What is Premature Ejaculation?
Premature ejaculation is a common form of male sexual disorder. It is a treatable condition which originates from several psychological or biological factors. Premature ejaculation is defined as a sexual disorder in which ejaculation takes place with least sexual stimulation before or shortly after penetration and before the person desires it. This leads to unsatisfied sex in both the partners. If this condition occurs frequently, it is a matter of concern as it shall give rise to significant distress.
Premature ejaculation can be classified as primary or secondary. Primary premature ejaculation occurs at all the times beginning with your first sexual encounter. Secondary premature ejaculation occurs after you have had previous sexual experiences without any ejaculatory complaints.
The main symptom of premature ejaculation is inability to delay ejaculation for more than a minute after penetration and ejaculation occurring with least sexual stimulation and little control. This primary symptom leads to several secondary symptoms which are:-
- Feeling of Guilt or Embarrassment
- Interpersonal Problems
- Lack of Confidence in the Relationship
There are several factors that can increase your risk of premature ejaculation. Some of them are as mentioned below:-
- Emotional or mental stress in any phase of life.
- Consistently having trouble in maintaining or getting an erection.
- Chronic health problem.
The cause of premature ejaculation can be psychological or physical.
Psychological factors are common causes leading to premature ejaculation. These factors are:-
- Performance anxiety
- Result of quick ejaculation during adolescence to avoid being found masturbating
- Interpersonal relationship issues and conflicts.
Physical or biological causes leading to premature ejaculation are:
- Altered levels of hormone
- Inflammation of urethra and prostate
- Altered levels of neurotransmitters (brain chemicals)
- Disturbed reflex activity of ejaculatory system
- Diseases such as high blood pressure, thyroid complaints, diabetes, prostate complaints, etc.
- Damage of nerve due to surgery, trauma or multiple sclerosis
- Side effect of certain medication
- Increased penile sensitivity
- Genetic predisposition
- Consumption of alcohol and drug.
Premature ejaculation is diagnosed on the basis of the presenting symptoms. Your physician shall enquire about your sexual history, medical history and shall conduct a general physical examination. Test to assess the levels of male hormone may be advised. To rule out physical causes, neurological test and examination of the prostate shall be conducted.
Premature ejaculation can lead to –
- Inability to conceive
- Sexual dissatisfaction
- Relationship problems
- Increased sexual tensions.
Premature ejaculation can be treated with the help of psychological therapy, behavioral therapy or medications or a combination of these therapies.
Goal of psychological therapy is to understand the source of problem and search for solutions. This therapy involves discussion with your health provider regarding your experiences and relationship. Psychological therapy can help reduce nervousness regarding sexual performance and offer ways to cope with stress.
This therapy uses exercises to help delay ejaculation. The exercises are Pause-squeeze method and the stop-start method.
- The Pause-squeeze method
In this method, your partner stimulates the male sexual organ until you are close to ejaculation. When you are near to ejaculation, your partner shall firmly squeeze the male sexual organ so that the erection partly diminishes. The goal is to make you realize about the sensations leading to climax, so that you can control them and delay climax.
- The Stop-Start Method
This method involves sexually stimulating the male till he feels he is about to ejaculate. Then, the stimulation is to be stopped for around 30 seconds and then restarted. This process is to be repeated until the male wants to ejaculate.
- Numbing cream, gels or spray which partially numbs the male sexual organ is used to decrease the stimulation which leads to orgasm.
- Oral medications such as antidepressants, analgesics and phosphodiesterase-5 inhibitors are used to delay orgasm. These medicines may be prescribed for either on-demand or daily use.