Premature ejaculation (PE) is the most common male sexual disorder, affecting the male population, irrespective of age, marital status, or ethnicity. This sexual dysfunction is likely underreported and under-treated because of the affected person’s shame and low self-esteem. This is an addition to many health care experts feeling uncomfortable or uncertain about managing premature ejaculation. PE may have a profound negative impact on a man and his partner’s lives. Men with PE often experience significant psychological, avoid physical and emotional intimacy, and become victims of false medical advertisements and unproven medical management. This article aims to provide general information about PE so patients can manage the condition and other associated sexual dysfunction, including erectile dysfunction.<\/p>\n
What is premature ejaculation? PE occurs when a man cannot control the timing of ejaculation and ejaculates before he and his partner feel ready for this to happen. This may cause distress in both the man and his partner.
\nThe definition of PE varies, according to what the American Urological Association defines ejaculation as premature if it occurs sooner than desired, either before or shortly after penetration, leading to a stressful situation between the partners. Many experts define prematurity as ejaculation within a minute of beginning intercourse. Despite professional opinions, your feelings and what is premature are also considered.<\/p>\n
What causes premature ejaculation? What is the cause of the quick release of sperm? The exact cause of pre-ejaculation is unknown, but there are numerous reasons a man may have PE. There may be physical or emotional reasons. Some specific causes for pre-ejaculation are explained below:<\/p>\n
Serotonin is a chemical produced naturally in the body. It helps control mood, sleep, emotion, and sexual desire. Too much of this chemical in the brain increases the time of ejaculation, whereas low levels can shorten the time to ejaculation and contribute to PE.<\/p>\n
Psychological health issues can be involved with PE and may include:<\/p>\n
Taking care of emotional thoughts often helps.<\/strong><\/p>\n Other issues<\/strong><\/p>\n PE associated with Age<\/strong> Management of Premature ejaculation<\/strong><\/p>\n How to treat erectile dysfunction and premature ejaculation<\/strong> Behavioural therapy<\/strong> – It involves techniques to delay your orgasm. These include:<\/p>\n Counselling<\/strong> – If the cause is psychological, emotional, or relationship issues due to stress, performance anxiety, guilt, or a troubled relationship. Seek the help of a psychologist.<\/p>\n Medical Management <\/strong><\/p>\n Several types of medicines can be tried. Medicines including selective reuptake inhibitors like paroxetine, citalopram, fluoxetine, sertraline, and escitalopram can help delay premature ejaculation. Moreover, anaesthetic creams and sprays applied to the head and shaft of the penis are another treatment option to delay ejaculation.
\nPE can occur at any age. Ageing is not a direct cause of PE, though ageing does cause a change in erections and ejaculation. For some older adults, erections may not be as firm or as large. Erection may not last as long as before ejaculation happens. Such changes can lead to some older adults ejaculating earlier.
\nPE and your Partner<\/strong>
\nPE may make you feel less connected with your sexual partner. You might feel angry, ashamed, or upset and turn away from your sexual partner. PE may not only affect you, but it may also affect your partner as well.<\/p>\n
\nTreatment for premature ejaculation?<\/strong> Ideally, discussions about managing the condition should involve the patient and his regular sexual partner. Treatment options require consideration of symptoms severity, causes, psychological impact, side effects, and patient preferences.
\nIn clinical practice, management is complex and requires a combination of pharmacological, psychological, and behavioural treatments. Most causes of erectile dysfunction and premature ejaculation are treatable with behavioural or counselling that helps with emotional concerns, performance anxiety, or stressors contributing to the sexual condition.
\nManagement Options<\/strong><\/p>\n\n
\nThere may be several other treatment methods; by involving your partner and seeing the appropriate health care expert, you will likely be able to control your ejaculation.
\nErectile dysfunction medicines<\/a>, which include sildenafil<\/a>, tadalafil<\/a>, and vardenafil<\/a>, have also been used to treat PE, particularly in men with underlying erectile dysfunction.<\/p>\n