The cause of premature ejaculation is not really known, but your brain chemistry could be partly the reason. Men who have low levels of the chemical serotonin in their brains tend to take a shorter time to ejaculate.
Emotional factors such as depression, anxiety, guilt and relationship problems, lack of confide race or poor body image, concern over you: r sexual performance and negative feelings about the idea of sex (sexual repression) can play a role. some- physical conditions may also cause premature ejaculation, including: unusual hormone levels, irregular levels of neuro-transmitters (an imbalance of the chemicals in your brain that pass message s or impulses to the rest of your body, and or abnormalizes of certain hormones such as testosterone, or chemical is produced by nerve cells called neurotransmitters may contribute to premature ejaculation): inflammation or an infection in your prostate or bladder and sends pee out of body) and Genetic traits you inherit from your parents
Sometimes premature ejaculation can be a problem for men with Erectile Dysfunction (ED), that is when the penis doesn’t remain firm enough for sex. Men who are worried they could lose their erection may develop a pattern of rushing to ejaculate. It can be a hard habit to break.
Treating the erectile dysfunction may make the premature ejaculation go away. There are many medication options.
Premature ejaculation is when you have an orgasm before intercourse or less than a minute after you start. There is no set time when a man should ejaculate during sex, but if you ejaculate and lose your erection this soon, you and I your partn.er ~ay feel there’s not enough time to enjoy It.
Ejaculation is the release of semen from the penis during an orgasm. When ejaculation occurs faster than you or your partner would like, it’s known as premature ejaculation (PE). PE is common. About one in three men between the ages of 18 and 59 experiences PE at some point in. their lifetime. PE is also known as rapid ejaculation, premature climax and early ejaculation.
Premature ejaculation is not the same as Erectile Dysfunction (E D). ED is the inability to achieve and maintain an erection that allows for a satisfying sexual experience. However, you may experience PE along with ED. It can be frustrating and even embarrassing, but it is a common issue for men, with 30 to 40 per cent of men having it at some time in their life. So, keep in mind – it not something to worry about if it happens only occasionally.
Diagnosis of premature ejaculation
Your doctor probably will start by asking if you ve always had the problemor if it’s a new thing. They may ask about your sex life or your relationships. You’ll probably get a physical exam, too. If your doctor thinks emotional issues are causing your PE, they may refer you to a mental health professional who works with people who have?I trouble with sex. If a physical problem is causing it, they might recommend that you see a doctor called a urologist, who specializes in conditions that affect your urinary system.
Ninety-five per cent of men are helped by behavioural techniques that help control ejaculation. I Stop and start method You or your partner stimulate your penis until you feel like you’re going to have an orgasm. Stop the arousal for about 30 seconds or until the feeling passes. Start the stimulation again and repeat three or four more times before you ejaculate. The squeeze method It works the same way as the start and stop method, but when you feel like you’re reaching orgasm, you or your partner squeezes the head of your penis until you lose the erection. Repeat this a few times before ejaculation. Two strategies you and your partner can employ are the start-and-stop method and the squeeze method mentioned above.
With start and stop, your partner stimulates your penis until you re close to ejaculation. Then your partner should stop until you feel your re in control again. Allowing yourself to ejaculation. The American Urological Association recommends trying this three times a week until you feel you’re better able to control when you ejaculate. with the squeeze method, your partner stimulates your penis until you’re close to ejaculating.
Then your partner firmly squeezes your penis until your erection starts to weaken. This should help you better realise the sensation just before climaxing so you can develop better control and be able to delay ejaculation. These strategies could take several weeks to become effective, and there is no guarantee that they alone with solve the issue. Some men find that if they think of something else during sex they can last longer. If those don’t work for you, you can try a few other things. Strengthen your muscles:
Weak pelvic floor muscles sometimes contribute to PE. Kegel exercises may help strengthen them. Find the right muscles to tighten by stopping your urine in midstream. Hold them tight for three seconds and then release them for three seconds. Do this 10 times, at least three times a day. Wear a condom: It may desensitise you enough so you can last longer.
Sometimes your doctors may advise you to “Get busy before you get busy”: Some men find that masturbating a few hours before sex helps to stay in control during intercourse.
Seek counseling: A psychologist or psychiatrist can help you work through problems such as depression, anxiety or stress that may be contributing to your PE. If none of these helps enough, your doctor may talk with you about medication.
While there aren’t any drugs specifically approved to treat premature ejaculation (PE), medicines used to treat other things may help in some cases. This is called an off-label use medication and includes antidepressants.
A side effect of some selective serotonin reuptake inhibitors (SSRIs) can cause delayed orgam, but these medications also have side effects that include nausa and drowsiness. They also can throw a wet blanket on your desire to have sex. So, it possibleyou’re trading one problem for another. You and your doctor will decide what’s right for you.
Anesthetic creams or sprays: You put these on the head of your penis to make it less sensitive. Leave it on for about 30 minutes. It must be washed off before sex so you don’t lose your erection or cause loss of sensation for your partner.
Premature ejaculation complications
If your relationship is affected by PE, talking about the problem is an important first step. A relationship counselor or sex therapist may be able to help. Premature ejaculation may also make it hard to start a family because the sperm may not reach an egg to fertilise it,especially when you ejaculate at the entrance of the vagina. Depression related to PE might affect your sex drive or performance. A fertility specialist can talk with you and your partner about some other options.
The writer is a Principal Medical
Officer and a phannacognosist