Premature Ejaculation: Reason And How To Solve It

Premature ejaculation occurs when a man ejaculates sooner during sexual intercourse than he or his partner would like. Premature ejaculation is a common sexual complaint.

 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, counseling and sexual techniques that delay ejaculation — or a combination of these can help improve sex for you and your partner.

 Symptoms of premature ejaculation

The main symptom of premature ejaculation is the inability to delay ejaculation for more than one minute after penetration. However, the problem might occur in all sexual situations, even during masturbation.
 Premature ejaculation can be classified as:

Causes of premature ejaculation

The exact cause of premature ejaculation isn't known. But said to be related to some psychological and biological factors.

 Psychological causes

Psychological factors that might play a role include:
⌛Early sexual experiences
⌛Sexual abuse
⌛Poor body image
⌛Depression
⌛Worrying about premature ejaculation
⌛Guilty feelings that increase your tendency to rush through sexual encounters

 Biological causes

A number of biological factors might contribute to premature ejaculation, including:

⌛Abnormal hormone levels
⌛Abnormal levels of brain chemicals called neurotransmitters
⌛Inflammation and infection of the prostate or urethra
⌛Inherited traits(heredity)

Factors that increase your risk of premature ejaculation

🔱Erectile dysfunction: You may be at increased risk of premature ejaculation if you occasionally or consistently have trouble getting or maintaining an erection. Fear of losing your erection may cause you to consciously or unconsciously hurry through sexual encounters.
 🔱Health problems: If you have a serious or chronic medical condition, such as heart disease, you may feel anxious during sex and may unknowingly rush to ejaculate.
 🔱Stress: Emotional or mental strain in any area of your life can play a role in premature ejaculation, often limiting your ability to relax and focus during sexual encounters.

 Treatment of premature ejaculation

Common treatment options for premature ejaculation include
⌛Behavioural techniques,
⌛Topical anesthetics,
⌛Oral medications
⌛Counseling.

Keep in mind that it may take a little time to find the treatment or combination of treatments that will work for you.

 Behavioral techniques

In some cases, therapy for premature ejaculation may involve taking simple steps, such as masturbating an hour or two before intercourse so that you're able to delay ejaculation during sex.
It may be recommended for you to avoid intercourse for a period of time and focusing on other types of sexual play so that pressure is removed from your sexual encounters.

 The pause-squeeze technique

You and your partner may use the method called the pause-squeeze technique. This method works as follows:

Begin sexual activity as usual, including stimulation of the penis, until you feel almost ready to ejaculate.

Let your partner squeeze the end of your penis, at the point where the head (glans) joins the shaft, and maintain the squeeze for several seconds, until the urge to ejaculate passes.

After the squeeze is released, wait for about 30 seconds, then go back to foreplay.

You may notice that squeezing the penis causes it to become less erect, but when sexual stimulation is resumed, it soon regains full erection.
If you again feel you're about to ejaculate, let your partner repeat the squeeze process.

 By repeating this as many times as necessary, you can reach the point of entering your partner without ejaculating.
After a few practice sessions, the feeling of knowing how to delay ejaculation may become a habit that no longer requires the pause-squeeze technique.

Topical anesthetics

Anesthetic creams and sprays that contain a numbing agent, such as lidocaine or prilocaine, are sometimes used to treat premature ejaculation.
These products are applied to the penis a short time before sex to reduce sensation and thus help delay ejaculation.
A lidocaine spray for premature ejaculation (Promescent) is available over-the-counter.

PLEASE NOTE:
 Although topical anesthetic agents are effective and well-tolerated, they have potential side effects.
For example, some men report temporary loss of sensitivity and decreased sexual pleasure.
In some cases, female partners also have reported these effects.
In rare cases, lidocaine or prilocaine can cause an allergic reaction.

Oral medications

🔱Antidepressants.
A side effect of certain antidepressants is delayed orgasm e.g Zoloft
🔱Analgesics.Tramadol (Ultram) is a medication commonly used to treat pain. It also has side effects that delay ejaculation.
🔱Phosphodiesterase-5 inhibitors. Some medications used to treat erectile dysfunction, such as sildenafil (Viagra, Revatio), tadalafil (Cialis, Adcirca) or vardenafil (Levitra, Staxyn), also may help premature ejaculation.

 Counseling

This approach, also known as talk therapy, involves talking with a mental health provider about your relationships and experiences.
These sessions can help you reduce performance anxiety and find better ways of coping with stress.
Counseling is most likely to help when it's used in combination with drug therapy.

Complications of premature ejaculation

While premature ejaculation alone doesn't increase your risk of health problems, it can cause significant problems in your personal life, including:

⌛Stress and relationship problems. A common complication of premature ejaculation is relationship stress.
⌛Fertility problems. Premature ejaculation can occasionally make fertilization difficult or impossible for couples who are trying to have a baby.
⌛Relationship problems. If you have had satisfying sexual relationships with other partners in which premature ejaculation happened infrequently or not at all, it's possible that interpersonal issues between you and your current partner are contributing to the problem.
⌛Erectile dysfunction. Men who are anxious about obtaining or maintaining an erection during sexual intercourse might form a pattern of rushing to ejaculate, which can be difficult to change.



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