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Premature Ejaculation and Steps to Treat It

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Premature Ejaculation and Steps to Treat It

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Early ejaculation during sex affects the sexual needs of both partners.

Medically reviewed by

Dr. Chithranjali Ravichandran

Published At April 27, 2017
Reviewed AtJanuary 3, 2024

What Exactly Is Premature Ejaculation?

When an orgasm occurs either before or within minutes after initiating sexual activity, it is referred to as Premature Ejaculation (PE). Although there is no exact time that a male should ejaculate while in sex, a couple can feel that there is not enough time to enjoy it if a man ejaculates and loses the erection so quickly.

Although it can be annoying and embarrassing, males frequently experience this problem. About 30 to 40 percent of men have experienced it at some point. Therefore, there is no need for concern if it occurs infrequently.

What Are the Causes of Premature Ejaculation?

The most important causes include,

  • Inability to delay ejaculation on all or nearly all vaginal penetrations.

  • Stress factors such as negative distress, bother, frustration, or intimacy issues also play an important role.

  • Performance anxiety about sex and other associated psychological problems like depression.

  • Bad family history, previous relationship experience, and bad memories of early sexual experiences like trauma.

  • Asexual feelings that are, in short, staying neutral.

  • Considering the effects of marital and non-marital sex and its associated social issues or taboos.

  • Less involvement of the female partner in intimacy or negative sexual response or feedback from the partner.

  • Erectile dysfunction or inability to develop an erect penis.

  • Lack of knowledge about sex.

  • Addiction to drugs, substance abuse, alcohol, etc.

  • Physical conditions such as the following can also lead to PE:

  • Unusual amounts of hormones

  • Neurotransmitter imbalance: An abnormal distribution of substances in the brain that carry signals or impulses to the body's other organs.

  • Prostate or urethral inflammation or infection.

  • Genetic characteristics inherited from parents.

What Are the Signs and Symptoms of Premature Ejaculation?

Being unable to postpone ejaculation for longer than three minutes following penetration is the primary sign of premature ejaculation. However, it might happen in any kind of sexual setting, including when masturbating.

Among the categories for premature ejaculation are:

  • Lifelong: From the first sexual contact onward, premature ejaculation happens nearly or completely the time throughout one's life.

  • Acquired: Despite having prior sexual experiences without ejaculation issues, acquired premature ejaculation occurs.

Many people believe they have premature ejaculation symptoms, even though their symptoms fail to meet the diagnostic criteria. It is normal to have early ejaculation occasionally.

What Are the Risk Factors of Premature Ejaculation?

Several conditions can raise the possibility of premature ejaculation. They could consist of:

  • Erectile Dysfunction: If individuals have difficulty achieving or maintaining an erection, they may be more susceptible to premature ejaculation. A fear of losing an erection could lead them to rush into a sexual encounter.

  • Tension: Premature ejaculation can be caused by emotional or mental stress in any area of life. During sex, stress can make it more difficult to unwind and concentrate.

How to Diagnose Premature Ejaculation?

The physician enquires about the past medical and sexual history. The physician may also perform a physical examination. In case a male experiences early ejaculation along with difficulties achieving or maintaining an erection, the doctor may prescribe blood tests. The examinations might measure hormone levels.

A physician can suggest seeing a mental health specialist who specializes in those who struggle with sexual orientation if they believe that emotional problems are the root of PE. They might advise patients to consult a urologist specializing in disorders affecting the urinary system if a physical issue is the cause.

How to Treat Premature Ejaculation?

Premature ejaculation is commonly treated with behavioral methods, drugs, and counseling. Finding an approach or combo of therapies that works for the individual may take a while. The best combination of medication therapy and behavioral treatment may be used.

1. Behavioral Strategies: Therapy for premature ejaculation sometimes consists of easy stages. One or two hours before having sex, for example, could involve masturbating. By doing this, one might be able to postpone ejaculation throughout the sex interactions.

The healthcare expert may advise not having sexual relations for a while. Individuals can relieve some of the pressure they may experience during sexual activity by concentrating on other forms of sexual play.

If none of the above works, individuals may try the following:

2. Muscle Strengthening: Weak pelvic floor muscles can contribute to PE. Kegel exercises could aid in their strengthening.

To carry out these exercises: Locate the appropriate muscles. Stop midway urination to locate the pelvic floor muscles. Alternately, tense the muscles that prevent gas from escaping. The muscles of the pelvic floor are used in both actions. The pelvic floor muscles should be taut for three seconds and then released for the same amount of time. Repeat a couple of times after that. Try performing Kegel exercises while sitting, standing, or walking as your muscles become stronger. Concentrate solely on contracting the pelvic floor muscles for optimal outcomes. Perform three times each day. Try to complete three sets of ten reps or more each day.

3. Condoms: By lessening penile sensitivity, condoms may assist in postponing ejaculation. To postpone ejaculation, these condoms contain numbing substances like Lidocaine or Benzocaine.

4. Squeeze Technique: Till an individual feels nearly ready to ejaculate, start engaging in sexual activities, including stimulating the penis.

