Premature ejaculation (PE) is a condition where men are not able to last longer during sexual intercourse and discharge their semen untimely during sexual intercourse. PE is unrestrained discharge of semen before or shortly after sexual penetration with slightest of stimulation and before the person wishes to ejaculate during sexual encounter. This may lead to disagreeable and unsatisfactory sexual intercourse for both the partners. PE is common sexual dysfunction in men all over the world among men. As per the NHS, 1 in 3 men around the world suffer from premature ejaculation.
You might have PE if-
1. Ejaculation happens within one minute of penetration.
2. There is inability to delay ejaculation during intercourse all the time.
3. There is feeling of distress and frustration, and tendency to avoid sexual intimacy.
Causes that can lead to PE in men can be psychological and physiological or a combination of these two.
Types of PE
• Lifelong ejaculation problems which occurs all or nearly all the time beginning from the first sexual encounter.
• Acquired ejaculation issue which develops after one has had previous sexual experiences without any ejaculatory problems.
PE can also bring with itself-
• Reduced confidence in relationships
• Interpersonal hitches
• Mental distress
• Anxiety
• Embarrassment
• Depression
• Erectile dysfunction
The main culprits of PE
The actual cause of PE is still unknown but it is attributed to a combination or due to just psychological and biological factors.
Psychological reasons
• Early sexual experiences
• Sexual abuse
• Poor body image
• Depression
• Worrying too much regarding PE
• Guilt which increases the tendency to rush through sexual encounters.
• Issues related to control and intimacy.
• Overexcitement or too much stimulation.
• Relationship issues
Physiological reasons
• Abnormal hormone levels
• Abnormal levels of brain chemicals
• Inflammation and infection of prostate or urethra
• Inherited traits
• Diabetes
• Multiple sclerosis
• Thyroid problems
• Illicit drug use
• Excessive smoking or alcoholism.
• Surgery
Treatment options for Premature Ejaculation
Behavioral techniques
Thorough sexual stimulation before sexual intercourse could help delay ejaculation during sex.
Pelvic floor exercise
Weak pelvic muscles might lead to inability to delaying ejaculation time. Pelvic floor exercises could help strengthen the muscles which help to delay ejaculation.
Pause squeeze technique
In this method, sexual activity is performed as one does normally, until you feel almost ready to ejaculate. When you reach this point, have the partner squeeze the end of the penis for several seconds until the urge to ejaculate subsides. Repeat this till you lose the urge to ejaculate and redo.
Start stop method
In this method, start sexual intercourse just like you do normally. Before you feel like you are going to ejaculate stop the movement. Wait a few seconds till the urge to ejaculate subsides, then start again.
Condoms
Decrease in the penileafter condom use delays ejaculation. Climax control condoms are also available over the counter. These numb the glans and lead to delay in the ejaculation of semen.
Medications
Topic anesthetics
Anesthetic creams and spray such as lidocaine – prilocaine creams can be used to delay ejaculation by reducing sensation in the penis which may help delay ejaculation.
Oral Medications ( PE Drugs )
You might have PE if-
1. Ejaculation happens within one minute of penetration.
2. There is inability to delay ejaculation during intercourse all the time.
3. There is feeling of distress and frustration, and tendency to avoid sexual intimacy.
Causes that can lead to PE in men can be psychological and physiological or a combination of these two.
Types of PE
• Lifelong ejaculation problems which occurs all or nearly all the time beginning from the first sexual encounter.
• Acquired ejaculation issue which develops after one has had previous sexual experiences without any ejaculatory problems.
PE can also bring with itself-
• Reduced confidence in relationships
• Interpersonal hitches
• Mental distress
• Anxiety
• Embarrassment
• Depression
• Erectile dysfunction
The main culprits of PE
The actual cause of PE is still unknown but it is attributed to a combination or due to just psychological and biological factors.
Psychological reasons
• Early sexual experiences
• Sexual abuse
• Poor body image
• Depression
• Worrying too much regarding PE
• Guilt which increases the tendency to rush through sexual encounters.
• Issues related to control and intimacy.
• Overexcitement or too much stimulation.
• Relationship issues
Physiological reasons
• Abnormal hormone levels
• Abnormal levels of brain chemicals
• Inflammation and infection of prostate or urethra
• Inherited traits
• Diabetes
• Multiple sclerosis
• Thyroid problems
• Illicit drug use
• Excessive smoking or alcoholism.
• Surgery
Treatment options for Premature Ejaculation
Behavioral techniques
Thorough sexual stimulation before sexual intercourse could help delay ejaculation during sex.
Pelvic floor exercise
Weak pelvic muscles might lead to inability to delaying ejaculation time. Pelvic floor exercises could help strengthen the muscles which help to delay ejaculation.
Pause squeeze technique
In this method, sexual activity is performed as one does normally, until you feel almost ready to ejaculate. When you reach this point, have the partner squeeze the end of the penis for several seconds until the urge to ejaculate subsides. Repeat this till you lose the urge to ejaculate and redo.
Start stop method
In this method, start sexual intercourse just like you do normally. Before you feel like you are going to ejaculate stop the movement. Wait a few seconds till the urge to ejaculate subsides, then start again.
Condoms
Decrease in the penileafter condom use delays ejaculation. Climax control condoms are also available over the counter. These numb the glans and lead to delay in the ejaculation of semen.
Medications
Topic anesthetics
Anesthetic creams and spray such as lidocaine – prilocaine creams can be used to delay ejaculation by reducing sensation in the penis which may help delay ejaculation.
Oral Medications ( PE Drugs )
i. Antidepressants
ii. Analgesics
iii. Phosphodiesterase-5-inhibitors
A combination of serotonin inhibitors and PDE-5 inhibitors like Super P Force can help in treating both erectile dysfunction and PE at once.
