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“ PE is far and away the most common male sexual dysfunction I see in my practice,” Dr. Steixner admits. “It’s also the most tragic. It trumps erectile dysfunction exponentially and is more difficult to treat, because men’s expectations for performance are impossible.”

Sympathetic motor neurons control the emission phase of ejaculation reflex, and expulsion phase is executed by somatic and autonomic motor neurons. These motor neurons are located in the thoracolumbar and lumbosacral spinal cord and are activated in a coordinated manner when sufficient sensory input to reach the ejaculatory threshold has entered the central nervous system . [14] [15]

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