Premature Ejaculation

Premature ejaculation is a common issue found in men. In this disorder, ejaculation occurs before then a man or his partner would desire during sex. It can happen shortly after penetration. Incidental premature ejaculation is called as rapid ejaculation, premature climax or early ejaculation. It can be frustrating if it makes sex less enjoyable and can impact relationships. About 30% to 40% of men go through this at some time in their lives. If the problem persists, consider making a doctor’s appointment.

Symptoms

The main symptom is the inability to hold ejaculation for more than a minute during sex; It can also happen during masturbation.

Premature ejaculation can be further categorised as:

  • Lifelong: This happens throughout your life, starting from the very first sexual intercourse.
  • Acquired: This occurs after the first or the first few times without any ejaculation issues.

Causes

Everyone is different, and this issue affects every man differently. A combination or one of the factors might be responsible for this issue:

  • Too much excitement or too much stimulation
  • Nervousness or discomfort
  • Penis sensitivity
  • Guilty feelings
  • Lack of confidence
  • Stress
  • Depression
  • Relationship issues
  • Earlier sexual abuse
  • Abnormal hormone levels
  • Abnormal levels of neurotransmitters
  • Inflammation or infection in the prostate
  • Inherited traits

If premature ejaculation lasts longer, it might get stressful on your relationship. It can even cause fertility issues.

Treatment

This disorder is treated using different techniques. Some of them are listed below:

  • Behavioural techniques: In this technique, the doctor advises to masturbate an hour before the intercourse to delay the ejaculation.
  • Pelvic floor exercises: Tighten your pelvic floor muscles, hold them and then relax. Repeat this few times in a row and do this three times a day for better results.
  • The pause squeeze technique: During sex, when you feel ready to ejaculate, ask your partner to squeeze the tip of the penis for 30 seconds until you lose your erection.
  • Condoms: Climax control condoms are available at the pharmacies which contain benzocaine or lidocaine that help you deal with a sensitive penis.
  • Medications: Antidepressants known as selective serotonin reuptake inhibitors (SSRIs) help with premature ejaculation. These might help you deal with the issue but can cause side effects such as nausea, dry mouth, drowsiness and might reduce your sex drive. Anaesthetic creams are applied and washed off 30 minutes before the intercourse. If it is left in, it can lead to vaginal numbness and loss of erection.