Low testosterone and erectile dysfunction get treated as the same problem, but they are usually not. One is a hormone issue that blunts desire; the other is a blood flow issue that affects the mechanics of an erection. Here is how to tell which one you are dealing with — and why testosterone therapy often disappoints men who expected it to fix their erections.
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Here’s how the Mayo Clinic defines Peyronie’s Disease (PD):
“Peyronie’s Disease (PD) involves formation of fibrous scar tissue (plaque) in the tunica albuginea of the penis, leading to curvature, pain, shortening, or other deformities during erection. The exact trigger is often unclear, but the process centers on injury followed by abnormal wound healing.”
https://www.mayoclinic.org/diseases-conditions/peyronies-disease/symptoms-causes/syc-20353468
In my experience in dealing with thousands of PD patients, here’s 4 key questions and discussions about this very challenging condition.
Let’s just get a bit of science out of the way: The core mechanism of PD is improper healing and susceptibility to scar formation. PD is fundamentally a disorder of disordered wound healing rather than simple injury. After trauma or microtrauma causes bleeding and inflammation in the tunica, genetically or biologically susceptible individuals (sometimes linked to conditions like Dupuytren’s contracture) produce excess collagen, persistent myofibroblast activity, and inelastic plaque instead of normal remodeling. In short, PD most often begins with penile trauma in a susceptible person, followed by faulty scar-tissue formation. Symptoms of PD are painful erections, curved erections, difficulty in penetration, indentations or hourglass shaping, palpable fibrotic anomalies, loss of length and girth, erectile dysfunction, anxiety & depression. Patients will experience one or more of these symptoms, and the disease progresses from an acute phase (< 12 months) to a chronic phase (> 12 months).
Most cases have no clear recalled trigger; 75% of my guys don’t know why or how their PD started. 25%, however, are certain; they injured it during sex or masturbation, they got a puck or a foot in the groin, or they snapped a branch off on the head of their cock when they were clearing some brush, or post unrelated surgery (catheter insertion or removal?).
Don’t worry bro – you aren’t alone.
In fact it happens a lot, to a lot of guys over the course of their lives – PD prevalence is estimated as high as 9%.
For comparison sake – Diabetes has a similar prevalence – and everyone knows what diabetes is.
Most people don’t know what the F&%# PD is. And it’s very likely to be underreported.
So 25% for sure know HOW it happened, but for the remaining 3/4 of men, who just WAKE UP one morning – and it’s curved, or in pain – they have no idea what caused their condition.
I have my own theory.
I estimate that most of these men, specifically those who, prior to their injury, had normal erectile function, simply turned over on their boners during sleep, and boom, there’s your trauma. If you are a guy with healthy erectile function, you may be having 3-5 nighttime erections (nocturnal penile tumescence) every night! Accidents happen when you have a boner!
Simple preventative solution? Sleep on your back as much as you can!!! DICK UP!
Ultimately, being the detective in this scenario isn’t really relevant to you.
The question becomes – HOW DO I FIX THIS?
I’ve heard from several patients that when presenting to a urologists with PD, often later during the acute phase (because how long does it take to get a urologist appointment?), the advice for the patient was to ‘just wait it out’.
Whoa – yeah, don’t do that.
“See ya in a year!” said one urologist, without even completing a physical exam. Patient complained to me: “I just waited 10 months to be told there’s nothing that can be done?” Brutal. BS.
PD is a disease – meaning it progresses and usually worsens without intervention – and you should do what you can to halt it in its tracks early.
I’m not saying you need to have surgery or start injections – but you should be considering non-pharmaceutical, natural, non-invasive solutions now. I understand why most doctors opt to do nothing. In about 10% of PD patients, they will see a return to relative normalcy WITHOUT any intervention.
Following the Voltaire logic (“the art of medicine consists of amusing the patient while nature cures the disease”)
It just heals. And I’m sure, for a very small number of people – it does.
But for most, it won’t. And so being proactive is really important.
My advice is to throw the kitchen sink at the problem.
Here’s your list – Do all of them if you can:
Focused Shockwave Therapy. It’s powerful and painless for most people. It is expensive and there is no guarantee for success. But the data is very promising.
Traction Device and/or a vacuum pump. I recommend the RestoreX, the Penimaster, and the Active 3 Medintim Electric Pump. But don’t just buy it to let it sit under your bathroom sink. USE IT.
