Premature Ejaculation

Ejaculation is the release of semen from the body. Premature ejaculation (PE) is when ejaculation happens sooner than a man or his partner would like during sex. Occasional PE is also known as rapid ejaculation, premature climax or early ejaculation. PE might not be a cause for worry. It can be frustrating if it makes sex less enjoyable and impacts relationships.  It may result in unsatisfactory sex for both partners. This can increase the anxiety that may add to the problem. It is one of the most common forms of male sexual dysfunction.

If premature ejaculation happens infrequently, it’s not cause for concern.

You might be diagnosed with premature ejaculation if you:

  •         Always or nearly always ejaculate within one minute of penetration
  •         Are unable to delay ejaculation during intercourse all or nearly all of the time
  •         Feel stressed and frustrated, and tend to avoid sexual intimacy as a result.

When to see a doctor

It’s common for men to feel embarrassed about discussing sexual health concerns, but don’t let that keep you from talking to your doctor. Premature ejaculation is a common and treatable problem. Your doctor will discuss your medical and sexual history with you. He will do a thorough physical exam. Your doctor may want to talk to your partner also. Premature ejaculation can have many causes. So your doctor may order lab tests to rule out any other medical problem.

Common causes-

  1. Emotional and psychological factors –

 

             Stress

             Depression

            Performance anxiety

             Early sexual experiences

             Sexual abuse

             Poor body image

             Worrying about premature ejaculation

              Guilty feelings that increase your tendency to rush through sexual encounters

  1. Erectile dysfunction (ED)- Erectile dysfunction is when the penis does not remain        firm enough for sex. Men who are worried they could lose their erection may develop a pattern of rushing to ejaculate.
  2. Anxiety.
  3. Relationship problems.

How Is It Treated?

Ninety-five percent of men are helped by behavioural techniques that help control ejaculation.

Stop and start: You or your partner stimulate your penis until you feel like you’re going to have an orgasm. Stop the arousal for about 30 seconds or until the feeling passes. Start the stimulation again and repeat three or four more times before you actually ejaculate.

The Squeeze: It works the same way as the start and stop method. But, when you feel like you’re reaching orgasm, you or your partner squeezes the head of your penis very gently until you lose the erection. Repeat this a few times before ejaculating.

Some men find that if they think of something else during sex they can last longer.

Pelvic floor exercises in males

Weak pelvic floor muscles might impair your ability to delay ejaculation. Pelvic floor exercises (Kegel exercises) can help strengthen these muscles.

Condoms

Condoms might decrease penis sensitivity, which can help delay ejaculation. “Climax control” condoms are available over the counter. These condoms contain numbing agents such as benzocaine or lidocaine or are made of thicker latex to delay ejaculation.

Psychological Therapy

Therapy is a way to address the negative feelings and emotions that lead to problems with sexual relationships. Psychological therapy can be used as the only treatment, or it may be used along with medical or behavioural therapy.

With the simple techniques listed here, about 95 out of 100 men will recover from PE. There is no way to promise recovery, but learning how to relax helps. If the problem remains, continue to work with your healthcare provider to find solutions.

-Dr Prerna Gaur

Acknowledgements-

https://www.urologyhealth.org/urologic-conditions/premature-ejaculation

https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905

https://www.webmd.com/men/what-is-premature-ejaculation#2

 

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