A doctor who specializes in sexual health has shed light on one of the most common and least talked-about issues men face in the bedroom. Dr. Mark Perera, a general practitioner with a particular focus on sexual health, recently sat down with LADbible Stories to answer questions about sex and relationships, specifically targeting concerns that younger men often struggle to discuss openly. His advice was straightforward and practical, covering everything from physical techniques to psychological factors that play a major role in performance.
One of the topics Dr. Perera addressed was premature ejaculation, a condition far more widespread than most people realize. Clinically, the condition can be diagnosed when a man almost consistently reaches climax within one to three minutes of intercourse, when he finds himself unable to delay ejaculation, or when the issue causes him to avoid sexual intimacy altogether. Dr. Perera emphasized that this is not simply a matter of willpower or physical fitness, but often something rooted in how the brain is wired. “Often it’s simply the way your brain works, but there are things you can do,” he said.
The main technique Dr. Perera highlighted is known as the “squeeze and stop” method. The idea is to withdraw during intercourse, apply firm pressure, and create a deliberate pause before continuing, which can significantly delay ejaculation. He also pointed out that masturbating before sex can be helpful, noting that “the arousal threshold is lower” afterward, making it easier to maintain control during the actual encounter. These are behavioral strategies that require no medication and can be practiced privately.
For cases where these methods are not enough, Dr. Perera offered additional guidance. “If this is happening really often and affecting your life, speak to a doctor because there are desensitizing gels, therapy, and tablets you can take if it’s really impacting your quality of life,” he advised. This is an important reminder that medical help is available and that men should not feel embarrassed about seeking it when the problem persistently interferes with their wellbeing or relationships.
Dr. Perera also tackled the subject of erectile dysfunction, another issue he encounters regularly in his practice. He made a point that surprises many people, stating that “90 percent of the reasons why men can’t maintain an erection are psychogenic rather than medical in nature.” In plain terms, this means the issue is psychological, not a sign of a serious physical illness in the vast majority of cases. Stress, poor sleep, and heavy alcohol consumption are among the most frequent contributors, and addressing those lifestyle factors can make a meaningful difference.
That said, Dr. Perera cautioned that erectile dysfunction should not always be brushed aside as purely mental. “If you’re still concerned, visit a doctor because sometimes erectile dysfunction can be connected to diabetes or heart disease,” he noted. When someone does visit a physician, medications like Viagra may be prescribed, but typically only after other contributing factors have been ruled out or addressed first.
It is worth understanding the broader context around these conditions. Premature ejaculation is considered the most common male sexual dysfunction worldwide, affecting an estimated 20 to 30 percent of men at some point in their lives regardless of age. Erectile dysfunction, meanwhile, becomes increasingly common with age but is also frequently reported in men under 40, particularly those dealing with high levels of anxiety or chronic stress. Both conditions are recognized medical issues by major health organizations, including the American Urological Association, and both respond well to treatment when properly addressed. Behavioral therapies, including the squeeze technique and sensate focus exercises, have been studied for decades and are supported by clinical evidence. Lifestyle changes such as regular exercise, reduced alcohol intake, better sleep hygiene, and stress management are consistently recommended as first-line approaches before turning to medication.
If this topic resonates with you or you have experience with any of these techniques, feel free to share your thoughts in the comments.