Nightly massages and jelquing. 5 minutes in a warm shower is all you need. These are somewhat controversial but I believe they can be done safely. Be careful! You CAN hurt yourself.
Apply Castor Oil to fibrotic plaque area. Purchase the very highest quality organic castor oil for topical use you can find. There’s none that I can specifically recommend. Go to a local Health Food Store. The data on castor oil is generally poor, but the side effects are so low that it’s generally worth a shot.
Bang & Masturbate (Carefully). Don’t let the blood flow to the area stop. USE IT.
Don’t do one, and ‘see what happens’. If you CAN – do them all. Do you think when Aaron Rodgers’ achilles exploded, he did the surgery and then was like ‘ahhh, I’m not gonna use the walking boot?’
Of course not – Throw the Kitchen Sink at the Problem.
Unfortunately, PD is like the achilles heel injury of the cock. PD, like an achilles rupture, is very difficult to fix, even with the best of care. How can such a small injury cause such a giant, and difficult to fix problem?
Often times you will never fully heal exactly, and If you do, prepare for a long recovery. The healing process takes time.
But if you DO NOTHING – I think you set yourself up for long term failure.
It’s important to note that there is a strong association of PD with mental health disorders. Many men develop significant emotional distress, clinical depression (rates often cited around 48% or higher in clinic samples), anxiety, relationship strain, and reduced quality of life. This is totally understandable given the impact PD can have on sexual function and body image.
https://pubmed.ncbi.nlm.nih.gov/40684259/
PD can often result in erectile dysfunction. While many guys who come to see me report no issues with ‘getting’ the erection, over time, it’s well defined that PD can result in early onset ED. In a retrospective analysis of 309 men with active-phase PD, ED was present in 37.5% of cases; in ALL of these, ED occurred during the course of PD. https://pmc.ncbi.nlm.nih.gov/articles/PMC4958366/
Again – it’s a disease.
Do what you can to halt its progression.
Clinical Presentation of Peyronie’s Disease: A Retrospective Study of 564 Cases (2024) — Found ED in 39.8% of PD patients.
https://www.mdpi.com/2075-4418/14/11/1125
Peyronie’s disease in the United States: A real-world, 13-year nationwide analysis of demographics, clinical characteristics, and treatment trends (2025) — ED present at diagnosis in 28.2% of patients; additional de novo ED developed in 14.8% within one year of PD diagnosis.
https://onlinelibrary.wiley.com/doi/10.1111/andr.70029
If you’ve tried Viagra, Cialis, or similar ED medications (PDE5i) and felt disappointed with the results, you’re not alone.
Many men discover that pills only provide temporary relief – or stop working altogether – because they don’t fix the underlying problem.
It’s called ‘pill fatigue.’
PDE5i medications simply increase blood flow for a short time, but they cannot repair damaged blood vessels, improve natural nitric oxide production, or restore healthy penile tissue.
Over time, blood vessels in the penis can become narrowed or damaged due to age, diabetes, high blood pressure, heart disease, or prostate issues.
When blood flow is impaired at the root level, pills often lose effectiveness.
At FocusWave Clinic, we use clinically proven focused shockwave therapy to:
Many of our patients who previously had poor or inconsistent results with ED medications now report stronger, more reliable erections and better spontaneity in their intimate life.
In like manner, patients who are struggling with inconsistent results from their PDE5i medications tend to see much stronger erections after shockwave therapy treatments begin and medication levels remain constant.
Real Results Without the Side Effects
If you’re tired of relying on pills that don’t deliver consistent results, we’d love to help you explore a long-term solution.
→ Book a complimentary In-Clinic Consultation [Booking Link]
During this no obligation assessment with our team of compassionate clinicians, we’ll discuss your specific situation in confidence and let you know if you’re a good candidate for this amazing medical technology.
You deserve to feel confident again – without depending on medication.
Looking forward to speaking with you!
If you’ve had a prostatectomy, you already know how common it is to experience changes in erectile function afterward — even with nerve-sparing surgery. Many men find that pills or injections help only partially or come with side effects they’d rather avoid.
You’re not alone, and there is hope for meaningful recovery.
Book your complimentary, in-clinic assessment HERE
At FocusWave Clinic, we specialize in focused shockwave therapy specifically for men recovering sexual function after prostate cancer treatment. Unlike medications that offer only temporary effects, shockwave therapy works by:
Treatment is non-invasive, takes about 15–20 minutes per session, requires no downtime, and has no systemic side effects.
