Premature ejaculation is a common sexual problem that affects many men at different stages of life. It can cause frustration and feelings of shame, but it is important to know that it can be treated effectively. Below we take a look at what premature ejaculation is, its causes and the treatments available.
What is premature ejaculation?
Premature ejaculation is a disorder where ejaculation is achieved too quickly, often before intercourse begins or shortly after. This problem can negatively affect the sexual satisfaction of both parties and lead to problems in intimate relationships.
Causes of premature ejaculation
Premature ejaculation can have a variety of causes, both psychological and physical. Here are the most common causes:
- Stress and anxiety: Emotional problems, such as concerns about partner/partner satisfaction, can affect ejaculatory control.
- Penis hypersensitivity: Over-sensitivity to stimuli can lead to rapid ejaculation.
- Endocrine disruption: Changes in hormone levels, especially serotonin, can interfere with ejaculation.
- Health problems: Medical conditions, such as prostate disorders or diabetes, can affect the ability to control ejaculation.
- Pelvic floor muscles: Overly tense or weak pelvic floor muscles can contribute to premature ejaculation.
Types of premature ejaculation
- Primary premature ejaculation: The problem occurs from the beginning of sexual activity and is often linked to genetics.
- Acquired premature ejaculation: Appears suddenly in men who previously had no problems with ejaculatory control. Can be caused by health or psychological changes.
- Generalised premature ejaculation: Applies to men who always experience rapid ejaculation, regardless of the situation.
- Situational premature ejaculation: Occurs only in certain circumstances, e.g. in a new relationship or as a result of stress.
Effects of premature ejaculation
- Frustration and stress: Premature ejaculation can lead to stress, anxiety and self-esteem problems.
- Sexual insufficiency: A shortened relationship can lead to dissatisfaction on both sides.
- Relationship problems: Inability to control ejaculation can affect partner relationships, leading to tension and communication problems.
- Avoiding sex: Some men may avoid sexual activity for fear of failure, further exacerbating the problem.
Treatment methods for premature ejaculation
Treatment of premature ejaculation depends on the causes and severity of the problem. The following are the most commonly used methods:
- Kegel muscle exercises: Strengthen pelvic floor muscles to help control ejaculation.
- Psychological therapy: Effective if the problem is due to anxiety, stress or emotional problems. Therapy can help to understand and resolve the source of the problem.
- Pharmacotherapy: Medications such as selective serotonin reuptake inhibitors (SSRIs) or anaesthetic creams can delay ejaculation. These are often used in drug treatment.
- Hormone therapy: If the cause is a hormonal disorder, your doctor may recommend hormone treatment to balance hormone levels.
- Behavioural therapy: Helps to identify and change behaviours that may influence ejaculation. Techniques, such as the stop-start method, can be helpful in increasing control over ejaculation.
Summary
Premature ejaculation is a common but often embarrassing problem that can be dealt with effectively. Various treatments are available, from exercise to psychological therapy to pharmacotherapy. It is important to seek help from a specialist and talk openly about the problem to find the best solution tailored to the individual.
More information can be obtained from our doctors by starting a medical e-consultation at any time.
