T Nation

Premature Ejaculation on TRT

Anyone here having this issue. I’ve never been a 30 Minute guy but could easily go 5-10 enough for my wife and I to both get off. My libido has been strong and erections are great for the last 6 months. Lately can’t say I’ve lasted more than 3 min from penetration.

As I’ve experienced significant sexual dysfunction over the last few years while finding my optimum protocol this seems to be the last thing I can’t figure out.

Current protocol:

Test cyp 50mg sub Q EOD with 500iu hcg EOD. I feel great. Libido/erections are wonderful. I’m lean and strong and have great energy. I’ve tried promescent (lidocaine spray) with some success but that has to be timed which is kind of a mood killer. Additionally I take cialis 7mg daily.

My urologist mentioned tramadol but honestly that’s the last thing I need is a pill that inhibits reuptake of multiple neurotransmitters and agonizes opioid receptors

I’ve cut down on the masterbation and eliminated porn but this is tough since my libido is much higher than my wife’s.

Any other suggestions. Things I need to investigate. Labs? Techniques ?


I believe you have your answer sir.

Well well well. @CrushCity1 you describe me except the 3 minute thing. I do the 5-10 minute bid. And wife can not keep up with my libido.

I masterbate everyday still. With porn sometimes Ik it’s bad. But I function well with wife so no harm.

Try skipping cialis for 2-3 days. See if that helps. I had the 3 minute thing happen months ago but I forgot how I dealt with it I think it went away on its own. I stopped cialis for 9 days to see if it caused heart paps and when I started taking again WOW! Felt really good hard ASF and horny.

Try an edging session like 30 minutes or so. Porn is good to do that with IF you are browsing through porn. You can try without porn.
See if you last doing this. Maybe it will retrain you.

I actually am doing a clomid experimentation now. I am only on t injections. I took 25 mg yesterday And it took me much longer to cum. Not sure if that means anything. I am doing this to see if my testes get bigger and if I can get bigger loads. I will probably take just 1 more 25 mg tomorrow. I Don’t want to mess anything up I feel really good.

Labs maybe check prolactin, estradiol and free t if you want. But you did not state how long this is happening for.

See below especially biological

Psychological causes

Psychological factors that might play a role include:

  • Early sexual experiences
  • Sexual abuse
  • Poor body image
  • Depression
  • Worrying about premature ejaculation
  • Guilty feelings that increase your tendency to rush through sexual encounters

Other factors that can play a role include:

  • Erectile dysfunction. Men who are anxious about obtaining or maintaining an erection during sexual intercourse might form a pattern of rushing to ejaculate, which can be difficult to change.
  • Anxiety. Many men with premature ejaculation also have problems with anxiety — either specifically about sexual performance or related to other issues.
  • Relationship problems. If you have had satisfying sexual relationships with other partners in which premature ejaculation happened infrequently or not at all, it’s possible that interpersonal issues between you and your current partner are contributing to the problem.

Biological causes

A number of biological factors might contribute to premature ejaculation, including:

  • Abnormal hormone levels
  • Abnormal levels of brain chemicals called neurotransmitters
  • Inflammation and infection of the prostate or urethra
  • Inherited traits

I’ve never been able to last a really long time but this 2-3 min consistently has lasted maybe a month or more. It’s definetly causing my wife and I some anxiety.

After typing the last post I had a 5 min duel pleasure session so maybe things are looking up!

:muscle:t3::stuck_out_tongue: yeah

Hey man - its tough to say but almost always the issue with PE is mental. You are probably anxious about it so it acts like a loop - the more you worry the more it happens. Maybe spend more time with foreplay or pleasing your wife in other ways first.

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@CrushCity1, I am probably going to come across as an inconsiderate ass, but I promise that isn’t my intent.

  1. There are NO known side effects of anything that “INCREASE SENSITIVITY” to the point of PE. There are no creams, supplements or exercises that will do this - regardless of what you read online. Lets just say I have experience in the field.

  2. If you are experiencing PE, it is likely because you are mentally relaxed from the stresses of being unable to perform that your mind encourages the orgasm. Performance anxiety and performance failure are mental killers. You have “fixed” your imbalance and now firing on all cylinders.

  3. What is your refractory period? In other words, how long after the first orgasm, do you obtain enough of an erection to penetrate? That becomes an important key.

  4. IMO, skipping Cialis will NOT help you with the PE. Cialis/Viagra/etc. all tend to make orgasm/ejaculation more difficult – NOT faster. Removing it from your program might affect your erections and start you on a downward spiral again.

  5. IMO, spend more time in foreplay, attempting to bring your partner to orgasm through methods other than penetration. Then penetrate and enjoy the ride – whether it is 1 min or 15 mins.

Another possibility is to have intercourse; reach your orgasm; that allows you to rest and recharge; while you perform other acts with your partner to bring them to orgasm. By then, you are likely hard again, and can go a second round – which will statistically last much longer.

Speaking for myself … I think anyone who has had issues with ED, and has found their sweet spot, would not want to make ANY chemical changes when everything is firing on all cylinders.

Be honest, is it really bad to orgasm in 1-3 minutes? Considering where you have been??

