Sexual Performance

Hi,

I'm having a very weird symptom and I don't have any idea what's happening.

When I'm sleeping with someone I love or admire too much I'm suffering premature ejaculation which is really embarrassing and destroyed my relationship before twice with ladies that I loved so much however if I had casual sex with any lady that I don't have actual love and admiration feelings towards her I don't suffer any premature ejaculation and I don't even feel internally excited while I'm having sex with her.

I checked with urology doctors and they confirmed that I'm not suffering any physical illness and they even consulted to try some medications for premature ejaculation but unfortunately with no effect. even if I was under medication once I start intercourse with a lady I love I suffering the same issue and the opposite extreme with any casual intercourse without any medications.

thanks.

Have you tried Viagra? I know this sounds absurd but when using Viagra it can numb the penis just a little bit, which might help you. I do not recommend an SSRI or SNRI because those can really numb you emotionally. :-/

Have you tried the stop-start method? I watched a Ted Talk from a sex educator who said it's an effective technique for preventing premature ejaculation. Something you would practice for a while.

Ever thought about consulting with a sex therapist? I had a friend who said it really helped her. I don't know what the specific issue was but something sexual that was not going well with her bf. Anyway, she said the therapist was amazing and really helped them to get back on track sexually.

Your problem does not sound medical at all. Though I'm not a doc

Hope this helps a bit. I wish you well

Another thing you could maybe do is after a session is over, simply regain your "juices" so to speak and go at it again.

Granted, this will only work if your partner is ok with resuming as many times as either of you please. Since for some, they may no longer be in the mood after the first time.

I don't think that I need viagra as I don't have any issues with the erection BTW when I'm having this issue even after the premature ejaculation I keep erected and I can continue the intercourse however this ejaculation, unfortunately, bothers my partner to stop and continue

This is most likely anxiety. When you are having that casual sex that does not even excite you internally, you have nothing to lose and nothing at stake - you do not care what the lady will think of you and thus you are anxiety-free. Being free from anxiety lets you last longer.

Another thing is that when are internally excited, you ejaculate faster, which makes sense - you are excited.

Have you tried non-penis-centric sex with some of the women you care for?

I guess I didn't word my meaning well. I'm not saying anything about keeping an erection, i'm saying maybe it will help you slightly numb the sensations so not to prematurely ejaculate.

Viagra's side effect is numbing, it can numb your penis a bit, hopefully helping you to last longer.