Many men begin noticing improvements within a few weeks, with results continuing to build for months afterward.
We’ve helped numerous prostate cancer survivors in the Ottawa and Waterloo regions regain confidence and intimacy without relying on ongoing medication.
Next Step – Completely Confidential
We offer a free 15-minute discovery call where we can discuss your specific situation, timeline since surgery, and whether you’re a good candidate for shockwave therapy.→ Call us at 888-558-9283.
There is no obligation — just clear, compassionate answers from a team that understands what you’ve been through.
If you’ve already done your homework, and understand that we are your BEST choice in Ottawa or Kitchener-Waterloo (with the best technology, with the most capable and compassionate team to help you along the way) then you can simply book your free, no-obligation in-clinic consultation anytime HERE
You’ve already overcome a lot.
Taking this step can help you reclaim an important part of your life.
What if the key to fixing low libido, erectile dysfunction (ED), Peyronie’s disease, or that constant fatigue isn’t another prescription… but finally listening to your body’s root signals?
In the latest episode of Difficult Conversations from Focuswave Clinic, host Drew Klein sits down with Dr. Yousuf, Ottawa’s trusted naturopathic doctor specializing in men’s sexual wellness and hormone balancing. This isn’t polished PR talk—it’s raw, honest, and deeply personal.
Drew opens up about his own transformative journey: years of failed dermatologist treatments, frustrating symptom chasing, and ultimately a life-changing candida cleanse that shifted everything. From there, the conversation dives into why so many men stay stuck in the “pill trap” and how a “whole human” approach changes the game.
Dr. Yousuf explains that allopathic medicine excels at acute care but frequently overlooks the interconnected roots of men’s health issues:
They highlight the rise of collaborative care—where naturopaths work alongside MDs to address root causes safely, including synergies with treatments like shockwave therapy (a non-invasive option Focuswave Clinic specializes in).
Real change isn’t about willpower alone—it’s about psychology. Dr. Yousuf stresses that many men resist holistic protocols because they’ve been conditioned to expect instant fixes. But lasting results come from:
This episode is a wake-up call: Your confidence, intimacy, and energy aren’t gone forever—they’re waiting to be reclaimed when you treat the whole person.
Key Takeaways from Episode 2
If this conversation hit home, don’t stop at listening—take action.
Watch the full episode now: Watch Episode 2 on YouTube
Learn more about Dr. Yousuf and his approach: Visit dryousufnd.com
At Focuswave Clinic, we’re here to help men break free from cycles that hold them back. Book a discovery call to explore personalized options for sexual wellness, hormone optimization, and beyond.
Premature ejaculation (PE) is often linked to physiological factors like pelvic floor dysfunction, poor penile blood flow, hypersensitivity of the penis, or chronic pelvic pain syndrome (CPPS). The combination of Focused Shockwave Therapy (FST), Pelvic Floor Physiotherapy (PFP), and pelvic floor muscle training addresses these root causes, offering a synergistic approach to improve intravaginal ejaculation latency time (IELT) and reverse PE symptoms.
How It Works:
Scientific Evidence:
Why It Helps: By targeting physiological causes like poor blood flow or pelvic inflammation, and in the neuromodulation of the penile nerves, FST creates a foundation for longer-lasting sexual performance, particularly in younger men with acquired PE.
How It Works:
Scientific Evidence:
Why It Helps: The PFP exam pinpoints the exact pelvic floor issues contributing to PE, enabling targeted training and ensuring shockwave therapy is optimized for the patient’s physiology.
How It Works:
Scientific Evidence:
Why It Helps: Pelvic floor training empowers patients to actively improve ejaculation control, building on the physiological improvements from shockwave therapy and the diagnostic insights from the PFP exam.
Men over 40 in Ottawa, Waterloo, Kitchener, and Gatineau searching for a non-surgical Peyronie’s disease treatment now have a proven solution: shockwave therapy. At FocusWave Clinic, low-intensity extracorporeal shockwave therapy (LI-ESWT) safely breaks down penile plaque, reduces painful curvature, and often improves erectile function—without surgery or injections.
