Premature Ejaculation

Generally we can say premature (early) ejaculation is when a man reaches orgasm very speedily (usually under two minutes) while having sexual penetration. It is something that can result in humiliation and also put stress on a healthy relationship.

Premature Ejaculation Treatments

What exactly is premature ejaculation?

Premature (early) ejaculation is an involuntary ejaculation either prior to or soon after a penetrative sex. It occurs with little sexual stimulation and even before the person desire it. This may lead to disappointing sex for both partners, and can raise the nervousness that may contribute to the issue. Premature ejaculation is among the most common male sexual dysfunction, and has most likely affected all men at a point in their life.

Though the analyses vary, one out of every three men says they usually experience this issue at some point in time. In as much it occurs once in a while, you do not have to worry too much. But you may need to consult a physician if you have the following diagnostic criteria:

  • You always ejaculate in one minute of sex penetration
  • You are incapable to always or most of the time hold-up ejaculation during intercourse
  • You feel frustrated or distressed, and tend to avoid sexual closeness
The basic symptom of PE is the failure to hold-up ejaculation for over one minute following any sexual penetration. On the other hand, the problem may arise in all sexual conditions, even while masturbating.

PE can be categorised as acquired or lifelong. Lifelong (primary) premature ejaculation occurs almost every time starting with your first sexual encounters. Acquired (secondary) PE has similar symptoms but develops after you have had prior sexual experiences with no ejaculatory issues.

Lots of men believe that they possess symptoms of premature ejaculation, but the symptoms never meet the diagnostic (investigative) criteria for premature ejaculation. Rather, these may have natural uneven premature ejaculation that is categorised by periods of quick ejaculation as well as periods of regular ejaculation.

The reasons for premature ejaculation (PE) are not fully known. This is to a certain extent, due to lack of investigation on the situation. PE is said to be multi-factorial, and can be as a result of physical cause or a psychological issue, or both – oftentimes there is no obvious cause. PE can be caused by depression, guilt, anxiety, sex and issues with sexual partner. In a few cases, it can be linked to a medical cause like injury, hormonal problems or an adverse effect of some drugs.

Among the general physical causes are:

  • erectile dysfunction
  • prostate problems
  • abnormal hormone levels
  • use of recreational drugs
  • irregular reflex activity of the ejaculatory system
  • unusual levels of brain chemicals called neurotransmitters
  • infection and inflammation of the urethra or prostate
  • certain thyroid issues; an underactive or overactive thyroid gland
  • inherited traits
  • nerve damage from surgery or trauma (uncommon)

Common emotional causes include:

  • relationship problems
  • stress
  • depression
  • nervousness about sexual performance (most especially at the beginning of a new relationship, or when a man has had earlier issues with sexual performance)
In most cases, premature ejaculation (PE) becomes better on its own with time.

Medication

Anti-depressant drugs are occasionally used to cure premature ejaculation (PE). These drugs include dapoxetine (Priligy) and clomipramine (Anafranil). They are used since one of their adverse effects is repressed orgasm, which help to hold-up ejaculation. Tramadol (Ultram) is a drug that has been utilised for years to manage pain. It can as well be used to hold-up ejaculation.

Local anaesthetic gel

Lidocaine and Prilocaine cream (active ingredients of EMLA Cream) that is applied to the penis’ shaft shortly before sexual intercourse. The cream helps to numb the skin and consequently lowers sexual feeling in the penis. Conversely, you need to be cautious of its application. We suggest using this gel at least thirty minutes prior to having sex, applying it too late might lower the sex feeling of your partner.

‘Long love’ condoms

You can attempt using a condom to lower sensation to the penis. Likewise, the long love condoms have a local anaesthetic (lidocaine or benzocaine) in it. We recommend you read the leaflet attached to it because not all manufacturers add the local anaesthetic.

Behavioural Approaches

These approaches help a man to ‘unlearn’ the tradition of early ejaculation. You may require expert advice on ways to benefit from these approaches. These are probably to produce lasting results.

Counselling

Occasionally treatment may not be needed, but practicing relaxation approaches or making use of distraction approaches may assist you hold-up ejaculation to lessen the psychological and emotional causes of your premature ejaculation.

The causes for premature ejaculation vary, which implies there is no single treatment for the condition. Rather, there are lots of medical options, behavioural techniques and lifestyle changes available to assist you in controlling your premature ejaculation. After some time, you may discover that your premature ejaculation has been effectively controlled in most of your sexual encounters.
There is no recognised way to avoid PE, but you must take note of the following advice:

  • Have a healthy approach toward sex. If you experience guilt, frustration or anxiety regarding your sex life, think about seeking sexual therapy or psychotherapy.
  • Note that nobody is exempted from these sexual problems. In case you experience early ejaculation, do not blame yourself or feel incapable. Endeavour to be honest with your partner to prevent miscommunication.