Premature ejaculation

The main sign of premature ejaculation is that the triggering occurs before both partners want it. In some, it happens under most intercourses, which causes concern, stress and discomfort. In this article we will talk about all you need to know about premature ejaculation, and what to do if this is a problem in your relationship.

You have for a long been looking forward to a special evening with your partner – perhaps you have imagined how to give each other thousands of tender kisses, exchange romantic phrases and love forever. Finally, you’re up and everything feels perfect, but it’s unexpected. Before you tell him how well it feels it’s all over, at least for him.

Many men struggle with this from time to time, but in order to diagnose premature ejaculation, it is required that this happens regularly – about every single time. Looking away from those who struggle with it sometimes, it is estimated that about 20 percent of men are within this diagnosis during periods of life.

What is Premature ejaculation?

Premature ejaculation is ejaculation that occurs earlier than desired during intercourse. There are large normal variations, but if the release occurs within one or two minutes, it is considered too early. Early ejaculation can cause concern, stress and discomfort if it happens all the time.

Many men sometimes get triggered earlier than desired. As long as this just happens every now and then, it’s usually no problem. If, on the other hand, you get regular premature ejaculation earlier than you and the partner want – for example, before the session begins or shortly afterwards – then you probably have the condition of premature ejaculation.

Premature ejaculation is a common sexual disorder. Occurrence data varies, but some experts believe this affects as many as 20-30% of all men. In a survey in 1987 and 1997, premature ejaculation was the most common sexual problem. Although it is a common problem that can be treated, many men feel embarrassed by talking to or seeking help from the doctor for this. Previously, this was thought to be a purely psychological phenomenon, but experts believe that biological factors also play a role. In some men, premature ejaculation is also associated with problems with erectile dysfunction.

There is treatment for premature ejaculation. Medications, psychological counseling and learning of sexual techniques that delay the release and can improve your and your partner’s sexual experiences. For many men, a combination of multiple treatments is useful.

Symptoms and signs of premature ejaculation

There is no medical standard for how long it should take before you can not call it premature ejaculation. The main sign of premature ejaculation is that the triggering occurs before both partners want it during sex. The problem can occur in all sexual situations, even in the event of malnutrition – or it occurs only in connection with sexual intercourse.

Doctors often devide premature ejaculation into primary or secondary type:
Primary premature ejaculation is if you have had the problem as long as you have been sexually active. Secondary premature ejaculation is available if the condition has occurred after you previously had sexual conditions without early release.

Causes of premature ejaculation

Experts do not know what causes premature ejaculation. While previously thought that the explanation was purely psychological, we now know that the phenomenon of premature ejaculation is more complicated and involves a complex interaction between psychological and biological factors.

Psychological causes of premature ejaculation
Some experts believe that early sexual experience can establish a pattern that is difficult to change later in life. Problems with getting a erection can also help to create a fast-moving pattern. Anxiety or insecurity in the sexual situation may also contribute.

Biological causes of premature ejaculation
Biological causes are the exception, but different factors may contribute to premature ejaculation, eg: Hormone disturbances, nervous system disorders or urinary tract, or injuries to the abdomen. Some medications or the use of drugs may also affect the release. A biological cause is most likely if the problem has been lifelong (primary premature ejaculation).

When should you see a doctor?

Talk to your doctor if you feel bad and feel that you need help. The diagnosis is based on what you are telling. There may be a need to ask some personal and intimate questions, and it may also be desirable for your partner to participate in the conversation. If you have both premature ejaculation and difficulty in obtaining or maintaining erection, it may be appropriate for your doctor to investigate with hormone tests and other blood tests.

Treatment for premature ejaculation

The treatment options include information, possibly medications, sexual therapy or pure psychological treatment. For some, a combination of these treatments is the one that works best.

Sex Therapy. In some cases, sex therapy involves several steps, such as to masturbate an hour or two before intercourse so that you can more easily delay ejaculation during sex. The doctor may also recommend you to avoid sex for a period of time and ask focus on other types of sexual play so that the pressure is removed from the sexual encounters.

Start-and-stop technique. The doctor can instruct you and your partner in the use of a method called “start and stop”. The method works like this:

Step 1. Start the sexual activity as usual, including stimulation of the penis until you feel it is approaching release.

Step 2. Pause the sexual activity. Squeeze over the penis just within the gloss penis, possibly. Get partner to do this. Hold the grip for a few seconds until the urge to ejaculate goes over.

Step 3. After clamping has stopped, wait for approx. 30 seconds and then continues. You may find that after the clamping, the penis is less rigid, but when the sexual stimulation resumes, you quickly get full erection again.

Step 4. If you feel that there will be an early release again, repeat the procedure. This should be repeated for 10 minutes or 3-4 times before ejaculating. It is also possible to train on the start-stop technique by masturbation.

Drugs. Certain antidepressant drugs and local anesthetic ointments are used in the treatment of premature ejaculation. Although these funds are not really approved for this use, it is still accepted that they may be used. It may be necessary to try out different medications and dosages.

Antidepressants. A side effect of antidepressants is delayed orgasm. Men suffering from premature ejaculation may benefit from this side effect. Most commonly used are SSRI antidepressants. It may be sufficient to take the medicine a few hours before intercourse, in some cases it is recommended to use the medicine daily.

Local anesthetic reduces the sensitivity of the penis and helps to delay ejaculation. By lubricating the ointment shortly before intercourse, it can be easily wiped off when the penis has lost enough feeling to help you delay the release. The use of local anesthetic ointments can lead to reduced feeling and thus reduced enjoyment of the intercourse.

Psychotherapy. Such treatment involves talking about your relationships and experiences with a psychotherapist. Call therapy can help reduce performance anxiety or find effective ways to cope with stress and solve your problems. To many couples who are prone to premature ejaculation, talking to a therapist together can provide the best results.

Preventive measures. In some cases premature ejaculation may be due to poor communication between partners and lack of understanding of the differences between male and female sexual function. Women typically need longer stimulation than men to reach orgasm, and this difference can create “sexual conflicts” between the partners.

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