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| | eMedicine - Premature Ejaculation : Article by Mark Jeffrey Noble, MD |
 | | Indirectly, premature ejaculation may alter self-esteem, cause marital dysfunction, and may be a factor in depression with its obvious consequences. |
 | | In primary premature ejaculation, in which the male has never experienced sexual relations without also experiencing premature ejaculation, a deep-seated emotional disturbance (see History) may be present and the causes may be multiple. |
 | | The optimal medical treatment for premature ejaculation has not been established, but, in the author's experience, single dosing prior to sexual relations can work for some males, while in others, achieving a blood level through daily use of the medication may be necessary, as in the treatment of clinical depression. |
| www.emedicine.com /med/topic643.htm (8534 words) |
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