Premature Ejaculation (PE) is when ejaculation happens sooner than a man or his partner would like during sex.
Many men suffering from this annoying condition would like to know why they don’t ‘last’ long enough for them and/or their partner to really enjoy intercourse.
It is one of the most common forms of male sexual dysfunction. It has probably affected every man at some point in his life.
Premature ejaculation happens shortly before or after penetration, although there is no precise “time limit” that defines it.
Generally speaking, so long it happens infrequently, it does not cause for concern, however, you may meet the diagnostic criteria for premature ejaculation if you:
Always ejaculate before/on penetration, or within one minute of penetration.
Fail to delay ejaculation during intercourse all or nearly all of the time.
Start to feel anxious and frustrated, and tend to avoid intimacy and intercourse as a result.
What Causes Premature Ejaculation?
Most cases of premature ejaculation do not have a clear cause. Both psychological and biological factors could play a role in premature ejaculation.
Researchers have implied that a certain brain neurotransmitter “Serotonin” may have a role. High amounts of serotonin in the brain increase the time to ejaculation. Low amounts can shorten the time to ejaculation, and lead to premature ejaculation.
Certain psychological Issues can be involved such as:
Sense of Guilt
Overall Lack of Confidence
Unrealistic expectations about sexual performance
Premature Ejaculation & Erectile Dysfunction ED
Sometimes Premature Ejaculation is a problem for men who have erection problems (weak erection or Erectile Dysfunction).
This is when men are not able to get or maintain an erection that’s firm enough for intercourse.
Since erection usually fades away after ejaculation, it can be difficult to know if the problem is premature ejaculation or erectile dysfunction. In such cases, erectile dysfunction should be treated first. Premature ejaculation may not be a problem anymore once potency is restored.
Although many men feel embarrassed to address it, premature ejaculation is a very common yet most treatable condition. Medications, counseling and certain techniques that can help delay ejaculation (and maybe a combination of all) can help improve intimate relationship for you and your partner.
How is Premature Ejaculation diagnosed?
Your Andrologist will discuss your medical and erotic history with you, as well as do a thorough physical exam.
Several other conditions must be considered in making a diagnosis of Premature Ejaculation (for example, severely delayed orgasm in the female partner, certain medications intake that can have a negative impact on ejaculation, presence of erectile dysfunction, concomitant chronic prostatic inflammation).
Laboratory tests to rule out any other medical problem might be needed.
How Erectile Dysfunction is treated?
Management of Premature (early) ejaculation includes several options.
In many cases, the complaint of premature ejaculation improves on its own over time. Medical help may not be needed. Practicing relaxation techniques or using distraction methods during intercourse may help you delay ejaculation.
For instance, you need to identify and control the sensations that lead you up to ejaculate.
You may learn to communicate with your partner to delay or stop stimulation.
Usage of a condom to reduce skin sensation can be of great value in some cases.
Changing your physical position during intercourse can also be of benefit (such as lying on your back).
Also of importance, the “squeeze technique” can be used successfully. If a man senses that he is about to experience premature orgasm, he interrupts the intimate relation. Then the man squeezes the shaft of his penis between a thumb and two fingers for about 20 seconds, during which the orgasmic sensation will fade away and then the intimate relationship can be resumed. This technique can be repeated as often as necessary.
Another option that may be considered for men with Premature Ejaculation is a topical anesthetic therapy, applied to the penile skin before intercourse. This can manage to reduce sensation/numbness and accordingly delay ejaculation.
Nevertheless, the reduced sensation created by such topical medications may not be acceptable to the man, and the numbness can affect the woman, too.
Some men would be in need of medical assistance. This could be through certain prescription medications that help to delay ejaculation.
Delayed orgasm is a common side effect of certain medications that are used in the treatment of depression. When these medications are given to men who suffer from premature ejaculation, it can help to postpone orgasm for up to several minutes.
This family of medications includes selective serotonin reuptake inhibitors (SSRIs and tricyclic antidepressants). This line of treatment should be under medical supervision. Your Andrologist will be able to prescribe the most suitable medication for your state.
When to call a professional?
Visit your Andrologist if you consistently ejaculate before you want to or before your partner feels satisfied.
Always remember, one instance of premature ejaculation does not mean that you have a condition that requires treatment.
Premature ejaculation can be managed effectively with self-care, medications, or topical anesthetics.
The optimal treatment choice should be based on both physician judgment and patient preference.