Peyronie’s disease affects many men over 40, causing penile curvature, pain, and sometimes erectile dysfunction due to scar tissue (plaque) in the penis. For men in Ottawa and Waterloo seeking non-surgical solutions, FocusWave Clinic offers shockwave therapy—a safe, effective treatment to reduce symptoms and improve quality of life.
Shockwave therapy, or low-intensity extracorporeal shockwave therapy (LI-ESWT), uses focused or linear shockwaves (true shockwave!) to break down scar tissue, improve blood flow, and promote tissue regeneration. For Peyronie’s disease, it targets the fibrous plaque causing curvature, reducing pain and improving penile function. Clinical studies show that shockwave therapy can reduce curvature by 20-40% in many cases, often within 6-12 sessions.
At our Ottawa and Waterloo clinics, shockwave therapy for Peyronie’s disease is simple and discreet:
Men over 40 with Peyronie’s disease, especially those with painful erections or curvature affecting intimacy, are ideal candidates. If you’re in Ottawa or Waterloo and seeking a discreet, effective solution, shockwave therapy could be the answer.
Peyronie’s disease doesn’t have to define your life. FocusWave Clinic in Ottawa and Waterloo offers advanced shockwave therapy to reduce curvature and restore confidence. Schedule your private consultation today to learn how we can help.
Visit www.focuswaveclinic.com or call 888-558-9283 to book your appointment at our Ottawa or Waterloo clinic.
Take control of your men’s health now.
Are you or someone you know suffering from persistent orthopaedic pain that just won’t go away?
Whether it’s pain from sports injuries, repetitive strain, or age-related degeneration, chronic orthopaedic pain can severely impact your quality of life, limiting your ability to move, work, and enjoy daily activities.
At FocusWave Clinic, we treat patients with an innovative, non-invasive solution that has shown remarkable results in treating various chronic musculoskeletal conditions: Focused Shockwave Therapy
This cutting-edge treatment is gaining recognition worldwide for its ability to promote healing, reduce pain, and restore mobility without surgery or medication.
Let’s discuss chronic orthopaedic pain, its causes, and how focused shockwave therapy can provide the relief you’ve been searching for.
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Understanding Chronic Orthopaedic Pain
Orthopaedic pain refers to pain that originates in the muscles, bones, joints, ligaments, tendons, or nerves. Chronic orthopaedic pain lasts for weeks, months, or even years and can result from a variety of conditions.
Some of the most common include:
– Tendinitis: Inflammation of tendons, often affecting the shoulders, elbows, or knees.
– Plantar Fasciitis: A painful condition affecting the thick tissue on the bottom of the foot.
– Achilles Tendinopathy: Pain and stiffness in the Achilles tendon, often caused by overuse.
– Rotator Cuff Injuries: Damage to the muscles and tendons that stabilize the shoulder.
– Patellar Tendinitis (Jumper’s Knee): Inflammation of the tendon connecting the kneecap to the shinbone.
– Bursitis: Inflammation of the bursae, small sacs of fluid that cushion bones and tendons.
– Epicondylitis (Tennis Elbow or Golfer’s Elbow): Pain and inflammation in the tendons around the elbow joint.
– Stress Fractures: Small cracks in bones, often caused by repetitive force or overuse.
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What about ARTHRITIS?
There is growing evidence that FST can be effective for certain arthritic conditions, especially in managing pain and improving function in joints affected by osteoarthritis and related disorders. Although shockwave therapy is more widely recognized for treating soft tissue injuries like tendinitis or plantar fasciitis, its application in arthritis treatment is becoming more popular as research continues to emerge.
– Osteoarthritis (OA) of the Knee: Osteoarthritis of the knee is a degenerative joint disease where the cartilage that cushions the knee joint gradually wears away. This results in pain, swelling, and stiffness as the bones begin to rub against each other. OA in the knee is common among older adults and can develop due to age, repetitive stress, injury, or obesity. As the condition progresses, it can limit mobility and affect daily activities.
– Rheumatoid Arthritis: Rheumatoid arthritis is an autoimmune disorder in which the immune system mistakenly attacks the synovial lining of the joints, causing chronic inflammation. Unlike osteoarthritis, which is due to wear and tear, RA is a systemic condition that can affect multiple joints and other organs. The inflammation can lead to joint damage, pain, swelling, stiffness, and loss of function. It commonly affects the small joints of the hands, feet, and wrists but can impact larger joints as well.
