I’ve contacted you before and you were very helpful, however I never succeeded in curing my sexual exhaustion – probably due to not being abstinent from sex more than 13 days.

I’m now contacting you again because I really really want to cure my severe premature ejaculation and on top of that I am also experiencing general anxiety and negative thoughts a lot lately, probably because I started masturbating again every week for the last 3 months or so. I’m now gonna tell you my situation and history so you hopefully can help treating my sexual exhaustion. I’m 20 years old and ever since I became sexually active little over 2 years ago I’ve ejaculated prematurely (most often within 1 minute or less of intercourse). During oral sex I last slightly longer I’d say. I’ve always had and still have a very high libido (it’s too high and I really feel like sex/ejaculating is an addiction or something I need to do). I’ve never experienced any erection problems at all but my premature ejaculation is killing me. I can easily go for a second round or third round immediately after ejaculating and those rounds I wont experience premature ejaculation and will have to force myself to ejaculate – however if an hour or more passes after ejaculating and I then have sex I will experience slight premature ejaculation again.

I’ve tried hypnosis, reading multiple e-books on the subject, kegals (which only worsened my issue), numbing sprays and SSRI which I only took for 2 days because it had some nasty side-effects. I’ve only had sex with alcohol in my blood once but that seemed to give me a bit more control over my ejaculation.

Ever since I was a kid (10-12 years old I’d guess) I’d masturbate quite often. Sometimes twice daily. I don’t do it twice daily anymore, but I probably ejaculate more than 6-8 times a week. The symptoms I seem to have of sexual exhaustion is severe premature ejaculation, excessive sweating (not always but often) mood swings, general anxiety (especially social anxiety) and constant fatigue/weakness. Just to give you some more insight to my current situation you should know what supplements I take at the moment and have been taking to try and cure my premature ejaculation. I’ve been taking different dosages of 5-HTP almost continuosly since September last year – this has not done anything for me at all, if anything it seems to make me a bit more anxious. I still take it though. Ive taken different dosages from 50 mg to 200 mg which I do take now from the supplement company called NOW. I also take 500 mg. L-Tryptophan along with the 5-HTP. For the last week or so I’ve been taking l-methionine (around 1000-1500 mg a day) along with B6 (around 30 mg a day) and vitamin C (2 g. a day) and calcium (800 mg a day) and magnesium (400 mg a day). I have been taking those supplements due to undermethylation. I namely had an allergy test this year and had VERY high histamine and my doctor then prescribed an antihistamine which I only took for 14 days since it didn’t help alleviate symptoms like stuffed nose (which I have all year round) and such. So I read about high histamine or undermethylation and those supplements I described before is usually given to people who are undermethylated – therefore I’ve taken them the last week now but haven’t really noticed anything yet in terms of improvement, it should however also take a bit of time to notice improvement.

Furthermore I want to let you know that I two years ago learned myself to ejaculate without hands (it was via a hypnosis recording). I’m saying this because it perhaps can have messed up my brain chemistry? I don’t know but just wanted to say it just in case you can use the info to help me. I don’t do that anymore and haven’t done in about 1,5 years now I’d say.

Also, when I masturbate I always make sure I last more than 10 minutes in hope of retraining my ejaculatory reflex – so when I masturbate I edge but as I can read here it’s bad so I will stop that of course. During masturbation I also have to slow down or stop so my premature ejaculation is also noticable there, however it’s way worse during sex.

Also, I experience wet dreams if i haven’t ejaculated for some days sometimes I do it even though I ejaculated the day before.

Another big contributing factor to my premature ejaculation is my pelvic floor – it is very tense. Every time I just touch my penis and especially the frenulum my PC muscle spasms and tenses up until I don’t touch it. This causes an ejaculation to occur way faster than it should and I can’t control those spasms at all – it’s like a hard involuntary kegel. Also I have a slight pelvic tilt and thus I often suck in my stomach so it is not looking like a beer belly (im not overweight at all however my stomac is still far out if im standing relaxed) and this sucking in my stomach when I walk and stand up is something I’ve done for many years – perhaps it has made my pelvic floor tight and tense?

I’ve always been an anxious person and this issue has definitely made that worse and I really hope you can help me.
When you started helping me last time you said I should take a 30 day period with no sexual activity then a week where I ejaculated once (as far as i remember) and then another 30 day period of abstinence to be cured. This should be done while taking Fish oil, 5htp, gaba, multi-apha and alpha amino.

I never managed to be abstinent for more than 13 days and I still have all the same problems. What do you suggest me to do this time around?

Also if you suggest me to take some supplements (perhaps it could benefit not taking anything at all, just to not put any stress on my system) does it then HAVE to be the ones from this site or is it okay to purchase elsewhere? It gets expensive when ordering here because of taxes since I live inside of EU. And if I have to keep taking 5htp can I continue with the supplement I’m using now or is 200 mg too much? Perhaps you find it’s not ideal for me to use 5htp at all since I don’t experience any benefit from it. Nonetheless I really look forward to hear from you and what I should do to treat my issues.

