What is premature ejaculation?
All men experience orgasm, but some of them are not able to hold on the orgasm and expel semen very soon during sexual activity with minimum penile stimulus. This situation is called premature ejaculation. This condition is often termed as Early Ejaculation or Rapid Climax. This condition is the most common sexual problem among men below 40 years of age. Although there is no accurate “time perimeter” that defines premature ejaculation, but the standard time is less than two minutes.
In general, early ejaculation may result in an unsatisfactory sexual experience for both partners, which can increase the anxiety among them and may contribute to various problems. To deal with the problems, it’s necessary to understand the causes of premature ejaculation.
What causes premature ejaculation?
The exact cause of premature ejaculation isn’t understood. But, it is thought that if the ejaculation occurs within two minutes of intercourse or if the man cannot control his ejaculation, then the condition is called PE. Many studies have stated various causes of premature ejaculation, including psychological causes and biological causes. These are as follows:
A number of psychological causes are responsible for premature ejaculation. These include the following:
• Sexual inexperience
• Too much stimulation
• Novelty of a relationship
• Guilty feelings
• Relationship stress
• Issues related to intimacy
Biological factors- Biological causes of premature ejaculation are less common than psychological ones. Some of the natural causes include the following:
• Abnormal hormone levels
• Abnormal activity of the ejaculatory system of our body
• Abnormal levels of brain chemicals called neurotransmitters
• Inflammation or infection of the prostate gland or urethra
• Inherited traits
• Certain thyroid problems
• Nerve damage from surgery or trauma (rare)
Apart from the above mentioned causes, excessive excitement, fear of performance problems and other forms of anxiety also accompany. Some of the other causes include physical factors like acute hypersensitivity of the nervous system.
Also Read: The growing problem of male infertility
How to treat premature ejaculation?
Various exams and tests may be performed by the doctor to treat the condition. At first the doctor will ask you about your sex life. Moreover, he/she will ask about your health history and may also perform a general physical exam. To rule out the possibility of any infection, you may also advise to undergo a urine test. A blood tests may also be performed to check the testosterone levels. The doctor may recommend various options to treat premature ejaculation after getting the results of all the tests carried out.
Most cases of premature ejaculation resolve on its own without any medical help. If the condition doesn’t go on its own, then various relaxation techniques and distraction methods are recommended to delay ejaculation. To treat the condition, some of the common treatment options like behavioral therapy, topical anesthetics, oral medications, and counseling.
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This technique involves simple steps, like a person suffering from premature ejaculation, is advised to masturbate an hour or two before intercourse so that he may delay the early ejaculation during sex. In this therapy, the doctor may recommend abstinence for a period by focusing on other types of sexual play so as to remove the pressure from sexual encounters.
The pause-squeeze technique:
To get the most of the pause-squeeze technique follow the below-mentioned tips:
• Begin your sexual activity as usual
• When you urge to ejaculate, your partner will squeeze the end of your penis, and maintain the position for several seconds, until the urge to ejaculate ceases.
• Now, release the squeeze and wait for about 30 seconds. Go back to the foreplay again.
• This time, you may notice that squeezing the penis causes it to become less erect, and when sexual stimulation is resumed, the penis soon regains full erection.
The pause-squeeze technique is one of the cheapest and best treatments of premature ejaculation. To get the best of it, you need to practice it by repeating the process.
Also Read: Ways to protect your erection
To delay ejaculation, doctors recommend anesthetic creams and sprays like Lidocaine or Prilocaine. These two products have numbing agents that are applied to the penis a short time before sex to reduce the sensation. However, these products have their side-effects like some men experience temporary loss of sensitivity and decreased sexual delight. Thus, before using topical anesthetics always consult your doctor.
Antidepressants, Analgesics, and Phosphodiesterase-5 inhibitors are widely used to treat premature ejaculation. Doctors prescribe these drugs either on-demand or for daily use. These may also be prescribed alone or in combination with other treatments.
A counselor will treat your problem by performing a talk therapy. The counselor will talk to you about your relationships and experiences. He/she may help you try reducing the performance anxiety and find better ways of dealing with stress. Counseling is used when it’s combined with drug therapy.
Premature ejaculation is a huge problem, but you can control your condition by following a combination of counseling, medication, and floor exercises. You should always consult your doctor or a qualified sexologist because he/she will promptly analyze the causes of premature ejaculation and will suggest you the exact treatment option.
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