There are a lot of options for treatment out there in the form of a pill or an injection, and even surgery. The problem with pills and injections is the spontaneity is often lost and some medications need to be refrigerated which can make your romantic getaway weekend less romantic.
The other downside to pills and injections is they only address the blood flow issue, which can but not always give you the erection you are looking for, but they will do nothing for your orgasm and ejaculation. Solution: Pelvic physical therapy addresses the muscular reasons for your erectile dysfunction by strengthening the muscles necessary to not only get the blood where it needs to be in your penis, but also strengthens the muscles that help to keep the blood in your penis, giving you more natural and satisfying spontaneous erections, as well as more robust ejaculations and orgasms.
This can be a real problem for a couple trying to get pregnant and is often treated with medications to diminish the sensitivity of your penis or chemically delay ejaculation. Some anti-depressants are known to delay ejaculation and are sometimes prescribed in low doses for this issue.
According to the Mayo Clinic, premature ejaculation is considered the inability to delay ejaculation for more than three minutes after initial stimulation. This often is caused by stress in general but can also be linked to trauma. You should never have unwanted pain during sex! Pain with ejaculation can be very distressing, causing people like yourself to avoid intimacy out of fear of the pain they expect to have at a moment that is supposed to be very pleasurable and satisfying!
It takes a very well-coordinated effort of several muscles, including the muscles of the prostate, to have good ejaculation. If these muscles are tight, weak, or tired, then they are not going to work as well. If you have tight, weak, or tired quads or hamstrings, are you going to be able to run well? Probably not. This is the same situation here.
