Premature Ejaculation

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Premature ejaculation is a condition in which a man ejaculates earlier than he or his partner would like during intercourse. It’s a common sexual dysfunction in men. Causes include physical problems, psychological factors, and others. Promising treatments include learning techniques to delay ejaculation, medication, counseling, and others.

Premature ejaculation (PE) is a common sexual dysfunction that is estimated to occur in 4-39% of men in the general community [1].

The American Urological Association defines it as ejaculation occurring sooner than desired, leading to distress for one or both partners.

PE is treatable with medications, counseling, and other options. If PE causes you (or your loved one) to feel frustrated or stressed, then you should seek help from a health care professional. Remember that you are not alone, and your doctor knows how to address your condition. Together, you can find the underlying cause and effective treatment.

Facts Box

Premature ejaculation can be lifelong (often dating back to the first sexual activity) or acquired (resulting later in life with previously satisfactory ejaculation time)
PE can happen with a specific partner or under specific circumstances.
Less than a quarter of men with this sexual disorder actually seek medical help for their condition.
PE can be linked with erectile dysfunction (impotence).
This condition can cause significant distress to a man and his partner [2].

Average Duration of Intercourse for Premature Ejaculation

Many medical experts would define PE as ejaculating within a minute of beginning sexual activity. The exact timing for PE differs, and only your doctor can make a diagnosis.

Many healthcare organizations consider ejaculation premature if it [3]:

Happens faster than you or your partner wishes.
Causes distress to both or one partner.
Occurs during all or almost all intercourse.
Happens within a minute of penetration
Has been happening for longer than six months to a year.

Symptoms

The primary symptom of PE is being unable to delay ejaculation for more than 3 minutes after penetration. But it might happen in all situations, including masturbation [4].

What Causes Premature Ejaculation?

There are several psychological and physical causes of PE [5].

Psychological Causes

Psychological causes of premature ejaculation include the following:

Past sexual abuse: Men who are the victims of sexual abuse are twice as likely to experience PE.
Relationship issues: Problems in a relationship or feeling uncomfortable or nervous with your partner can also cause this common sexual dysfunction in men.
Negative body image may impact sexual well-being and lead to premature ejaculation in some men.
Mental Health Ailments: Depression and anxiety can affect sexual experience and can lead to premature ejaculation.

Physical Causes

Physical causes of premature ejaculation include the following:

Urologic conditions: These conditions include chronic prostatitis and varicocele, which can impact how the penis functions.

Men with increased sensitivity of the penis (hypersensitive penis) may be at a higher risk of premature ejaculation.

Health conditions: Certain medical conditions, such as diabetes and thyroid issues, can lead to hormonal changes that affect sexual function.

Nerve damage: Neurological conditions such as multiple sclerosis or spinal cord injury can also lead to PE.

Low levels of serotonin: Men with lifelong premature ejaculation may have genetic differences in their serotonin receptors that can lead to premature ejaculation.

Risk Factors

Anyone can experience PE, but some factors can make it more likely. Some of these factors overlap with the causes discussed above.

Age: This sexual dysfunction can happen at any age, but it tends to be more common in younger males. As men age and gain more sexual experience, ejaculatory control often improves.

Erectile dysfunction (ED): Men who have difficulty attaining or keeping an erection may rush through intercourse out of fear of losing it, which can lead to premature ejaculation.

Other risk factors may include anxiety, depression, and relationship stress.

Complications

Premature ejaculation can cause several problems in your personal life. They might include:

Stress and relationship problems: A common complication of PE is that it can cause relationship troubles.
Fertility issues: Premature ejaculation can sometimes make it hard for a partner to conceive. This may happen if ejaculation does not occur in the female vagina.

Diagnosis

The diagnosis of PE is determined by whether ejaculation occurs too quickly, too late, or not at all. Most of the time, your healthcare professional will diagnose PE after a physical exam and talking with you. Some questions he or she may ask include the following:

How often does premature ejaculation happen?
How has this condition changed your sexual activity?
Is there anything that makes it worse or better, such as drugs or alcohol?
Does PE happen with just one partner or all partners?
Has this condition been present lifelong or started recently?

Laboratory testing is only required if your healthcare professional finds something during a physical examination [6].

Premature Ejaculation Treatment

There are several treatment options, such as medication, lifestyle changes, counseling, and different therapy methods, to manage PE depending on its cause [7].

Medication

While there is no specific medication designed to treat premature ejaculation, some anesthetics and other medicines can prevent or slow an orgasm, which helps with premature ejaculation.

Your healthcare professional may prescribe one of these medicines and guide you on how to use it:

Topical anesthetics: These are available in several formulations, such as cream, gel, spray, and wipe, and are applied to the tip and shaft of the penis before intercourse. These topical formulations can lower sexual pleasure for both partners.

SSRIs: These are antidepressant medications that delay ejaculation by affecting the serotonin transporter.

Healthcare providers may also prescribe other medications such as dapoxetine, tramadol, alpha-adrenergic blockers, and nonselective beta-adrenergic blockers to help delay ejaculation.

Lifestyle changes

Various lifestyle modifications may help with premature ejaculation, including:

Avoiding illegal drugs and alcohol.
Distraction methods during intercourse.
Relaxation techniques.
Quitting smoking.

Counseling

Couples counseling can help you and your partner learn to use different methods to delay ejaculation. Counseling can also help you reduce symptoms of stress, depression, or anxiety.

How to Prevent Premature Ejaculation?

There is no known way to prevent PE. However, you should consider the following things [8].

Try to have a healthy attitude toward intercourse. If you experience feelings of anxiety, frustration, or guilt about your intimate life, consider seeking psychotherapy or sexual therapy.
Remember that anyone can experience sexual health problems. If you experience premature ejaculation, try not to blame yourself and communicate openly with your partner to avoid miscommunication.

When To Seek Medical Help

If you and your partner are happy with how long it takes you to ejaculate, there’s probably no need to seek medical attention for it. But if the sexual health dysfunction is causing you or your partner distress, a healthcare professional can help.

Some other reasons you should see a healthcare provider include:

You are feeling hopeless, depressed, or anxious.
You have started a new medicine, like medications to treat Parkinson’s disease or lithium.
You have a past sexual abuse experience.
You have other medical symptoms such as changes in weight, trouble urinating, or loss of sensation.

Remember, there is no magic cure for PE. But a healthcare provider can diagnose and treat underlying medical conditions. They can also help you find the right combination of treatments to make your sexual experiences more satisfying.

Explore Our Range of Premature Ejaculation Treatment

Everyone’s needs are different, so we offer different PE treatment options. If you prefer tablets, you can choose Cenforce D or Super P-Force Both contain dapoxetine, which helps treat premature ejaculation, and sildenafil citrate, which helps men with erectile dysfunction. If you prefer a spray, Stud 5000 Spray contains lidocaine, which helps reduce sensitivity when applied before sexual activity. Always use these medicines only if advised by a healthcare professional.

Conclusion

Premature ejaculation can affect your confidence, relationships, and overall quality of life, but effective treatment options are available. Depending on the cause, medications, counseling, lifestyle changes, and behavioral techniques may help improve this condition. If PE is causing you or your partner distress, consult a healthcare professional for a proper diagnosis. Getting the right support can help you manage the condition and improve your sexual well-being.