Thanks a lot for taking your time to read all this – I tried to make it as detailed as possible.

Best regards,
N”

ANSWER
I must apologize for my severely delayed response. Let me get to it straight away.

I’ve carefully gone through the case and I do remember it well. I must say that the case could definitely be classified as uncommon as far as treatment success rate goes. Cases where it’s serotonin-GABA related are usually well influenced by the combination you mentioned and in particular 5HTP / Tryptophan and GABA (given that it is picamilon-like in nature). You did mention that it is somewhat better when drunk (which would suggest it’s either neurotransmitter, androgen, or local tissue sensitivity related) but one time seems statistically insignificant so we won’t be able to rely on that presumption.

I can understand how difficult it may be for a young man to abstain from masturbation for a month. However if it’s nervous training related there would be no other way of detraining it back and restoring a positive ejaculatory neuroplasticity. Edging (and any other sexually pro-active method of detraining) is not an option as it would affect other aspects of proper organism functioning that will subsequently shape themselves into the same or even worse problems. I’d strongly suggest taking a look at this explanatory video: https://vimeo.com/115821599.

Hypnosis is also usually a viable way of addressing many physically related issues but it’s hard to estimate if it’s been done correctly and pass judgement on the quality of the session in order to label it as a non-working method.

I remember our assumption that it may be PC muscle minor damage related, as it could definitely lead to such. Have you noticed any improvements in that regard? In the way it feels? Or maybe noticed any correlation between positioning / feeling / and premature ejaculation?

Kegels will definitely worsen the issue. There’s no real doubt about that.

Furthermore I want to let you know that I two years ago learned myself to ejaculate without hands (it was via a hypnosis recording). I’m saying this because it perhaps can have messed up my brain chemistry?

That’s actually a real possibility. However, I would say that it is still unlikely to lead to permanent and persistent alterations years after it has been discontinued.

Also if you suggest me to take some supplements (perhaps it could benefit not taking anything at all, just to not put any stress on my system) does it then HAVE to be the ones from this site or is it okay to purchase elsewhere?

It’s definitely okay to supplement from elsewhere if you can find a reputable and high quality source. For instance, just supplementing GABA won’t do much since only small amounts pass the Blood–brain barrier. You’d need GABA with picamilon properties (such as GRB6-GABA / GRB7-GABA where it’s been combined with Niacin on a molecular level), which is not usually easy to find. We’ve also found that 5HTP really goes well with the chemical properties of Nettle, so I’d suggest finding and using both if you’ll supplement from other reputable sources. Similar details are not explained but are frequently crucial so you’d have to make sure you emulate the combination correctly.

And if I have to keep taking 5htp can I continue with the supplement I’m using now or is 200 mg too much?

I believe 200mg of 5HTP is over the top if it’s used in a regular combination with Multi-Alpha, Alpha-Amino, GRB6-GABA, and Ultra-Purified-FishOil. You should definitely avoid exceeding the 200mg dosage.

Also I have a slight pelvic tilt and thus I often suck in my stomach so it is not looking like a beer belly (im not overweight at all however my stomac is still far out if im standing relaxed) and this sucking in my stomach when I walk and stand up is something I’ve done for many years – perhaps it has made my pelvic floor tight and tense?

It’s certainly a possibility. It’s very important for a person would walk around in a semi-relaxed state. Years of conscious tensing may definitely manifest themselves in what you describe and even seep into excessive sympathetic functioning due to conscious muscle tensing (similar to how conscious breathing controls sympathetic – parasympathetic responses).

I never managed to be abstinent for more than 13 days and I still have all the same problems. What do you suggest me to do this time around?

You’ve certainly listed a lot of viable reasons which could explain your particular condition. It may be a result of a single or probably a combination of two or more of the mentioned factors. We’ll just have to try and write them off one by one by exploring and administering known treatments for each. If you respond well to a certain treatment aimed at one of the listed complaints, chances are it was/is involved in your premature ejaculation complaints. It definitely sounds like the logical way approach this case.

The needed approach as far as each individual issue goes seem straightforward for most:

* For instance, you’d just have to consciously relax your stance for a few months and observe any alterations in the severity of your premature ejaculation and PC muscle tightness.
* You’d also have to consciously make it over the 13 day period mark of abstinence, there’s just no way around it.
* You may try slightly different supplement combinations, such as using only L-Tryptophan 500 to 1000 and adding some anti-inflammatory/excitatory herbs to the mix.
* You may try burning a lot of androgens through aerobic activities and see if it subsequently affects your premature ejaculation. Walking 2 to 8 miles may be a good idea. Of course, you’d have to be careful with this method and stop just in time in order to avoid any excessive inflammatory response.

Of course, you’re welcome to think of other activities that may affect the mentioned variables and help us draw useful conclusions subsequently.

Please, keep me updated on the case.

Glad if I could help!

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