or premature ejaculation cure. It has been stated that the Passion Rx improves sexual function. I cannot find any reference to benefits received or not received as a premature ejaculation cure.
   A. We have not found Passion Rx to make a major difference one way or the other.

Q. I have a premature ejaculation problem and I had recently started taking 5HTP for my problem, I am taking 100mg caps 3 times daily, morning afternoon and evening. But after a period of almost 2 months continuous use now, I still don't feel that I have any significant improvement in my condition.