What is it Premature Ejaculation?
Ejaculation is the discharge of semen from the body. Premature ejaculation is when ejaculation happens sooner than a man or his partner wants during sexual intercourse. PE is not often a cause for worry, but can be more frustrating if it makes sex less enjoyable or impacts your relationship. If PE happens frequently and causes problems you can seek help from your health care provider. Many men may feel embarrassed talking about it, but PE is common and treatable. There are both psychological and biological factors that can play a role in determining one’s cause of PE. With the help of medications, counseling, and sexual techniques to help delay ejaculation you will be able to improve sexual intercourse for yourself and your partner.
Causes of Premature Ejaculation
The exact cause of PE is not known, it was once thought to be only psychological, but research is showing that PE involves a combined interaction of psychological and biological factors.
- Early sexual experiences
- Sexual abuse
- Poor body image
- Worrying about premature ejaculation
- Feelings of guilt that increase your tendency to rush through sexual encounters
- Abnormal hormone levels
- Abnormal levels of brain chemicals known as neurotransmitters
- Inflammation and infection of the prostate or urethra
- Inherited traits
- Erectile Dysfunction (ED)-Men who have ED may be anxious about getting and keeping an erection during sexual intercourse and may form a pattern of rushing to ejaculate.
- Anxiety-Men with PE may also have problems with anxiety related to sexual performance or related to other issues.
- Relationship problems-If you have been in relationships previously where PE happened infrequently or not at all your current PE issues could be related to interpersonal issues between you and your current partner.
How do you know if you have Premature Ejaculation?
You may have premature ejaculation if:
- You always or almost always ejaculate within one minute of penetration
- You are unable to delay ejaculation during sexual intercourse all or almost all of the time
- You feel distressed and frustrated and avoid sexual intimacy because of these symptoms
How to diagnose Premature Ejaculation
If you have any of the signs or symptoms of PE you may want to schedule an appointment with a health care provider. Your health care provider will be able to diagnose PE after going over your health history and asking you questions about your sex life. Your provider may also need to do a physical exam but this is not always required, and often time PE can be diagnosed via telemedicine, which will save you a trip into a clinic. Your doctor may need to order blood tests to check your male hormone levels or other tests to see what the exact cause could be. Some questions your doctor might ask are:
- How often does PE happen?
- How long have you had this issue?
- Does this happen with one partner or every partner?
- Does PE happen with every sexual encounter?
- What type of sexual activity do you engage in and how often?
- How has PE affected your sexual activity?
- How are your personal relationships?
- Is there anything that makes your PE worse or better?
Treatment for Premature Ejaculation
The most common treatment options for PE include behavioral techniques, topical anesthetics, medication, and counseling. It may take time to figure out which treatment or combination of treatments is right for you. Many men find that a combination of behavioral treatment plus medication is the most effective option.
Sometimes therapy for PE could involve taking simple steps, like masturbating an hour or two prior to sexual intercourse so that you are able to delay ejaculation during sex. Your doctor may also recommend avoiding sexual intercourse for a period of time and place your focus on other types of sexual play as to remove pressure from your sexual encounters. Behavioral therapy uses exercise to help strengthen your tolerance to delay ejaculation and the goal is to train your body against PE. Some common techniques include:
- Pelvic floor exercises-If you have weak pelvic floor muscles it could impair your ability to delay ejaculation, pelvic floor exercises can help to strengthen these muscles. To identify your pelvic floor muscles, stop urinating midstream, or tighten the muscles that keep you from passing gas, these are the maneuvers that use your pelvic floor muscles. Once you have targeted your pelvic floor muscles tighten your pelvic floor muscles and hold for 3 seconds, and then relax for 3 seconds. Repeat this process a few times in a row. For the best result focus on only your pelvic floor muscles, keep your abdomen, thighs, and buttocks relaxed. Repeat this 3 times a day and to at least 3 sets of 10 reps per day.
- The pause-squeeze technique-begin sexual activity until you feel close to ejaculation, then have your partner squeeze the end of your penis where the head meets the shaft and maintain the squeeze for several seconds or until the urge to ejaculate passes. Repeat this process as needed. The goal is to become aware of the sensations leading to climax, and after some practice, you may form a habit of knowing how to delay ejaculation.
- The start-stop technique-begin sexual activity until you feel close to ejaculation, your partner will stop the stimulation until the urge to climax is reduced. Resume sexual intercourse or stimulation again and repeat the process 3 times, you will ejaculate the fourth time. Repeat this technique three times per week until you have gained more control.
There are many medications that may delay orgasm, however, none of these medications are specifically approved by the FDA as a treatment for PE. Common medications used for this purpose are antidepressants, analgesics, and phosphodiesterases-5 inhibitors. The medications may be prescribed for daily use or on-demand and could be prescribed on their own to treat PE or used in combination with other treatments.
- Antidepressants-a side effect of some antidepressants is delayed orgasm, this is why some serotonin reuptake inhibitors (SSRIs) are used to help delay ejaculation. These medications typically include escitalopram (Lexapro), sertraline (Zoloft), paroxetine (Paxil) or fluoxetine (Prozac, Sarafem).
- Analgesics-Tramadol (Ultram) is a medication commonly used to treat pain, but it also has a side effect that delays ejaculation. Some negative side effects could include nausea, headache, sleepiness, and dizziness.
- Phosphodiesterase-5inhibitors-These medications are typically used to treat erectile dysfunction, but may also help with PE include sildenafil (Viagra, Revatio), tadalafil (Cialis, Adcirca), or vardenafil (Levitra, Staxyn). Some negative side effects could include headache, facial flushing, and indigestion.
Anesthetic creams and sprays that contain a numbing agent like benzocaine, lidocaine, or prilocaine, may be used to treat PE. When applied to the penis 10-15 minutes before sexual intercourse it helps delay ejaculation by reducing sensation. Lidocaine sprays are available over-the-counter however, lidocaine-prilocaine cream for PE is available by prescription. When using topical anesthetic agents you may have these potential side effects, loss of sensitivity, and decreased sexual pleasure in both yourself and your partner.
Counseling can be a good option for PE when relationship issues or past negative experiences are the main cause. Sessions with a mental health professional can help to reduce your anxiety and help you find better ways of coping with stress. PE may cause you to lose some closeness with your partner, and you may feel angry, embarrassed, and upset, and because of this turn away from your partner. Your partner may also become upset with this change in intimacy and feel disconnected and hurt. Talking about this issue is critical and relationship counseling or sex therapy may be extremely helpful for you and your partner.
Where to get online treatment for Premature Ejaculation?
- Lemonaide health
Premature ejaculation is one of the most common sexual dysfunctions in men around the world. PE has a clear negative impact on the sexual satisfaction of the sufferer and their partner. If you are one of the many men suffering from this disorder and are ready to seek treatment check out our list of the top digital clinics that can help you find relief from PE today.