Expert: Azure - 7/8/2007

Question
Hi. I'm a 22 year-old male and have had some problems with ejaculation. Until about 2 months ago, my problem was premature ejaculation. With my ex-girlfriend, it was really hit or miss -- sometimes great sex, other times I would bust very quickly. That is still a problem. But it's compounded by the fact that I also now do not attain a fully erect penis, and yet ejaculate anyway. It's almost as if I don't need a fully erect penis to ejaculate.

Mind you, I'm 22 and sexually active. This is quite embarrassing for me, and I've recently tried to avoid sex (for some reason, this does not occur during oral sex or otherwise). Do you think I should see a doctor about this? I imagine this is probably psychological (I can, for example, still attain a hard erection from masturbation). Is there any treatment I can do (psychologial or over the counter creams, etc.) to try before seeing a specialist? And what kind of a specialist would I see, and would I need to see my primary care physician first to get a referral?

Thanks for your help.

Answer
appears to be "premature ejaculation", usually caused by anxiety, but can have physical causes; to first rule out the physical, see a urologist and/or endocrinologist to consider any medications currently taken, check testosterone levels, etc; you can research the topic on webmd.com..certainly viagra or similar drugs were created to help this problem..i know you'd prefer not to become reliant on them at such a young age, but i also know the embarrassment of not having the so called "good wood"; the primary care thing would vary as to type of insurance, there's no "drug store"  cure that works--you're gonna have to spend some time/money seeking out a doctor if you really want to fix it..