Hello,
I have been suffering with premature ejaculation for the last couple of years. 32 y/o man.
In the past year or so, I have now been suffering with *severe* premature ejaculation - less than 10 seconds to finish. It is so bad that it is preventing me from finding a relationship, and causing me intense distress. Note, this is not "Oh I only lasted 2-3 minutes, I wish I could go for longer" or "I finished before my partner could finish, I need to improve my stamina." This is almost immediate ejaculation upon stimulation - it is uncontrollable. This happens with masturbation too, not only with a partner.
My thoughts:
A significant worsening of my symptoms actually seems to coincide with me taking an interest in Peat's work and Danny Roddy's videos for reducing / reversing hair fall and hair loss around mid 2021 (I am quite new to the forum and this work).
Specifically, one of the things I have been doing in response to my reading of Peat's work / Roddy's videos (since around October 2021) is supplementing calcium carbonate. I am supplementing enough per day to balance calcium to phosphorus approximately / at least 1:1. I have been doing this because I do not tolerate dairy proteins very well - milk causes me to have constipation (I have tried A1, A2, raw vs. pasteurized, Friesian, Jersey, Guernsey - all with the same effect - I believe it may be the casein).
Checking my emails: my first purchase of calcium carbonate supps was October 2021. My first visits / consultations with physiotherapists around my premature ejaculation issue was November 2021... whilst I had been experiencing the problem for a good few months before this date (not saying CaCO3 was the only direct cause), it was only following a month or so of CaCO3 supplementation that I was prompted to seek medical help because the problem had gotten so bad - there may be a link??
My Theory / Question: could intra-muscular calcium excess (or magnesium deficiency) be causing chronic tightness / over-contraction in ALL muscles in the body, and hence, the pelvic floor tightness and premature ejaculation is actually a symptom of a wider "muscle tightness" issue?
- I ask this because my calcium intake has been significantly raised in the past year or so. I thought this would be a good thing in lowering PTH, reducing prolactin and helping with my hair fall.
- In addition to the premature ejaculation, after really paying attention to my body, I have noticed that lots of my muscles are often very tight. This tightness is not alleviated by extended periods of rest and relaxation (sitting around, slow walks, calming down) - the tendency to be tight and tense is always there. I notice that the muscles below my glutes are very tight upon ejaculation too (piriformis?), my glute and leg muscles are often ache-y in the morning, I do feel muscular fatigue too.
- Sodium, Potassium, Calcium and Magnesium play a significant role in muscle contraction and relaxation.
- Calcium is specifically responsible for Muscle Contraction
- Magnesium is specifically responsible for Muscle Relaxation
Treatment Suggestion: Might it be useful to stop all calcium supplementation, and begin magnesium and / or potassium supplementation?
- I have been using Magnesium Chloride Flake baths for a while now, but there does appear to be some debate about whether it is really absorbed. I wonder if higher dose magnesium taken orally could help to calm the entire muscular system down?? Combine this with much less calcium could help to balance things out?
- However, wouldn't supplementing magnesium raise my PTH and worsen hair fall? (not that calcium carbonate supplementation has done anything to reduce my hair fall either)
- How long might it take to notice a shift?
- Am I way off-base here??
Similarly to hair loss, premature ejaculation is a very difficult and frustrating condition - it must have existed for so many years, yet we still haven't found a direct cause / easy way to prevent it. I have been searching for solution for over a year.
I would HUGELY appreciate any advice or help any of you could give in answering this question, plus any other info that may have helped for you - I know PE has been discussed on the forum before, but it is quite difficult to sift through to see if my theory has been discussed. I hope I am not guilt-tripping anyone here, but it is not an exaggeration to say that this problem is ruining my self-esteem, putting my romantic life on hold (I really want to have a family), and seriously harming my quality of life. So I would be eternally grateful for any wisdom / info.
Thank you.
Supplemental info. for anyone still reading:
What is happening with premature ejaculation is that: when erect, even a minor amount of stimulation leads to uncontrollable "kegels" (involuntary kegels) i.e. strong contractions of the BC muscle (bulbospongiosus muscle - google it / wiki it) surrounding the base of the penis. This is the muscle that you can use to make the penis "twitch" or "bounce". However, for me and for others with premature ejaculation, when this muscle tenses, it DOES NOT relax. It stays tense... and this tension is what prompts the stimulation of the prostate / glands to signal an ejaculation to fire. The only way to relax it is to SERIOUSLY focus and "reverse kegel" (i.e. push out like you are trying to pee), but this is not sustainable, and also not normal. I know for a fact in my younger days that I was not constantly forcing out like I was trying to pee in order to keep control...
Some other areas of interest that I have seen mentioned:
(i) excess sympathetic tone vs. parasympathetic tone - this is very general, and not massively helpful in itself. Why might someone experience excess sympathetic tone? : Stress, nervousness, tension, not breathing properly, under-methylation, life circumstances...... loads of potential factors. I don't think general "relaxation" is enough to fix this (see below).
