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Anonymous on September 1, 2011

Does an enlarged prostate cause premature ejaculation?

My husband and I have been married 13 years. Sex has always been very good. But during last year, he comes very quickly. He has an enlarged prostate…could this have anything to do with it? Is there anything I can do for him?

answered by David Sobel, MD, JD on September 1, 2011

Thanks for your question, and for your care and concern about your husband.

First, even though premature ejaculation is extremely common and most men experience it at some time point, there’s often no clear cause for it. That said, while an enlarged prostate can cause trouble with urination, it shouldn’t affect ejaculation or premature ejaculation (PE).

If sex is less frequent than in the past, that could be a factor in your husband’s PE. Why? Well, sometimes when sex is less frequent, men get more excited and orgasm more quickly. So, depending on what you’re doing now, having sex more frequently may help.

Otherwise, there are three common ways to treat PE:
  1. In the so-called“pause and hold” or “squeeze” technique, your husband would try to train himself to delay ejaculation. While masturbating, he would bring himself to a point of orgasm, but then stop and squeeze the tip of his penis for about 30 seconds until he calms down. That’s done twice…and then, the third time, he would allow himself to orgasm. After doing that alone, he would do it with you.
  2. Using anesthetic creams to numb the penis, or using condoms to decrease sensation, are also options.  
  3. Or, medications like anti-depressants may be used to help delay orgasm.
Also, keep in mind that PE is sometimes related to early erectile dysfunction (ED). How so? Well, some men with ED will start off with firm erections...but they may, unfortunately, lose the erection shortly after starting sexual activity. To compensate, these men quickly achieve orgasm before the erection disappears. Most of the time, this is subconscious...they don’t even realize they’re doing it. They often complain to their doctor of early ejaculation when, in fact, they are experiencing ED.

But just as men learn to go longer before having an orgasm, they may also retrain themselves to cum sooner. Again, this isn’t something they decide to do…but it’s something that they may end up doing if their erections don’t last as long.

Bottom line, I would encourage your husband to see his doctor about his PE, and to determine whether he has any erectile dysfunction that needs to be addressed.

Thank you for sharing your concern with us, and I hope that you and your husband will soon know your options to improve his staying power.

Related info:

David Sobel, MD, JD

Dr. Sobel is a Colorado-based urologist and Director of the Denver Center for Men’s Health. His areas of expertise include men's sexual health and all areas of urology, including urologic oncology, treatment of benign prostatic hypertrophy, stone disease and incontinence. Dr. Sobel was educated at the University of Michigan Law School and the University of Illinois at Chicago College of Medicine, and completed his residency at the Rush University Medical Center in Chicago, IL.

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