Premature ejaculation occurs when a man ejaculates sooner during sexual intercourse than they or their partner would like. If you regularly ejaculate sooner than you and your partner wish — such as before intercourse begins or shortly afterward it can be considered premature ejaculation.
Premature ejaculation is a common sexual complaint. Estimates vary, but as many as 1 out of 3 men may be affected by this problem at some time.
Both psychological and biological factors can play a role in premature ejaculation. Although many men feel embarrassed to talk about it, premature ejaculation is a common and treatable condition.
Medications, psychological counseling and sexual techniques that delay ejaculation can improve sex for you and your partner. For many men, a combination of treatments works best.
What causes Premature Ejaculation?
While it was once thought to be only psychological, doctors now know premature ejaculation is more complicated and involves a complex interaction of both psychological and biological factors.
Sexual experiences may establish a pattern that can be difficult to change later in life, such as:
- Situations in which you may have hurried to reach climax in order to avoid being discovered
- Guilty feelings that increase your tendency to rush through sexual encounters
Other factors that can play a role in causing premature ejaculation include:
- Erectile dysfunction. Men who are anxious about obtaining or maintaining their erection during sexual intercourse may form a pattern of rushing to ejaculate, which can be difficult to change.
- Anxiety. Many men with premature ejaculation also have problems with anxiety — either specifically about sexual performance or related to other issues.
- Relationship problems. If you have had satisfying sexual relationships with other partners in which premature ejaculation happened infrequently or not at all, it’s likely that interpersonal issues between you and your current partner are contributing to the problem.
A number of biological factors may contribute to premature ejaculation, including:
- Abnormal hormone levels
- Abnormal levels of brain chemicals called neurotransmitters
- Abnormal reflex activity of the ejaculatory system
- Certain thyroid problems
- Inflammation and infection of the prostate or urethra
- Inherited traits
Rarely, premature ejaculation is caused by:
- Nervous system damage resulting from surgery or trauma
- Withdrawal from certain medications used to treat mental health problems
How is Premature Ejaculation diagnosed?
In addition to a detailed interview about your sex life, your doctor will want to know about your health history and may perform a general physical exam and an andrological testing so as to determine exactly the causes and proceed to the appropriate therapy thereafter.
How is Premature Ejaculation treated?
Treatment options for premature ejaculation include sexual therapy, medications and psychotherapy. For many men, a combination of these treatments works best.
In some cases, sexual therapy may involve simple steps, such as masturbating an hour or two before intercourse so that you’re able to delay ejaculation during sex. Your doctor may also recommend avoiding intercourse for a period of time and focusing on other types of sexual play so that pressure is removed from your sexual encounters.
Certain medications and topical anaesthetic creams are used to treat premature ejaculation. You may need to try different medications or doses before you and your doctor find a treatment that works for you. It is important that the doctor who treats you has significant experience so as to be able to administer a tailored medication therapy.
Cognitive behavioural therapy
This approach, also known as counselling or talk therapy, involves talking with a mental health provider about your relationships and experiences. These talk sessions can help you reduce performance anxiety or find effective ways of coping with stress and solving problems. Counselling is most likely to help when it’s used in combination with drug therapy.
Same Day Treatment (SDT)
This approach, uses a combined medication treatment achieving results from the first day of administration.
The regimen includes:
- PDE5 Inhibitors
- Intercavernosal Injectible Medications