Premature Ejaculation: Symptoms, Causes and Treatment
Premature ejaculation, a common sexual issue affecting 1 in 3 men, occurs when semen leaves the body sooner than desired during sexual activity. Physical and psychological factors often contribute to PE, like sexual issues among males. Practising pelvic floor exercises, adjusting sexual routines, and using erectile dysfunction medications can improve control and performance. This blog explores premature ejaculation in detail.
What is premature ejaculation?
Premature ejaculation (PE) occurs when a man orgasms sooner than desired, often before or shortly after penetration. While there is no set duration for intercourse, PE can cause loss of erection, hinder intimacy, and harm relationships. Men with PE may feel embarrassed, experience performance anxiety, or fear intimacy, leading to dissatisfaction for both partners. Affecting about 40% of men at some point, PE is treatable with medicines, counselling, sex therapy, and proper techniques to improve sexual life.
What are the symptoms of premature ejaculation?
The main symptom of premature ejaculation is the inability to delay ejaculation for more than three minutes after penetration. This can occur in all sexual situations, including masturbation.
Premature ejaculation is often classified as:
Lifelong PE: Occurs consistently from the first sexual encounter.
Acquired PE: Develops after previous sexual experiences without issues.
Some individuals may mistake occasional early ejaculation for PE, but it may not meet diagnostic criteria. Early ejaculation can sometimes be normal.
What causes you premature ejaculation disorder?
Premature ejaculation (PE) can result from psychological, emotional, or physical factors such as:
Psychological Causes:
- Temporary issues during early sexual experiences are often resolved with time and practice.
- Challenges in sustaining erections as men age.
- Mental health conditions like depression, low self-esteem, or a history of sexual abuse.
- Guilt, stress, anxiety about performance, or relationship issues.
Physical Causes:
- Erectile dysfunction (ED), where men rush intercourse due to difficulty maintaining erections.
- Hormonal imbalances, such as unusual testosterone or nerve chemical levels.
- Inflammation(swallow) of the prostate or urethral inflammation.
- Side effects of antidepressants (e.g., SSRIs), which may delay orgasm or induce PE and ED.
How common is premature ejaculation disorder?
Premature ejaculation (PE) is the most common sexual dysfunction affecting men worldwide. It is more frequent in young men but can occur at any age, though ejaculation often slows with age.
When to see a doctor?
See a doctor if premature ejaculation:
- Frequently disrupts your relationship.
- It prevents you from pursuing intimacy.
- Causes discomfort or rapid ejaculation.
Start with a primary care physician or consult a urologist who specializes in male sexual health. Don't hesitate to seek help, as PE and ED are common and treatable conditions.
How is premature ejaculation treated?
Premature ejaculation can often be treated by adjusting your sexual routine.
- Masturbate an hour before intercourse to help delay ejaculation.
- Temporarily avoid intercourse and engage in other sexual activities with your partner.
These strategies reduce performance pressure while maintaining sexual pleasure and satisfaction. Moreover, you can follow below given ways to treat premature ejaculation:
Pelvic floor exercises
Pelvic floor exercises like Kegel exercises can help treat premature ejaculation (PE) by strengthening key muscles.
How to Find the Muscles:
- Stop midstream urination to locate pelvic floor muscles.
- Identify muscles used to prevent passing gas.
How to Practice:
- Perform Kegel exercises while standing, sitting, or lying down.
- These exercises may also help with erectile dysfunction (ED).
Decreased sensitivity
Reducing sensitivity during sex can help delay ejaculation.
- Use adequate protection to lower sensitivity and prolong erection.
- Apply numbing agents 15 minutes before intercourse for additional control.
Do you know?
Premature ejaculation (PE) affects up to 30% of men and is the most common male sexual concern. Often linked to stress, anxiety, or relationship dynamics, it can typically be managed with techniques and lifestyle changes.
ED medicines
If erectile dysfunction (ED) contributes to premature ejaculation (PE), consult your doctor about ED medications like tadalafil or sildenafil citrate. These can treat ED and support delayed ejaculation. Combining medicine, therapy, and home remedies can help manage PE effectively.
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Premature ejaculation appears when orgasm takes place very quickly or orgasms on which you do not have control. Although there is no permanent cure for PE, supplements, OTC products, and various sexual techniques may help you delay your ejaculation.
Viagra is meant to treat erectile dysfunction as it may not help to treat symptoms of premature ejaculation in males.
Premature ejaculation is among the common sexual problems faced by men. PE can further lead to psychological distress, poor self-esteem, erectile dysfunction, anxiety, sexual desire and poor interpersonal relationships.
Premature ejaculation (PE) is a treatable condition, and yes, with proper techniques and treatment, it can be treated. To ease symptoms of PE, you can consider using Medications, counselling and techniques that delay ejaculation. Consult your doctor for personal guidance to help improve sex for you and your partner.
