The most prevalent male sexual condition, premature ejaculation (PE), affects men of all ages, marital statuses, and ethnicities. Because of their shame and low self-esteem, the affected individual is probably underreporting and receiving insufficient treatment for their sexual dysfunction. In addition, a lot of medical professionals are uneasy or unsure about how to handle early ejaculation. PE may have a seriously detrimental effect on the life of a guy and his companion. Men with PE frequently suffer from severe psychological problems, shy away from emotional and physical closeness, and fall prey to deceptive medical marketing and untested medical treatments. In order to help patients manage erectile dysfunction and other related sexual problems, this article attempts to provide general information regarding PE.
What Is Premature Ejaculation, and What Time Frame Medically Defines a Man’s Ejaculation as Premature?
What is premature ejaculation? PE occurs when a man cannot control the timing of ejaculation and ejaculates before he and his partner feel ready for this to happen. This may cause distress in both the man and his partner.
The definition of PE varies, according to what the American Urological Association defines ejaculation as premature if it occurs sooner than desired, either before or shortly after penetration, leading to a stressful situation between the partners. Many experts define prematurity as ejaculation within a minute of beginning intercourse. Despite professional opinions, your feelings and what is premature are also considered.
What are the Causes of PE?
What causes premature ejaculation? What is the cause of the quick release of sperm? The exact cause of pre-ejaculation is unknown, but there are numerous reasons a man may have PE. There may be physical or emotional reasons. Some specific causes for pre-ejaculation are explained below:
Serotonin production
The body naturally produces the neurotransmitter serotonin. It aids in the regulation of emotion, mood, sleep, and sexual desire. The amount of this chemical in the brain that is present in excess lengthens the time it takes to ejaculate, while low amounts can decrease that time and raise the risk of PE.
Mental Health Concerns
PE may be associated with psychological health problems, which can include:
Depression Stress
Insufficient self-assurance
Remorse Relationship issues
Sexual repression in history
unrealistic sex-related expectations
Taking care of one’s feelings is often beneficial.
Other problems
PE and Age Correlated
Any age can experience PE. While aging does alter erections and ejaculation, it is not a primary cause of PE. Erections may not be as big or firm for some older folks. An erection might not continue as long as it did before to ejaculation. Some elderly people may ejaculate earlier as a result of these changes.
PE along with your associate
You might feel less connected to your sexual partner as a result of PE. You might turn away from your sexual partner out of embarrassment, anger, or upset. PE could have an impact not just on you but also on your significant other.
Controlling Early Ejaculation
Treatment options for early ejaculation and erectile dysfunction
How can one treat early ejaculation? Ideally, the patient and his regular sexual partner should be involved in conversations regarding the management of the illness. Considerations for treatment alternatives include the degree of symptoms, underlying reasons, psychological impacts, adverse effects, and patient preferences.
Complex management in clinical practice necessitates a triage of behavioral, psychological, and pharmaceutical interventions. Treatment options for the majority of erectile dysfunction and premature ejaculation include behavioral changes or counseling to address emotional issues, performance anxiety, or stressors that worsen the sexual condition.
Alternatives for Management
Behavioral therapy: It teaches you how to postpone your climax. Among them are:
- Start and stop – Repeat the start and stop approach three or four times before orgasm. Continue practising this method until you have achieved adequate control.
- Squeeze therapy – With this, you and your partner will be able to stimulate your penis close to the point of orgasm, then gently squeezes the head of your penis for about thirty seconds so that you begin to lose your erection. Repeat this a few times before allowing yourself to orgasm.
- Distracted thinking – The idea is to focus on nonsexual things while you are being sexually stimulated.
Counselling – If the cause is psychological, emotional, or relationship issues due to stress, performance anxiety, guilt, or a troubled relationship. Seek the help of a psychologist.
Health Care Administration
You can try a variety of medications. Certain medications, such as citalopram, fluoxetine, sertraline, escitalopram, and paroxetine, can help postpone early ejaculation. Additionally, another treatment method to postpone ejaculation is to apply anesthetic creams and sprays to the head and shaft of the penis.
There might be a few more ways to manage it, but you should be able to regulate your ejaculation if you see the right doctor and involve your spouse.
PE has also been treated using erectile dysfunction medications, such as vardenafil, tadalafil, and sildenafil, especially in men who have underlying erectile dysfunction.
Learn about the ED pill FAQs.
In summary
PE is the inability to regulate or postpone ejaculation, which may make the patient unhappy or distressed. It is a very common male sexual disorder that is frequently disregarded, posing an unmet treatment need. Depending on the category of premature ejaculation, patients have several choices for testing and treatment. A combination therapy consisting of psychosexual therapy, psychological counseling, and medication in the form of selective serotonin reuptake inhibitors like dapoxetine is most likely to be beneficial for patients with lifelong and acquired premature ejaculation.