(ii) under-methylation - very recently (one week ago) started using TMG (tri-methyl-glycine) - very early days yet, but no improvements at all.
(iii) lack of choline - diet may have been choline deficient. I have eaten a reasonable amount of meat, but no eggs etc. for a very long time. Choline -> acetylcholine which is a major parasympathetic neurotransmitter.
(iv) generally having a "stressed metabolism" and stressed body. Possibly could be a factor, but after reading Peat's writings and writings on the forum, I feel I am doing everything that is advised in terms of dietary measures: 2-4:1 carbs to protein, sugar > starch, saturated animal fat, low PUFA, 100g protein (usually a minimum), ADEK supplementation, B Complex occasionally.
(v) I have seen it written that PE is a sign of high dopamine and low serotonin and is therefore a "good" thing. I highly doubt this is the cause of my problem - this is clearly a serious dysfunction and not a sign of health. Uncontrollable muscle tension upon stimulus is not a good thing.
(vi) I do lift weights, which may also be contributing to the tension. But I have been lifting since I was 18, and I never experienced these symptoms for years and years after starting weightlifting.
Some routes I have already tried / explored:
- general relaxation and "mindfulness" - has not worked for me at all. Whilst it's true that I can be mentally tense / stressed sometimes (a little Type A), I have always been like this - and I *never* experienced PE in my youth, or up until my mid to late 20s - almost the opposite problem, I could go for an hour. I do not believe it is brought on by mental "nervousness" or "anxiety", but that the nervousness / tension is a coinciding symptom. I have tried "calming myself down" to an almost zen state when masturbating, and I still have uncontrollable contractions upon stimulus.
- correction of breathing and posture - the breathing diaphragm and pelvic floor diaphragm are supposed to work together like a piston. If you are out of alignment (e.g. military posture) and your breathing diaphragm is not descending properly (i.e. you are chest breathing) then your pelvic floor is also not working as it should, which may lead to some tension / lock ups. However, I have worked very hard over the past year to try to restore an optimal breathing pattern. Whilst I am certainly not perfect, very few people are.... and severe premature ejaculation is apparently not that common... finishing before you would like to seems to be common, and this *could* be called premature ejaculation in a sense, but it is not the same as "five pumps and you're there".
- Reverse kegel work (i.e. pushing out and "relaxing" the pelvic floor) - both during stimulation and outside of stimulation to help the area to relax. Again, perhaps I could have done this more diligently, but I have observed ZERO benefit from doing this.
- Note: I have never taken SSRIs
I have been suffering with premature ejaculation for the last couple of years. 32 y/o man.
In the past year or so, I have now been suffering with *severe* premature ejaculation - less than 10 seconds to finish. It is so bad that it is preventing me from finding a relationship, and causing me intense distress. Note, this is not "Oh I only lasted 2-3 minutes, I wish I could go for longer" or "I finished before my partner could finish, I need to improve my stamina." This is almost immediate ejaculation upon stimulation - it is uncontrollable. This happens with masturbation too, not only with a partner.
My thoughts:
A significant worsening of my symptoms actually seems to coincide with me taking an interest in Peat's work and Danny Roddy's videos for reducing / reversing hair fall and hair loss around mid 2021 (I am quite new to the forum and this work).
Specifically, one of the things I have been doing in response to my reading of Peat's work / Roddy's videos (since around October 2021) is supplementing calcium carbonate. I am supplementing enough per day to balance calcium to phosphorus approximately / at least 1:1. I have been doing this because I do not tolerate dairy proteins very well - milk causes me to have constipation (I have tried A1, A2, raw vs. pasteurized, Friesian, Jersey, Guernsey - all with the same effect - I believe it may be the casein).
Checking my emails: my first purchase of calcium carbonate supps was October 2021. My first visits / consultations with physiotherapists around my premature ejaculation issue was November 2021... whilst I had been experiencing the problem for a good few months before this date (not saying CaCO3 was the only direct cause), it was only following a month or so of CaCO3 supplementation that I was prompted to seek medical help because the problem had gotten so bad - there may be a link??
My Theory / Question: could intra-muscular calcium excess (or magnesium deficiency) be causing chronic tightness / over-contraction in ALL muscles in the body, and hence, the pelvic floor tightness and premature ejaculation is actually a symptom of a wider "muscle tightness" issue?
- I ask this because my calcium intake has been significantly raised in the past year or so. I thought this would be a good thing in lowering PTH, reducing prolactin and helping with my hair fall.
- In addition to the premature ejaculation, after really paying attention to my body, I have noticed that lots of my muscles are often very tight. This tightness is not alleviated by extended periods of rest and relaxation (sitting around, slow walks, calming down) - the tendency to be tight and tense is always there. I notice that the muscles below my glutes are very tight upon ejaculation too (piriformis?), my glute and leg muscles are often ache-y in the morning, I do feel muscular fatigue too.
- Sodium, Potassium, Calcium and Magnesium play a significant role in muscle contraction and relaxation.
