Testosterone, Muscle Memory & Lasting Longer in Bed

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If you've ever wondered why orgasms are elusive, why erections fluctuate, or what it actually means to "last longer in bed," you're not alone. On this episode of the Sex with Dr. Jess podcast, we’re joined by urologist and sexual wellness expert Dr. Jed Kaminetsky, who shares practical strategies and research-backed insights on everything from testosterone and orgasm difficulties to Promescent spray and the power of mindful sex.

TL;DR - Lasting Longer in Bed

Struggling with orgasm, erection changes, or wanting to last longer in bed? You’re not broken, you’re human. In this episode of the Sex with Dr. Jess podcast, urologist Dr. Jed Kaminetsky breaks down the biology, psychology, and practical strategies behind sexual performance, desire, and pleasure.

There’s no one-size-fits-all sexual timeline.

Some want to last longer, others climax faster, and many want more control.

Shame, porn myths, and unrealistic standards don’t serve your pleasure.

Key takeaways:

Testosterone affects libido, energy, and function in all genders. Levels decline with age, stress, and body fat, but can be tested and managed.

Orgasms are learned habits — your brain creates arousal shortcuts. Fast, secretive masturbation patterns can condition rapid climax.

You can rewire your sexual responses through mindfulness, slow touch, and bridging the gap between solo and partner play.

Try Promescent spray to reduce overstimulation and increase control without numbing your partner. And if you’re looking for more fun tools:

We-Vibe Pivot – vibrating penis ring for shared pleasure

Womanizer Duo 2 – suction-based, solo or partner play perfection

(Use discount code DRJESSVIP to save at checkout)

Sex ≠ penetration.

Erotic connection includes touch, fantasy, words, and play. Let go of the stopwatch and focus on satisfaction, communication, and connection.

Want to dive deeper?

Last Longer in Bed course – 6 steps to improve ejaculatory control

Mindful Sex course – deepen connection and slow down pleasure

Eroticizing Daily Interactions – redefine sex beyond penetration

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The Truth About Lasting Longer in Bed

Not everyone wants to last longer in bed. Some folks are looking for ways to come more quickly, some wish they could come at all, and others want to extend their sessions. There’s no universal sexual clock, despite what porn might imply. Many people (regardless of gender) experience pressure to conform to rigid performance standards that don’t reflect reality or pleasure.

The good news? Whether you're dealing with premature ejaculation, delayed orgasm, or performance anxiety, there are multiple approaches that work,  from mindfulness and communication to pharmaceutical support.

Testosterone: The Unsung Libido Hero

According to Dr. Kaminetsky, testosterone plays a critical role in sexual desire, functioning, and overall energy levels — for all genders. Testosterone levels naturally decline with age, but they can also be impacted by body fat, lifestyle, and stress.