How can a 25-year-old manage premature ejaculation?

Question

Hello doctor,

I am a 25-year-old male who has experienced premature ejaculation since my first sexual encounter. Despite being sexually active, I continue to struggle with lasting during intercourse. I do not consume alcohol and do not experience significant stress. I am seeking to understand the potential causes of this issue and would like to know if there are any effective medications or treatments available.

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Premature ejaculation is a prevalent condition affecting many men and can stem from various factors. Psychological causes such as stress, anxiety, and relationship issues are significant contributors. For instance, anxiety about sexual performance or concerns about one's partner can lead to rushing to ejaculate. Physiological factors also play a crucial role in premature ejaculation. Conditions like diabetes, hypertension, and thyroid disorders can affect nerve function and hormone levels, leading to premature ejaculation.

Treatment for PE often involves a combination of behavioral techniques, medications, and lifestyle changes. Behavioral methods such as the start-stop technique and pelvic floor exercises can help improve control over ejaculation. Medications like selective serotonin reuptake inhibitors (SSRIs), including Dapoxetine, have been shown to delay ejaculation. Lifestyle modifications, such as regular exercise and stress management, can also contribute to improved sexual health.

I hope you are satisfied with my answer. For further queries, you can consult me at icliniq.

Thank you.