- Calcium is specifically responsible for Muscle Contraction
- Magnesium is specifically responsible for Muscle Relaxation
Treatment Suggestion: Might it be useful to stop all calcium supplementation, and begin magnesium and / or potassium supplementation?
- I have been using Magnesium Chloride Flake baths for a while now, but there does appear to be some debate about whether it is really absorbed. I wonder if higher dose magnesium taken orally could help to calm the entire muscular system down?? Combine this with much less calcium could help to balance things out?
- However, wouldn't supplementing magnesium raise my PTH and worsen hair fall? (not that calcium carbonate supplementation has done anything to reduce my hair fall either)
- How long might it take to notice a shift?
- Am I way off-base here??
Similarly to hair loss, premature ejaculation is a very difficult and frustrating condition - it must have existed for so many years, yet we still haven't found a direct cause / easy way to prevent it. I have been searching for solution for over a year.
I would HUGELY appreciate any advice or help any of you could give in answering this question, plus any other info that may have helped for you - I know PE has been discussed on the forum before, but it is quite difficult to sift through to see if my theory has been discussed. I hope I am not guilt-tripping anyone here, but it is not an exaggeration to say that this problem is ruining my self-esteem, putting my romantic life on hold (I really want to have a family), and seriously harming my quality of life. So I would be eternally grateful for any wisdom / info.
Thank you.
Supplemental info. for anyone still reading:
What is happening with premature ejaculation is that: when erect, even a minor amount of stimulation leads to uncontrollable "kegels" (involuntary kegels) i.e. strong contractions of the BC muscle (bulbospongiosus muscle - google it / wiki it) surrounding the base of the penis. This is the muscle that you can use to make the penis "twitch" or "bounce". However, for me and for others with premature ejaculation, when this muscle tenses, it DOES NOT relax. It stays tense... and this tension is what prompts the stimulation of the prostate / glands to signal an ejaculation to fire. The only way to relax it is to SERIOUSLY focus and "reverse kegel" (i.e. push out like you are trying to pee), but this is not sustainable, and also not normal. I know for a fact in my younger days that I was not constantly forcing out like I was trying to pee in order to keep control...
Some other areas of interest that I have seen mentioned:
(i) excess sympathetic tone vs. parasympathetic tone - this is very general, and not massively helpful in itself. Why might someone experience excess sympathetic tone? : Stress, nervousness, tension, not breathing properly, under-methylation, life circumstances...... loads of potential factors. I don't think general "relaxation" is enough to fix this (see below).
(ii) under-methylation - very recently (one week ago) started using TMG (tri-methyl-glycine) - very early days yet, but no improvements at all.
(iii) lack of choline - diet may have been choline deficient. I have eaten a reasonable amount of meat, but no eggs etc. for a very long time. Choline -> acetylcholine which is a major parasympathetic neurotransmitter.
(iv) generally having a "stressed metabolism" and stressed body. Possibly could be a factor, but after reading Peat's writings and writings on the forum, I feel I am doing everything that is advised in terms of dietary measures: 2-4:1 carbs to protein, sugar > starch, saturated animal fat, low PUFA, 100g protein (usually a minimum), ADEK supplementation, B Complex occasionally.
(v) I have seen it written that PE is a sign of high dopamine and low serotonin and is therefore a "good" thing. I highly doubt this is the cause of my problem - this is clearly a serious dysfunction and not a sign of health. Uncontrollable muscle tension upon stimulus is not a good thing.
(vi) I do lift weights, which may also be contributing to the tension. But I have been lifting since I was 18, and I never experienced these symptoms for years and years after starting weightlifting.
Some routes I have already tried / explored:
- general relaxation and "mindfulness" - has not worked for me at all. Whilst it's true that I can be mentally tense / stressed sometimes (a little Type A), I have always been like this - and I *never* experienced PE in my youth, or up until my mid to late 20s - almost the opposite problem, I could go for an hour. I do not believe it is brought on by mental "nervousness" or "anxiety", but that the nervousness / tension is a coinciding symptom. I have tried "calming myself down" to an almost zen state when masturbating, and I still have uncontrollable contractions upon stimulus.
- correction of breathing and posture - the breathing diaphragm and pelvic floor diaphragm are supposed to work together like a piston. If you are out of alignment (e.g. military posture) and your breathing diaphragm is not descending properly (i.e. you are chest breathing) then your pelvic floor is also not working as it should, which may lead to some tension / lock ups. However, I have worked very hard over the past year to try to restore an optimal breathing pattern. Whilst I am certainly not perfect, very few people are.... and severe premature ejaculation is apparently not that common... finishing before you would like to seems to be common, and this *could* be called premature ejaculation in a sense, but it is not the same as "five pumps and you're there".
- Reverse kegel work (i.e. pushing out and "relaxing" the pelvic floor) - both during stimulation and outside of stimulation to help the area to relax. Again, perhaps I could have done this more diligently, but I have observed ZERO benefit from doing this.
- Note: I have never taken SSRIs