Premature Ejaculation

Premature ejaculation (PE) reportedly affects an estimated 20 to 30 percent of men, though this reality often gets lost in the many punch lines made about the condition.

The problem with making fun of men who might experience PE is that it moves them to suffer in silence. They’re discouraged from speaking up and addressing potential treatment with their doctor, not to mention their partner. While untreated PE is not associated with any long-term health problems, it is associated with an increase in stress, anxiety, and relationship problems.

What is premature ejaculation?

Premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration. It happens with minimal sexual stimulation and before the person wishes. 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. It has probably affected every man at some point in his life.

What causes premature ejaculation?

Most cases of premature ejaculation do not have a clear cause. With sexual experience and age, men often learn to delay orgasm. Premature ejaculation may occur with a new partner. It may happen only in certain sexual situations or if it has been a long time since the last ejaculation. Psychological factors such as anxiety, guilt, or depression can also cause it. In some cases, it may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines.

What are the symptoms?

The main symptom is an uncontrolled ejaculation either before or shortly after intercourse begins. Ejaculation occurs before the person wishes it, with minimal sexual stimulation.

How is premature ejaculation diagnosed?

I will discuss your medical and sexual history with you, and will do a thorough physical exam. Later i may want to talk to your partner also. Premature ejaculation can have many causes.

1. You’re not alone

PE occurs when a man ejaculates sooner than expected, about one to three minutes. And it’s a common sexual complaint, according to the Mayo Clinic; as many as one out of three men have experienced this problem at some point in their life.

2. Diagnosis criteria

It’s not a cause for concern if it happens infrequently. If, however, it always or nearly always occurs within one minute of penetration, you may meet the diagnostic criteria for PE, the Mayo Clinic reported. Other criteria include being unable to ejaculate during intercourse all or nearly all of the time, plus allowing feelings of distress and frustration to deter you from future sexual intimacy.

3. Masturbation counts

PE isn’t limited to sexual intercourse. It can also happen when men masturbate.

4. Risk factors

The Mayo Clinic cites the exact cause of PE remains unknown. Experts once believed there were only physiological causes, but recent research shows the condition is more complicated than that, hinting at the possibility of biological causes.

5. Physiological

Physiological causes include “situations in which you may have hurried to reach climax in order to avoid being discovered; guilty feelings that increase your tendency to rush through sexual encounters; erectile dysfunction; anxiety; and relationship problems,” the Mayo Clinic reported.

6. Biological

Biological causes include abnormal levels of testosterone or certain neurotransmitters, as well as an abnormal reflex activity of the ejactulatory system, certain thyroid problems, inflammation and infection of the prostate or urethra, otherwise inherited traits, and nerve damage from surgery or trauma. The latter two causes are thought to be incredibly rare.

7. Two types

There’s “lifelong PE” and “acquired,” or secondary, PE. Lifelong means “men have experienced the condition nearly all of the time since their first sexual encounters.” Though symptoms are similar for the acquired variety, “it develops after men have had previous sexual experiences without ejaculatory problems.”

8. Side effects

PE won’t necessarily lead to health problems, but it may lead to personal problems, such as increased stress and anxiety. There’s also the possibility of fertility problems, the Mayo Clinic says. PE can occasionally make fertilization difficult or impossible for couples trying to have a baby.

9. Testing

Test for PE by asking men about their sexual history, performing a general physical exam and a possible urine test to rule out infection. If men struggle with PE and erectile dysfunction, doctors may then order blood tests to measure testosterone levels.

10. Treatment

The most common treatment options are behavioral techniques (masturbating a couple hours before intercourse), topical anesthetics (numbing agents to reduce sensation), oral medications to delay orgasm, such as antidepressants, and counseling. Treatments take time to work, and for some men, relief may be a result of combined treatment.

11. Alternative treatment

There are also alternative treatments men can consider; kegel exercises and tantric techniques “to establish an intimate connection.”

12. “Stop-Start” and “Squeeze”

Perhaps the most popular alternative treatments are the “stop-start” and “squeeze” methods. When men “stop-start,” they aim to master the technique of masturbating alone and getting close to orgasm, but stopping until they can’t anymore. The “squeeze” method requires a man “squeeze the base of the penis at the same point that the stop-and-start technique would be used, when he is at the brink of orgasm,” Bermain explained. “The idea is to reduce your partner’s erection through squeezing.”

13. Expert-approved approaches

I believe in a holistic, multi-professional approach. These things work on body, soul and a spiritual level. Consultation and training along with treatment.

14. “Suffer in silence”

Premature ejaculation (PE) refers to the inability to sustain endurance before ejaculating, or quite simply, ejaculating too early! It may be surprising to find out that PE is one of the most common sexual problems males encounter from all countries of the world.

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