Premature ejaculation is one of the most common male reproductive problems. Because of the stigma attached to it, however, many men in %country% refrain from seeking an adequate treatment for premature ejaculation.
The issue affects men in a number of ways. It can have a profound impact on one’s intimate life, their relationship with a partner and even their self-confidence. While many think they’re alone in this, statistics show that one in three men will experience the problem in their lifetime.
What exactly is premature ejaculation, who’s affected by it, how is it diagnosed and what’s the best treatment for premature ejaculation in %country%? The following guide will try to answer these important questions.
An Introduction to Premature Ejaculation: A Few Important Facts
Medically speaking, premature ejaculation is defined as a person ejaculating almost always within a minute of penetration and being incapable of delaying climax nearly every time.
Defining PE is difficult because there are no unified criteria as to what’s normal and how long intercourse should last. Hence, premature ejaculation could be somewhat subjective. If the inability to delay climax is a cause of concern, poor intimate experiences and relationship troubles, a clinical condition is considered to be the problem.
The medical community has been attempting to understand PE better ever since the 1970s when the first definitions of the condition came into existence.
In 1994, a timeframe was introduced for the first time. It was 15 seconds of penetrative intercourse leading to ejaculation. The reason why the 15-second timeframe was utilised, however, remained unclear.
Today, the one-minute timeframe is the standard for diagnosing premature ejaculation but as already mentioned, a few other conditions will have to be met. Inability to delay climax, an inability to last long enough to enable a partner climax and personal issues stemming from that physiological response have been added to the mix.
If you’re making your first steps in the world of understanding premature ejaculation, you may want to consider these essential facts:
- Premature ejaculation is caused by both physiological and psychological factors
Most of the time, PE is caused by psychological factors and there’s nothing physically wrong with a man’s reproductive system
- PE can be lifelong or it can be acquired during certain periods in life (for example – due to performance anxiety, relationship problems or an underlying medical condition)
- PE is much more common among older men (25 percent of men aged 65 to 75 report dealing with PE in comparison to seven percent of men in the 45 to 55 age group)
- Premature ejaculation can be managed – The treatment for premature ejaculation could involve behavioural modification and a specific set of sexual practices, as well as the use of topical products and numbing agents
Premature Ejaculation Signs and Symptoms
Doctors in %country% can diagnose premature ejaculation on the basis of patient history. You may be suffering from PE if you’re dealing with the following:
• An inability to delay ejaculation for more than one minute of penetration
• An inability to delay ejaculation during masturbation (some people believe mistakenly that PE occurs only during intercourse with a partner)
• Unsatisfactory duration of intercourse for either you or your partner
• Feelings of frustration stemming from sexual performance
• Men suffering from PE are also more likely to self-report other sexual conditions like anorgasmia, low libido or erectile dysfunction
• Distress, anxiety and even depression
• Premature ejaculation that becomes worse or more difficult to manage as time goes by
If you wish that sex lasted longer, you may need to visit an experienced urologist and talk about the performance issues that worry you.
When you go to see a doctor, you’ll be asked several key things. The doctor would want to know how long you’ve been dealing with the problem, whether you have underlying medical conditions, whether you’ve experienced the same issue with another partner and if your relationship is currently stable and fulfilling.
Depending on the answers, a doctor may also perform a physical exam to rule out a physiological factor contributing to premature ejaculation.
The Main Cause of Premature Ejaculation
While the cause of premature ejaculation will be easy to identify in some instances, other situations pose a medical challenge.
Doctors in %country% will not always be capable of pinpointing one definitive underlying cause.
The main cause of premature ejaculation can be psychological or physiological.
Some of the most common psychological causes include:
• Performance anxiety, especially in men who do not have a lot of sexual experience
• Poor body image and the lack of self-confidence
• A negative perception of one’s sexuality due to religion or upbringing
• Feelings of guilt (typically related to upbringing) that prevent men from enjoying the moment and get them rushing through the sexual experience
• Relationship problems
• Poor communication with a partner about sexual needs and preferences
• Cultural aspects (sex being considered shameful and never getting talked about)
• The expectations of failure (hence, premature ejaculation experienced several times will make the problem worse in the future due to the psychological connotations)
The physiological conditions that cause premature ejaculation are the culprit much less often than the psychological causes. Still, a few medical problems could be contributing to PE or aggravating a pre-existing psychological issue:
• Hormone level abnormalities
• Neurotransmitter abnormalities
• Prostate inflammation
• Urethral infections
• A conditioned response (especially in men whose families considered masturbation taboo – they had to rush through it in order to never get caught)
• High blood pressure
• Thyroid problems
• Excessive alcoholic beverage consumption
There are a few others much more serious chronic medical conditions that could contribute to premature ejaculation. Multiple sclerosis is one of them.
