When a man gets an orgasm and ejaculates during sexual activity earlier than he or his partner would desire, this is known as premature ejaculation (PE). Thirty to forty per cent of men struggle with this problem, which can be annoying for both partners. There are many different reasons why people get PE, including chemical imbalances, emotional or psychological issues, and physical issues. Thankfully, there are several treatments available, including medicine, counselling, and methods for delaying ejaculation.
Overview
What is Premature Ejaculation?
Premature ejaculation is the term used to describe an ecstatic male who ejaculates semen earlier than he or his partner would want. Usually, this occurs either before or right after penetration while having sex. It can have a big impact on how much you like having sex. The good news is that most cases are curable.
How Common is Premature Ejaculation?
Premature ejaculation affects between 30% and 40% of men at some point in their life. The American Urological Association states that this is the most common kind of male sexual dysfunction. About one in five men between the ages of 18 and 59 say they have experienced PE.
How is Premature Ejaculation Defined Medically?
Premature ejaculation is defined by the American Urological Association as ejaculating sooner than anticipated, either before or soon after penetration, causing discomfort for one or both partners. Definitions of this condition differ.
Based on the amount of time it takes to ejaculate, the American Psychiatric Association has three severity levels for PE: mild, moderate, and severe. Mild PE lasts less than a minute. It is often defined by doctors as ejaculating within one minute of initiating sexual relations. Your unique perspective and emotions are also very important in this definition.
Symptoms and Causes
Physical and Chemical Aspects:
- Dysfunction of the erection.
- Hormonal problems that impact sexual function, especially those involving oxytocin.
- Low brain chemical levels of dopamine or serotonin, are linked to arousal and desire for sexual activity.
- A more sensitive penile area.
Emotional or Psychological Factors:
- Performance anxiety can be caused by a variety of factors, such as overwhelming enthusiasm, guilt, lack of confidence, concern about a new partner, or nervousness about having sex after a long time.
- Anxiety.
- Problems in relationships.
- Depression.
Diagnosis and Tests
How is Premature Ejaculation Diagnosed?
See a urologist if you suffer from PE regularly or if it is giving you anxiety, depression, or issues in your relationships. The urologist will inquire about your sexual history, including:
- How long has this problem been present?
- The conditions in which it takes place.
- How often does it occur?
- Whether it occurs after each attempted sexual encounter. If that happens to every partner.
- Should it occur while masturbating?
- If you have trouble keeping an erection going. The urologist can more precisely diagnose the issue with the use of these private inquiries.
- They will also ask about any usage of alcohol or illicit drugs, vitamins, herbal products, over-the-counter prescriptions, and any medical issues.
Management and Treatment
How is Premature Ejaculation Treated?
PE can be treated in a variety of ways depending on what caused it, such as behavioural therapy, psychotherapy, and medication. Behavioural approaches and/or counselling are typically used in the first stages of treatment to address emotional issues, performance anxiety, or stress. Occasionally, several different therapy modalities are applied at once.
Behavioural Therapy:
Using a variety of methods, behavioural therapy seeks to impart control over your body and reactions.
Start and Stop:
This technique entails provoking the penis almost to the point of an orgasm, followed by a 30-second pause to restore control. This is done multiple times before permitting ejaculation.
Squeeze Technique:
In this technique, the penis is stimulated almost to the point of an orgasm, and the erection is then gently squeezed for approximately thirty seconds till it ends. Until improved control is attained, this is repeated.
Distracted Thinking:
This is concentrating on nonsexual ideas while under the influence of sex, like naming stores’ merchandise or companies while commuting.
Counselling:
If psychological, emotional, or relationship problems (e.g., performance anxiety, sadness, stress, or guilt) are the cause of PE, consulting a psychologist, psychiatrist, couples therapist, or sex therapist is advised. Referrals to these specialists can be made by urologists.
Medications:
Several drugs could work well:
Antidepressants:
Selective serotonin reuptake inhibitors (SSRIs) such as citalopram, escitalopram, fluoxetine, paroxetine, and sertraline, as well as the tricyclic antidepressant clomipramine, might cause ejaculation to be delayed. Talk to your urologist about any possible negative effects as this is an off-label use.
Sprays and Creams for Anesthetics:
These can be used to lessen sensitivity and postpone ejaculation on the penis. To prevent numbing your partner’s vagina or losing your erection, make sure to wash your penis before engaging in sexual activity.
Medications for Erectile Dysfunction:
Medications like sildenafil, tadalafil, vardenafil, and avanafil can help treat erectile dysfunction by increasing blood flow to the penis, thereby facilitating and maintaining an erection during sexual activity.
Can Premature Ejaculation Be Prevented?
Yes, PE can be properly treated by employing the aforementioned ways to postpone ejaculation, use prescription drugs, and seek therapy as needed.
What is the Outlook for Those with Premature Ejaculation?
PE is treatable using a variety of current therapy options. You can restore control over ejaculation and improve your sex life by involving your spouse and seeing the right medical doctors, such as a urologist for the initial evaluation and other specialists for underlying concerns.
FAQ:
Can Premature Ejaculation Be Helped by Wearing a Condom?
Using a condom can indeed assist postpone ejaculation and lessen penile sensation.
Is Early Ejaculation Dangerous or a Sign of a Health Issue?
PE is not dangerous in and of itself, but it has been connected to other health problems, including:
- Erectile dysfunction (difficulty sustaining an erection).
- Syndrome of chronic pelvic discomfort.
- Thyroid conditions.
- Usage of drugs recreationally.
What Separates Premature Ejaculation from Erectile Dysfunction?
PE is characterized by an erection but an earlier than anticipated ejaculation, whereas erectile dysfunction is the inability to sustain an erection.
PE is frequently a result of erectile dysfunction in men since they may become accustomed to ejaculating frequently to maintain their erections.