Not taken as you being an “Ass”

I agree I won’t stop the cialis. I love that stuff.

My protocol is the best it’s ever been so I wont be changing that either.

I’ll keep playing with the promescent some at times as recommended by my urologist.

For me 1-3 minutes isn’t terrible but I’d like to get my wife off too as I’m a thoughtful partner.

Overall I think reducing masterbation and relaxing during the process will help. Performance anxiety can be a real killer.

Thanks for your response.

Thanks … but INCREASING masturbation, especially before the act would be more in line. Thank about the advice given to young men, who rarely have intercourse – “rub one out before going on the date. It will relax you and take the edge off.”

“Performance anxiety can be a real killer.” ABSOLUTELY!!

promescent is a mail order product usually not sold in stores; with a special marketing agreement with Amazon. It is virtually identical to other lidocaine based products (like stud 100 which has been on the market since I was a baby) – including the percentage of lidocaine.

People react differently to different formulations. The alternate product used is Benzocaine. One of the better ones is Proloonging cream by Doc Johnson as it has 7.5% Benzocaine, one of the strongest.

The other important aspect is to apply it CORRECTLY, and wait 10-20 minutes for it to be completely dry before intercourse. Many guys don’t like the cold burst of sprays, so there are also desensitizer wipes available.

You probably know all that already. Just FYI.

Thanks again. My urologist explained since I’ve been having sexual dysfunction over the last few years I’ve been wanking it more often. When 3 minute wanks become the norm the body isn’t used to lasting the extra 5 minutes I’d like. Hence his telling me to cut down the quicky jerks.

But yes if I jerk it early in the day I can last longer a little later. I tried this a few weeks ago and couldn’t even achieve orgasm which was fine because I really just wanted to bang the wife some though she’d like me to org most times.

There is a thread called something like “stupid things doctors say”. You should add what your doctor said.

His statement doesn’t make sense. I’m losing faith in some doctors.

Usually a doctor will tell a patient who is having DIFFICULTY climaxing to STOP or REDUCE masturbation because masturbation uses a pressure and stroke that your hand can generate - but that your body (and your partner’s vagina or ass) could NOT DUPLICATE during intercourse. Plus, it is your body and you can quickly adjust your action based on your feeling. THAT is why you cum fast when you masturbate - it is a direct feedback loop. A women who masturbates would experience the same thing.

People who masturbate do NOT teach their penis that “3 minute wanks” are “the norm”.

Tonight, while looking for something else, I came across a product that I had never heard of … it is called " Tadapox" (aka Super Cialis).

Tadapox contains such active ingredients as tadalafil 20 mg + dapoxetine 60 mg. Basically, tadalafil deals with erectile dysfunction, while dapoxetine tackles premature ejaculation. Tadalafil works by inhibiting PDE-5 that destroys cGMP, the enzyme that plays an important role in erections. After that, dapoxetine starts working, because it’s a short inhibitor designed to stop premature ejaculation,

Thought you might be interested @CrushCity1

Good lord that is bad advice who taught you this?
My daddy always told me the first time is for you and second is for her.
Screw rubbing one out, haha

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I agree with @traveling-man because I use to do the same exact thing. If you knock one out before intercorse it will definitely make you last longer and all you will need is that one good time.

But now all the ED issues im having all I have is that first time I don’t even think I can go a second time and thats what makes me so depressed and I missed the old me who I was before this whole Low T situation

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@traveling-man @zsub154

Maybe u fuckers know a thing or two. I rubbed one out at 530 today and had sex about 830. I had good control, last for 7ish min and was able to climax at the same time as my wife. Good call.
Cialis is great!

@zsub154 are you on trt?


@CrushCity1 yea that’s has always worked for me. Not sayin bf it will work for everyone. But I was doing that for years and it always worked. The first round would be nice but the second round is where you would put her to sleep. So in total in one day you you ejaculte about three times. Also try the train your self to last a little longer you will like it and so will she.

Yea I’m on TRT sadly low testosterone has basically ruined my life and I’m only 30. I’m giving you all this advice and the sad thing is I can’t even do that stuff my self anymore as of rite now. I no longer get morning wood even with cialis it’s hard for me to get errections. My libdo dropped. You know how I just told you that you can ejaculte 3 times in one day. If I even ejaculte one time in a day I won’t even be ready until like 3 days to go again so that second round during sex doesn’t even exist for me anymore.
Last night I couldn’t even get errection to have sex with my girlfriend and it’s been goofing on for this past month. I’m trygoing n to figure out what wrong with me on top of that trying to keep my grades up in college.

I was wdon’t nesting if anyone can chime in on this question what controls sensitivity in a mad penis.
Some people told me E2 but I have had my E2 at 22 I’ve had it at 34 I have basically had my E2 every level you could think and my sensitivity has still not came back. Any advice would be greatly appreciated

E2 aside, where are your T levels? What is your sleep like? How is your stress level on a daily basis?

What @NH_Watts asked plus:

Are you on hcg? I get great libido response from hcg.

What is your current protocol and lab values?

Are you on an AI?

Btw you should start a thread of your own and seek continued advice to get you through this. I was having similar issues and had a thread running for months until I got dialed in. It really helps as people can continually follow your case and progress.