– Hip Osteoarthritis: Hip osteoarthritis is a condition where the cartilage in the hip joint deteriorates over time, causing pain, stiffness, and limited movement. It is a common form of arthritis in older adults and is often a result of aging, wear and tear, or previous injury to the hip. As the cartilage wears away, the bones in the hip joint rub against each other, leading to pain and reduced range of motion.
– Ankle & Foot Arthritis: Ankle and foot arthritis refers to inflammation and damage in the joints of the feet and ankles. This can result from various forms of arthritis, including osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis following an injury. The condition causes pain, swelling, and stiffness, making it difficult to walk or stand. Over time, arthritis in the ankle and foot can lead to deformities and reduced mobility.
– Shoulder Arthritis: Shoulder arthritis occurs when the cartilage in the shoulder joint wears down, causing pain, stiffness, and a reduced range of motion. There are two primary joints in the shoulder that can be affected: the glenohumeral joint (where the ball and socket of the arm meet the shoulder blade) and the acromioclavicular joint (where the shoulder blade meets the collarbone). Osteoarthritis is the most common form of arthritis affecting the shoulder, but rheumatoid arthritis and post-traumatic arthritis can also occur.
If left untreated, these conditions can lead to ongoing pain, stiffness, and reduced mobility, making it difficult to perform everyday tasks.
The frustration of living with chronic pain can be compounded by treatments that are either ineffective or come with unwanted side effects, such as pain medications or invasive surgeries.
This is where Focused Shockwave Therapy can make a significant difference.
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What is Focused Shockwave Therapy?
Focused shockwave therapy (FSWT) is a revolutionary, non-invasive treatment that uses high-energy acoustic waves to stimulate the body’s natural healing processes. Originally developed to break down kidney stones, this technology has evolved to become a leading treatment for musculoskeletal pain, particularly in orthopaedics.
During a focused shockwave therapy session, a handheld device generates electromagnetic shockwaves (travelling at 1,500 meters per second) that are transmitted into the affected area. These waves penetrate deeply into the body, to the cellular level, and help to:
– Increase blood flow to the injured area, promoting healing and regeneration.
– Stimulate collagen production, which is crucial for repairing damaged tendons and ligaments.
– Break down scar tissue and calcifications, which can impede movement and cause pain.
– Reduce inflammation, providing pain relief without the use of drugs.
– Decrease pain, through the triggering of the body’s nociceptors.
TOTALLY NON-INVASIVE with NO DOWNTIME or SIDE EFFECTS
Focused shockwave therapy is different from radial shockwave therapy, which only targets the surface layers of tissue.
Focused shockwaves can reach deeper tissues, making it ideal for treating chronic pain in hard-to-reach areas like tendons, bones, and joints.
It cannot be overstated – INSIST ON FOCUSED or LINEAR SHOCKWAVES.
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What to Expect During Treatment
An FST treatment course for chronic pain will consist of 5 treatments, done once a week for 5 consecutive weeks. A typical focused shockwave therapy session lasts between 20 and 30 minutes.
Here’s what you can expect during your visit:
1. Initial Consultation: We will evaluate your condition and determine if focused shockwave therapy is the right option for you. If it is, we’ll explain the treatment process and answer any questions you may have.
2. Treatment Session: During the session, a handheld device will be placed on the affected area, delivering focused shockwaves to the targeted region. Most patients experience minimal discomfort, but the intensity of the treatment can be adjusted to suit your comfort level.
3. Post-Treatment: After the session, you may experience mild soreness in the treated area, similar to the feeling after a workout. This typically subsides within a day or two, and there is no downtime required. A 60-90 day healing period, post the completed treatment course, is critical for patient success. Please be patient!
4. Results: Many patients report a noticeable reduction in pain after just one or two sessions, with continued improvement over the course of treatment and especially during the healing period.
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Why Choose FocusWave Clinic for Focused Shockwave Therapy?
At FocusWave Clinic, we pride ourselves on offering the latest, evidence-based treatments for chronic pain and orthopaedic conditions. Our experienced practitioners are trained in the most advanced shockwave therapy techniques and are committed to providing personalized care tailored to your needs.
– Experienced Team: Our team of healthcare professionals is dedicated to helping you find relief from chronic pain and improve your overall quality of life.
– State-of-the-Art Equipment: We use the latest focused shockwave therapy technology to ensure the best possible outcomes for our patients.
