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.
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.
You may have premature ejaculation if:
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:
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:
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.
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.
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.