Premature ejaculation is a condition where a man reaches orgasm and ejaculates too quickly without control. It is a very common sexual problem encountered by men. Research has shown or proven that there is no set time when a man should ejaculate during sex but when a man has an orgasm before intercourse or less than a minute after start it becomes a problem.
It’s a problem because when a man ejaculates, he loses his erection and can’t continue having sex. Research has also shown that between 30%-40% of men have this problem at some time in their life. However, it is nothing to worry yourself about if it only happen once in a while.
Symptoms of Premature Ejaculation
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- Ejaculation that always occur with little sexual stimulation and with little or no control over it. This simply means that you always or nearly always ejaculate within one minute of penetration
- Inability to delay ejaculation during intercourse all or nearly all of the time
- Decrease in sexual pleasure as a result of poor control over ejaculation. A person with this problem may tend to feel distressed and frustrated, and also tend to avoid sexual intimacy as a result of it.
Causes of Premature Ejaculation
The actual cause of premature ejaculation is not yet known, but several factors have been discovered to have contributed to premature ejaculation. Some of these factors include
- Early sexual experiences
- Sexual abuse
- Poor body image
- Worrying about premature ejaculation.
A number of biological factors that may contribute to premature ejaculation, include
- Abnormal hormone levels
- Abnormal levels of brain chemicals called neurotransmitters
- Infection and swelling of the prostate or urethra
- Inherited traits
Other factors that can play a role include:
- Erectile dysfunction: Men who are over excited about having or maintaining an erection during sexual intercourse might form a pattern of rushing to ejaculate, which can be difficult to change.
- Anxiety: Men with premature ejaculation usually have problems with anxiety either specifically about sexual performance or related to other issues.
- Relationship problems: if you have had a good satisfying sexual relationships with other partners whereby premature ejaculation did not happen frequently or not at all, it is quite possible that the interpersonal issues between you and your current partner are the things contributing to the problem.
Treatment Of Premature Ejaculation
The following are verified methods of treating premature ejaculation
Behavioral therapy is one possible ways of treating premature ejaculation. This therapy involves the use of squeeze technique whereby a man interrupts sexual relations whenever he notices that he is about to experience premature orgasm and squeezes the shaft of his penis with two fingers.
The man or his partner may apply light pressure just below the head of the penis for about 20 seconds, let go, and then resume the sexual relation. This technique can be repeated as often as necessary. This technique enables the man to learn how to delay and gain control over ejaculation. Behavioral therapy has helped about 60% to 90% of men with premature ejaculation. This technique however, requires the cooperation of both partners.
The Use of Medication
Another possible treatment is the use of some medications that help to delay ejaculation. When these medications are given to men who experience premature ejaculation, it can help to postpone orgasm for up to several minutes. Drugs used for this type of treatment include
- Selective serotonin reuptake inhibitors (SSRIs), such as fluoxetine (Prozac), paroxetine (Paxil) or sertraline (Zoloft)
- Tricyclic antidepressants, such as clomipramine (Anafranil).
- Phosphodiesterase inhibitors, such as sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis).
Some creams are available to numb the penis when applied and reduce the stimulation that leads to orgasm. A final option is to use one or more condoms.
Prevention of Premature Ejaculation
The following ways can help to prevent premature ejaculation
- Keep a healthy attitude toward sex: This means that if you are experiencing feelings of anxiety, guilt or frustration about your sex life, you should consider seeking psychotherapy or sexual therapy.
- Anyone can experience sexual problems, so if you experience premature ejaculation, try not to blame yourself or feel inadequate. Try speaking with your partner to avoid any form of miscommunication.
In conclusion, speak with your doctor if you consistently ejaculate before you want to. If a man has premature ejaculation one time in his life it does not mean that he also has a condition that requires treatment. In all cases of premature ejaculation, you are advised to seek the help of your doctor who may refer you to a sex therapist or behavioral therapy.
www.health.harvard.edu: Harvard Health Publishing, Harvard University
www.mayoclinic.org: Mayo Foundation for Medical Education and Research (MFMER).
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