– Holistic Approach: We take a comprehensive approach to treatment, incorporating shockwave therapy with other therapies such as physiotherapy, exercise, and lifestyle modifications for long-lasting results.
Book Your Consultation Today
If you’re tired of living with chronic orthopaedic pain and are looking for a non-invasive, effective solution, focused shockwave therapy could be the answer. Don’t let pain control your life any longer – take the first step toward recovery today.
To learn more about focused shockwave therapy or to schedule a consultation, contact us at 1-888-558-9283 or info@focuswaveclinic.com.
You can also visit our website www.focuswaveclinic.com to book online.
Our team is here to help you regain your mobility, reduce your pain, and get back to doing the things you love.
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To your best health,
The FocusWave Clinic Team
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P.S.
Want to hear success stories from other patients who have found relief through focused shockwave therapy?
Visit our review page at https://ca.trustpilot.com/review/focuswaveclinic.com to read testimonials and learn more about how this treatment is changing lives!
After speaking with more than 5,000 men in the last few years about their sexual dysfunctions, here’s what I’ve learned about Premature Ejaculation (PE):
Premature Ejaculation (PE) is defined as ejaculation during sex EARLIER than a man or his partner would like.
It is a common condition affecting about 1 in 3 guys during their lifetimes.
(yes – women can get PE, too. For now, let’s focus on the dudes).
Often, PE is strongly associated with other forms of sexual dysfunction, including ED, low libido, and sexual anxiety.
Many men (and their partners) suffer frustratingly in silence with this condition.
PE is often considered a problem that afflicts younger, sexually inexperienced patients – but surprisingly, prevalence doesn’t vary significantly across most age groups.
It can affect anyone at any time.
And it IS a problem.
It can lead to serious relationship difficulties, divorce, and depression.
WHY does PE happen?
There are a variety of different reasons.
Here’s the list. Pick your poison.
There’s more – but you should be able to narrow it down.
It’s worth it to chat with a sexologist or naturopath who can help you figure it out if you can’t.
PE is divided into 2 categories: LIFELONG vs. ACQUIRED.
Just as it sounds – lifelong means you have always popped off too quick; acquired means it has developed over time, for whatever reason.
PE is then further divided into severity:
Mild, moderate, or severe.
This is based on your IELT – intravaginal ejaculatory latency time.
How long can you stay fully penetrated inside your partner until ejaculation?
(Similar data exists for homosexual partners as well)
Severe PE = IELT of 1 minute or less.
Moderate PE = IELT of 3 minutes or less
Mild PE = IELT of 5 minutes or less
So what it the RIGHT AMOUNT OF TIME that you should be able to maintain your erection before ejaculation?
How quick is too quick?
According to a recent survey of women about IELT, the ranges of intercourse activity times were defined as:
1-2 minutes: “too short”
3-7 minutes: “adequate”
7-13 minutes: “desirable”
13-30 minutes: “too long”
My wife and I have a super romantic code for whenever we want to get off.
It goes: “Hey, you got 13 minutes?”
Expectations for sexual intercourse should be well defined between couples.
Are you in it for a quickie?
Or do you want it to go long and sweaty?
Understanding your partners’ wishes and desires will go a long way towards defining your own.
But you need to be realistic.
Some patients will come into our clinic with severe PE and have totally bonkers notions about being able to last 30 minutes, shooting footlong ropes, and having multiple orgasms over several hours.
Guys – this is ridiculous.
You are watching too much porn.
What this IELT survey (and several others) tells us is that MOST partners DO NOT WANT you banging away at them for half an hour.
This isn’t to say that there aren’t some thirsty people out there who want to be pounded deep into the mattress – all the time, every time, for a really long time.
If that’s you – ok! Go for it!
No one is stopping you.
Power to you (and an ice pack).
But for regular, active, and normal sexual relations, a solid 10-15 minute session is all that’s needed for both partners to achieve their desired level of gratification.
So the big question is, and why you made it this far: HOW can I fix my PE?
There’s several answers here and you should consider them all.
1) Basic PE Training
There are a few physical training techniques which you can try at home, safely and carefully, to keep you from popping too quickly.