Next, he or his partner can apply pressure to the point where the head and shaft of the penis meet. Squeeze for a few more seconds or until the impulse to ejaculate subsides. If necessary, repeat the squeezing procedure.

5. Start and Stop Technique: It entails ceasing all sexual activity right before ejaculation. then pausing till the excitation has subsided before proceeding once more.

6. Medications:

  • Antidepressants: Delayed orgasm is an adverse effect of several antidepressants. Because of this, early ejaculation is treated with Selective Serotonin Reuptake Inhibitors (SSRIs). When used in conjunction with behavioral or psychological therapies, Sertraline may be the most successful treatment for premature ejaculation.

  • Pain Relievers: A drug called Tramadol is used to alleviate pain. Its adverse effects might cause a delay in ejaculation. If SSRIs fail to work, a prescription for Tramadol may be given. SSRIs and tramadol cannot be taken together.

  • Inhibitors of Phosphodiesterase-5: Premature ejaculation may be helped by certain drugs used to treat erectile dysfunction. These medications include Vardenafil, Avanafil, Tadalafil, and Sildenafil.

7. Seek Counseling: One can address issues like stress, anxiety, or depression that may be causing or exacerbating the PE with the assistance of a psychologist or psychiatrist.

When Does a Man Cease Having Ejaculations?

The ability to ejaculate varies from person to person, and there is no universally accepted age at which males quit doing so. Men can generally continue to ejaculate for the remainder of their lives. The quantity and frequency of ejaculation, however, may change as individuals become older.

Does the Act of Ejaculating Weaken Men?

After several ejaculations, some men may experience weakness. Instead, ejaculating frequently protects against prostate cancer.

Conclusion:

Men who release their sperm from their bodies during sexual activity earlier than desired are said to be exhibiting premature ejaculation. It is unknown what causes premature ejaculation. It is possible to treat premature ejaculation. Individuals can have better sex with the use of medications, counseling, and practices that postpone ejaculation.

Frequently Asked Questions

1.

What Causes Fast Ejaculation?

Premature ejaculation may be caused due to physical problems, chemical imbalances, as well as psychological problems like childhood sexual traumas. However, there may be other health problems causing premature ejaculation.

2.

What Can Be Done to Cure Premature Ejaculation?

Some steps can be taken to deal with premature ejaculation:
- Using a thick condom.
- Masturbating 1 to 2 hours before sex.
- Taking deep breaths to control ejaculatory reflex.
- Taking breaks during sex.
- Distracting thought.

3.

What Is the Time Period of Premature Ejaculation?

Ejaculation less than 1 to 1.5 minutes after penetration has been considered premature ejaculation. The average ejaculation time is anywhere between 3 minutes to 7 minutes.

4.

Is It Normal to Have Premature Ejaculation?

Occasional premature ejaculation may be considered normal, but frequent incidents may indicate any underlying problem. It is best to seek medical advice if frequent episodes of premature ejaculation are experienced.

5.

What Can Be Done to Permanently Cure Premature Ejaculation Naturally?

To prevent premature ejaculation, one can:
- Use vitamin and mineral supplements.
- Masturbation.
- Squeeze technique.
- Stop-start method.

6.

Which Medicine Makes Sex Last Longer?

Some FDA-approved medicines like Sildenafil, Avanafil, Tadalafil, and Vardenafil can improve sexual performance.

7.

Is It Possible for Premature Ejaculation to Affect Relationships?

Premature ejaculation can affect relationship satisfaction as sexual gratification is an important part of a relationship for both partners. The condition may also discourage men from forming new relationships, affecting their mental and psychological health.

8.

Is It Possible to Overcome Premature Ejaculation?

There is no permanent cure for premature ejaculation. Over time, men identify their problems and learn to control ejaculations by various means. In other cases, any health issue that may be causing premature ejaculation can be treated with the help of medical aid.

9.

Is It Possible for Premature Ejaculation to Become Permanent?

Premature ejaculation is not permanent and tends to improve on its own. Men also learn to control and delay ejaculation during sexual intercourse.

10.

How to Be Mentally Prepared to Avoid Premature Ejaculation?

To prepare mentally to prevent premature ejaculation, a man can:
- Practice the start-stop technique.
- Develop mindfulness of the process.
- Distracting thoughts.

11.

How Effective Is the Squeeze Technique?

The squeeze technique, basically, is when a man is close to ejaculation and squeezes the area where the head of his penis, or glans, joins the shaft for 30 seconds. This contracts the muscle involved in ejaculation and erection, suppressing the urge to ejaculate and allowing for longer sex.

12.

Is It Possible for a Tight Pelvic Floor to Cause Premature Ejaculation?

It is rather the opposite; a strong pelvic floor can delay ejaculation and even double the time. Stronger muscles give better control over the pelvic floor muscles that are active during the entire ejaculatory phase.

13.

How Effective Are Squats in Curing Premature Ejaculation?

Squats, especially front squats, help in strengthening the pelvic floor muscles, which can greatly improve premature ejaculation times.
Source Article IclonSourcesSource Article Arrow
Dr. Mir Osman Ali
Dr. Mir Osman Ali

General Practitioner

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master and johnson techniquesqueeze techniqueperformance anxietystresserectile dysfunction
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