What is Premature Ejaculation
Premature ejaculation happens when a man has an orgasm sooner than he or his partner would like. Premature ejaculation can happen before or shortly after penetration.
There is no set time for how long a man should “last” during sex. But when a man has an orgasm before he wants to, he loses his erection and can’t continue with intercourse. Premature ejaculation can be frustrating and embarrassing. You may feel you don’t have enough time to enjoy sex. You may have difficulty satisfying your partner. For some men, embarrassment about premature ejaculation can cause problems with intimacy and damage their relationships.
Premature ejaculation is a common problem among men. About 30 percent to 40 percent of men have this problem at some time in their lives.
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, 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 cause premature ejaculation. In some cases, premature ejaculation may be related to an underlying medical cause such as hormonal problems, injury, or a side effect of certain medicines.
Men who have a low amount of a special chemical called serotonin in their brain may have problems with premature ejaculation
What are the symptoms ?
The main symptom of premature ejaculation is an uncontrolled ejaculation either before or shortly after intercourse begins. Ejaculation occurs before the person wishes it, with minimal sexual stimulation.
Is premature ejaculation a sign of a serious health problem ?
Not in most cases. Rarely, premature ejaculation results from a serious health problem, such as nervous system damage from surgery or trauma.
How is premature ejaculation diagnosed ?
Your doctor will discuss your medical and sexual history with you and conduct a thorough physical examination. Your doctor may want to talk to your partner also. Because premature ejaculation can have many causes, your doctor may order laboratory tests to rule out any other medical problem.
How is premature ejaculation treated ?
Premature ejaculation often goes away without treatment. But if it happens frequently, and it makes you or your partner unhappy, you may want to talk to your family doctor. There are several possible methods for delaying orgasm.
Behavioral methods
Behavioral methods are helpful for more than 95 percent of men who have premature ejaculation.
In this type of treatment, you practice controlling your ejaculation, either alone or with a partner.
In the start-and-stop method, you or your partner will stimulate your penis until you feel like you are about to have an orgasm. Then the stimulation stops for about 30 seconds. Once you regain control of your response, stimulation begins again. This process is repeated 3 or 4 times before you allow yourself to have an orgasm.
The squeeze method works in a similar way. When you feel like you are about to ejaculate, you or your partner will gently squeeze the head of your penis for about 30 seconds so that you begin to lose your erection. You repeat this process several times before you allow yourself to reach orgasm.
In addition to using a behavioral method, you may want to try thought distractions. For example, while you’re being sexually stimulated, think about the names of players on your favorite sports team, or think of some beautiful scenic experience
Psychological assistance
Anxiety, depression and other emotional issues can lead to premature ejaculation. For these issues, seeking the help of a psychologist, psychiatrist or sex therapist may be helpful.