What is premature ejaculation?
Premature ejaculation is when a man has an orgasm sooner than he or his partner would like during sex. It can happen before penetration or shortly afterward, often within minutes of starting intercourse. This condition is also known as early ejaculation, rapid climax, or rapid ejaculation. Men who have premature ejaculation might feel frustrated about their lack of control over their orgasms and worry that they are satisfying their partners. The exact cause of premature ejaculation isn't understood, but it may be related to a combination of psychological factors such as anxiety, guilt, depression, relationship issues, history of trauma, hormonal imbalances, and excessive masturbation. Physical factors could play a role as well, including inflammation of the prostate or bladder, abnormal levels of brain chemicals called neurotransmitters, or nerve damage from surgery or other injuries. There are different treatment options available for this issue, including counseling, medications, behavioral therapy, and sex techniques, which can help men delay ejaculation and improve sexual satisfaction.
Premature ejaculation types
There are two main types of premature ejaculation: lifelong (primary) and acquired (secondary). Lifelong PE is when a man has had problems with untimely ejaculation since puberty, while secondary PE develops later in life due to physical conditions, psychological issues, stress, or medical treatment. Primary PE is more common than secondary PE, affecting 30%-40% of men worldwide, compared to 5%-10% for secondary PE. Both types can have serious consequences on relationships, self-esteem, and overall quality of life.
Treatment options for premature ejaculation
The first step in treating premature ejaculation is usually psychotherapy that explores any underlying mental health issues contributing to the condition. Medications such as selective serotonin reuptake inhibitors (SSRIs), tricyclic antidepressants, and topical anesthetics can also be prescribed by your doctor if needed. These drugs work by reducing sensitivity during arousal, allowing you to last longer before climax. Behavioral therapy involves various strategies like masturbating an hour or two before having intercourse, using stop-and-start methods during sex, practicing mindfulness meditation, focusing on non-genital stimulation, and learning to recognize the sensation leading up to orgasm. Other approaches include pelvic floor exercises, yoga postures, acupuncture, and herbal supplements like ginseng and horny goat weed. Some men may benefit from sex therapy with a professional who specializes in sexual dysfunctions, couples counseling, or even penis extenders or desensitizing sprays. Finally, lifestyle changes like eating a balanced diet, getting enough sleep, managing stress, and quitting smoking can help improve overall health and reduce symptoms of PE. Remember, there's no shame in seeking help - talk openly about this issue with your partner or doctor so you can find the best treatment plan together.