I’m not a fan of most of them, but they have some efficacy.
i) Condoms: Yes, they suck. But worth a try if you find yourself overly sensitive to a nice moist hole.
ii) Start & Stop: This is really the best move you can try. Stimulate yourself towards orgasm, then stop before you pop. Then start again. Start & Stop can be practiced via masturbation (think of it like banging a tennis ball against the wall), and eventually graduating to sexual activity with a partner. This is training for your cock.
iii) Squeeze: I’m not a fan of this move. Squeezing the head of your penis when you are about to orgasm is like covering your mouth when you are about to puke. It’s going to come out somewhere (this is a joke, of course). As well, if done improperly, the ‘Squeeze’ could lead to penile injury (yes, we’ve seen this before).
iv) Drugs: Pde5i medication, antidepressants, topical numbing agents. Horrible. Avoid like the plague. These are just masking the problem.
2) Change your Masturbation Technique
If you are one of the 92% of men who have masturbated regularly at one point in their lives, you have to consider that you may be doing it all wrong.
And by wrong, I mean: you are overstimulating yourself.
One of the first questions I ask PE patients: Are you a stroker – or a tugger?
Strokers do the old 5 knuckle shuffle by gliding their hand up and down their penis with (or without) lubrication, which closely simulates the act of sex.
Tuggers, on the other hand, tend to pull their penis, which most sex acts do not simulate.
In our clinic, we have noticed, that patients with acquired PE tend more likely to be strokers. If you are a stroker, and you ejaculate quickly during masturbation, how do you think this will translate to an actual sex act?
Likely not well.
Either learn to take your time while masturbating (Start & Stop) and practice lasting longer, OR change your technique.
If you can last longer while tugging, try sex positions that are like tugging.
3) Change your Ejaculation Frequency
While the science is somewhat mixed on what is deemed a healthy rate of ejaculation (a recent study showed that you should be blowing your load 21 times per month for the sake of your prostate), it’s far from settled as to what is the correct frequency for optimal health.
Sex is healthy and increases your testosterone levels.
Excess masturbation has been shown to reduce testosterone levels.
So it’s best to save your seed for your partner, always, but when in doubt, it’s safe to ‘take care of yourself’ to ‘get the poison out’.
But in excess, it’s likely to be detrimental.
If you or your partner feel that your masturbation is affecting your relationship, then it’s likely that you have a problem.
4) Pelvic Floor Physiotherapy
Training and Strengthening the Pelvic Floor is shown to improve PE and ED conditions
https://pubmed.ncbi.nlm.nih.gov/30979506/
Awareness and timing of pelvic floor muscle contraction, pelvic exercises and rehabilitation of pelvic floor in lifelong premature ejaculation: 5 years’ experience
5) Focused Shockwave Therapy (FST)
Patients with PE who underwent Focused Shockwave Therapy saw a nearly 100% increase in intravaginal ejaculation latency time (IELT) from 38 seconds to 75 seconds. Efficacy and Safety of Extracorporeal Shock Wave Therapy in the Treatment of Chronic Prostatitis/Chronic Pelvic Pain Syndrome and Acquired Premature Ejaculation Patients – PubMed
https://pubmed.ncbi.nlm.nih.gov/37611558/
FST is painless, side effect free, and requires no medications or downtime.
Conclusion
Here’s some straight dope.
You may not like this, but: You really just need to learn how to fuck.
Much like toilet training – where you train your body to not piss yourself – you have to teach yourself to NOT come too quickly.
Maybe you developed some bad habits over the years.
It’s OK – these can be overcome.
Getting your mental game on point is critical.
You know how in the old comedy movies there was the old joke about a guy trying not to blow his top and he’s distracting himself ‘baseball, grandma crouching in a sundress, if train A leaves Chicago at 9am going 100 miles per hour, etc.).
This is real. If all you are thinking about is not coming too quickly, then you will come too quickly. No different than if I tell you to NOT think about a pink elephant…what are you going to think about??
Let your mind seek peace during the pleasure. Enjoy the moment. Don’t worry about the ending.
In combination with physical techniques and mental strategies, our goal is to get you lasting into the ‘desirable’ range (between 7-13 minutes) within just a few months.
No pills, no pain, and no surgery.
So give us a call – 888-558-9283 – and schedule a consultation with our team.
We specialize in the treatment of Erectile Dysfunction, Peyronie’s Disease, Chronic Pelvic Pain Syndrome, and BPH/Bladder Incontinence, as well.
There’s never been a better time to conquer this very solvable problem.
