Premature ejaculation (PE) is a sexual disorder – a man-wide scourge – in which a man cannot prevent his body from pumping out semen during actual sex. PE puts its prevalence at about 30% and may be highly distressing and frustrating for the individual and his partner. In our next paper, we will discuss the symptoms, causes, and treatment of premature ejaculation.
Symptoms:
The chief symptom of premature ejaculation is that you can’t wait to ejaculate during sexual interaction, so you climax before you want. This can occur prior, during, or shortly after penetration. Other symptoms include:
1. Spitting within a minute of penetration.
2. Refusal to put off ejaculation even when one wishes to.
3. Lack of control over ejaculation.
4. Worry or anger at a failure to manage ejaculation.
5. Avoidance of sexual intercourse out of shame or performance anxiety.
Causes:
We don’t yet know what leads to premature ejaculation. They say it’s psychological, biological and social in nature. Some common causes include:
1. Psychological causes: Performance anxiety, stress, and relationship problems all contribute to excessive ejaculation. Men who have experienced bad sexual experiences are also likely to become scared of intimacy, and thus PE.
2. Genetics: PE can be caused by a number of conditions including diabetes, high blood pressure, and prostate issues. Hormonal dysregulation, faulty brain chemicals, or urethral inflammation can be contributing factors, too.
3. Personal: Communication problems, lack of trust, unresolved conflicts in the relationship can create performance anxiety and PE.
Treatment:
There are several therapies for premature ejaculation. These include:
1. Behavioral Techniques
Behavioral strategies serve as the first line of defence against unnecessarily rapid ejaculation. They contain practices that seek to better regulate ejaculation. An especially popular approach is the “start-stop” method, in which sex is held back just before ejaculation to allow the man to become more sensitive to his own arousal state and thus lengthen his recovery time.
Other common methods are the “squeeze”, in which the shaft of the penis near the head is held in place while the man anticipates his impending ejaculation. Both methods take practice and conversation with the partner in order to become as effective as possible, but both can bring about real improvements.
2. Medications
For those who do not respond to behavioural interventions, medications can be a helpful alternative. SSRIs, which are common antidepressants, were shown to delay ejaculation. They work by stimulating brain levels of serotonin, which can increase sexual control.
Besides SSRIs, other medications, like topical anesthetics, may be administered. These creams or sprays are sprayed over the penis to dampen sensation and inhibit ejaculation. Make sure you talk to a physician to see which medication is right for you, and reduce or increase the doses accordingly.
3. Counseling
Premature ejaculation tends to be a psychological issue. Performance anxiety, body image problems or miscommunications can all contribute to the state. Counselling or therapy can alleviate these psychological issues.
In counselling, individuals can learn to communicate with their partners more freely, manage anxiety and have a more positive view of sex. Psychotherapy can give patients tools for easing the tension and increasing emotional closeness, which can directly affect sexual performance.
4. Pelvic Floor Exercises
This would also allow men to be more in control when having sex. Kegel exercises — which target the pelvic floor muscles — have become very popular recently. One of the exercises that will activate and release the muscles that allow for urination is a Kegel exercise. These muscles would be trained to boost endurance and, to a degree, to retard ejaculation.
Most exciting are the kegel exercises because they are discrete: a man might do them at home, work or anywhere else during the day, which makes them easily included in a treatment programme. Doing it frequently in the day will result in excellent sexual performance and general pelvic health.
These might not come immediately, but once a man has been practising these methods for a while, he’ll notice a dramatic difference in ejaculation control and sexual pleasure.
5. Topical Creams
A second plausible alternative to premature ejaculation involves topical anaesthesia. Such creams operate by anesthetizing the surface of the penis, reducing its sensitivity and thus retarding the contractions of the ejaculation reflex. They are applied before sexual intercourse, allowing the man and his companion to experience better pleasure.
However, there is absolutely no point in utilizing these creams without following the directions properly in order to minimize the chances of any side effects or allergic reactions. To do this, men can go to the doctor who will prescribe them the cream and dose that is required for their particular needs.
The creams are thus ideally suitable for indefinite use and can, under cover of darkness, result in a successful sex session.
6. Combination Therapy
In fact, in most cases, the best treatment for premature ejaculation is actually a combination of each treatment. Because PE is a psychological disorder in its own right, drugs might occasionally help you to put behavioural approaches or counselling to work.
Drugs can address the physiological reasons, and behavioural strategies (eg, the pelvic floor exercises and counselling described above) may address psychosocial causes, including stress and pressures on performance. This way, with individualised interventions, practitioners can address the needs of each person and bring about more positive change in sexual function.
The combination therapy might require follow-up through frequent assessment of outcomes and modification of interventions to focus on sexual health and relationships.
Conclusion:
PE is a sexual abnormality that can be highly distressing and detrimental to the quality of life of men and their partners. If you have PE symptoms, then you shouldn’t feel embarrassed about contacting someone because there are very successful cures. By eliminating the underlying reason, through several steps, men can learn to manage their emission and enhance their sex life. This also requires partners to openly talk to each other and ask for help together in order to work around this problem. Men with premature ejaculation can live a fruitful sexual life, provided they are properly treated.