To achieve long lasting erections, men will need to take a deep introspective look into these factors. Premature ejaculation is not normal and it doesn’t happen on its own. Furthermore, treatment options do exist. There’s no need to accept the condition for granted and continue living with it.
What’s the Best Treatment for Premature Ejaculation?
If there’s a physiological premature ejaculation cause, it will have to be addressed. Once the right treatment is sought, the severity of PE can be expected to decrease. Eventually the condition will disappear altogether.
Dealing with the psychological causes of premature ejaculation can be a lot trickier. Conditioning and patience will be required to eventually get and sustain long lasting erections.
Let’s examine some of the most popular techniques and approaches that can result in overcoming premature ejaculation.
The Start and Stop Method
Make sure that your partner is onboard and communicate with them about this treatment option if you want to beat premature ejaculation.
The start and stop method, as the name suggests, involves controlling levels of arousal.
The aim is to increase control over one’s erectile response and ejaculation. Once a point of excessive arousal is reached, sexual stimulation stops. This technique gives the man a chance to calm down, control arousal and eventually postpone climax.
Using the start and stop method will necessitate a lot of practice. In the beginning, it could be difficult to pinpoint the right method to stop. With time, however, a man will get a better idea about their bodily functions and responses to sexual stimulation.
Pelvic Floor Exercises: Kegels
Pelvic floor of kegel exercises have been proven to enhance control over one’s erection and ejaculatory response.
The best aspect of this technique for the treatment of premature ejaculation is that it’s simple, no equipment is required and the exercises can be practiced anywhere, anytime.
Kegel exercises strengthen the pelvic floor muscles (the ones you use to stop the flow of urine when peeing). When these muscles become stronger, better control is achieved over sexual performance. In addition, some sexual experiences could become much more pleasurable.
To do kegel exercises, you’ll need to complete the following steps:
• To identify the pelvic floor muscles, hold urination midstream
• Now that you know which muscles need to contract, you can start practicing
• Squeeze the muscles and hold the contraction for a few seconds
• Release, take a breath and repeat
• When your pelvic floor muscles become stronger, you can exercise while walking around or doing household chores
• As the strength of the muscles increases, you can also start holding the contraction for a certain period of time
According to practitioners in %country%, kegel exercises work best in conjunction with another approach like the start and stop method.
Desensitizing Condoms and Ointments
If behavioural techniques aren’t enough to overcome premature ejaculation and achieve long lasting erections, topical products can also be utilized.
There are condoms, creams and sprays that contain a numbing agent (anaesthetic substance).
This numbing agent like lidocaine, for example, decreases the sensitivity of the penis and slows down arousal.
Condoms contain a smaller amount, which is why you may want to try them first. If you don’t get a pronounced enough effect, talk to your doctor and get a prescribed topical treatment.
Topical anaesthetics are applied 10 to 15 minutes before having intercourse. Keep in mind you should always use a condom after applying such a cream or spray because otherwise, it will also affect your partner’s sensitivity.
Keep in mind that it’s not a good idea to overdo the use of topical anaesthetics. Some men report the complete loss of sensitivity through prolonged use or when too much of the product is applied.
Oral analgesics can be used to help mean dealing with premature ejaculation.
Tramadol is one example of a drug used for the treatment of premature ejaculation in %country%.
This pharmaceutical is a pain reliever. It has a side effect, however. Through research, clinicians found out that tramadol could delay ejaculation.
Some of the medications used for the treatment of erectile dysfunction in %country% could also relieve the symptoms of premature ejaculation.
Finally, antidepressants may be prescribed. These pills have a side effect of delaying climax. Usually, the pills will have to be taken for at least 10 days for the effect to be observed. Antidepressants, however, may cause various unpleasant side effects. This is why many men aren’t keen on the treatment option.
Understand the fact that you’re not alone and there’s nothing embarrassing about your diagnosis.
A man’s sex life can improver exponentially when problems like premature ejaculation are tackled. For the purpose, however, you will have to accept the fact that you have a problem and you’ll have to be proactive in the identification of the right solution.
If you are in a relationship, get your partner involved in the process.
Compassion, gentleness, patience and understanding on behalf of the person you love could contribute to major improvements. If you just bottle the anger and embarrassment inside, your relationship will suffer. Not only will you consider experiencing premature ejaculation, you may also lose the person you love.
Finally, don’t hesitate to see the right urologist in %country%.
Because PE is such a common problem, urologists know how to tackle it in a personalized, effective way. Very often, the use of medications will not even be required. Behavioural therapy and experimentation with various techniques during intercourse will often be sufficient to decrease the prominence of premature ejaculation, make it occur less frequently or resolve the problem altogether.