In this episode, Dr. Brandon and Dr. Morgentaler talk about premature ejaculation—explaining why it's a common, treatable condition tied more to physiology and confidence than performance, and how communication, training, and medication can restore intimacy and ease.

01:20 The Double Standards in Sexual Expectations – Dr. Brandon and Dr. Morgentaler talk about how society praises women for climaxing quickly but shames men for the same, creating unfair pressure and stigma.

05:02 Medical Treatments for Premature Ejaculation – They also discuss the most effective treatments available today, from topical sprays to antidepressants and other medications that help men last longer.

13:56 Understanding the Effects of Topical Anesthetics – They also discuss how topical anesthetics can safely delay orgasm by reducing sensitivity and boosting control during sex.

15:25 Exploring SSRIs and Their Side Effects – They also discuss how antidepressants like paroxetine or dapoxetine can help manage PE, though some men experience delayed orgasm or mood changes.

16:20 The Role of PD5 Inhibitors and Practical Solutions – Finally, they discuss how drugs like Viagra or Cialis can ease anxiety, improve confidence, and be combined with behavioral techniques for better results.

Resources:
Raisi, A., et al. (2025). Efficacy and safety of pharmacological treatments in patients with premature ejaculation. Journal of Sexual Medicine.

With Dr. Abraham Morgentaler and Dr. Marianne Brandon

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