It is a variant of sexual dysfunction that negatively affects a man’s quality of sexual life quality.
Also known as EP, it occurs when an orgasm or “climax” occurs earlier than desired.
Sometimes there may be complications with reproduction, but premature ejaculation can also negatively affect sexual satisfaction, both for men and their partners.
In recent years, the recognition and understanding of male sexual dysfunction have improved, and there is a better understanding of the problems that can result from it.
The information here seeks to demystify the causes of PE and describe the effective treatment options.
Rarely premature ejaculation is due to a medical condition, although doctors should rule it out.
Premature ejaculation can cause secondary symptoms, such as anguish, shame, anxiety, and depression.
Several factors may be involved.
Psychological factors: Most cases of premature ejaculation are not related to any disease and, instead, are due to psychological factors, which include:
- Problems with body image.
- Sexual inexperience.
- The novelty of a relationship.
- Overexcitation or too much stimulation.
- Relationship stress
- Feelings of guilt or inadequacy.
- Issues related to control and privacy
These common psychological factors can affect men who previously had normal ejaculation. These cases are often called secondary or acquired PE.
The condition often goes back to early trauma, such as:
- Rigorous sexual education and upbringing.
- Traumatic experiences of sex.
- Conditioning, for example, when a teenager learns to Ejaculate quickly to avoid being found masturbating.
More rarely, there may be a biological cause.
The following are possible medical causes of premature ejaculation:
- Multiple sclerosis.
- Prostate disease
- Thyroid problems
- Illicit use of drugs.
- Excessive alcohol consumption.
Premature ejaculation can be a sign that an underlying condition needs treatment.
The man ejaculates long before his partner (prematurely). It can fluctuate even before penetration until shortly after that and leave your partner dissatisfied.
Premature ejaculation, in some cases, can lead to depression.
In most cases, there is a psychological cause, and the prognosis is good.
If the problem occurs at the beginning of a new sexual partner, the difficulties are often resolved as the relationship continues.
However, doctors may recommend counseling from a therapist specializing in sexual relations or “couple therapy if the problem is more persistent.”
No medication is officially licensed in the United States to treat PE, but it has been discovered that some antidepressants help some men delay ejaculation.
A doctor will not prescribe any medication before taking a detailed sexual history to arrive at a precise diagnosis of PE. Pharmacological treatments can have adverse effects, and patients should always talk to a doctor before using any medication.
Some topical therapies can be applied to the penis before sex, with or without a condom. These local anesthetic creams reduce stimulation.
Examples include lidocaine or prilocaine, which may improve the amount of time before ejaculation.
However, prolonged use of anesthetics can cause numbness and loss of erection. The reduced sensation created by the creams may not be acceptable to men, and the numbness may also affect the woman.
Two methods that can be useful for men are:
The start-and-stop method: aims to improve a man’s control over ejaculation. Either the man or his partner stops sexual stimulation when he feels he is about to have an orgasm and resumes once the sensation of impending orgasm has subsided.
The compression method: this is similar, but the man gently squeezes the tip of his penis, or his partner does this for him, for 30 seconds before restarting the stimulation. A man tries to accomplish this three or four times before allowing himself to ejaculate.
The practice is essential, and if the problem continues, it may be worth talking to a doctor.
The researchers discovered that Kegel exercises, which aim to strengthen the pelvic floor muscles, can help men with premature ejaculation for life.
Forty men with the condition underwent physical therapy that involved:
- Physio-kinesiotherapy to achieve muscle contraction.
- Electro-stimulation of the perineal floor.
- Biofeedback helped them understand how to control muscle contractions on the perineal floor.
- They also followed a series of individualized exercises.