Premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration, with minimal sexual stimulation and before the person wishes. It may result in an unsatisfactory sexual experience for both partners. This can increase the anxiety that may contribute to the problem. Premature ejaculation is one of the most common forms of male sexual dysfunction and has probably affected every man at some point in his life.
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What causes premature ejaculation?
Most cases of premature ejaculation do not have a clear cause. With sexual experience and age, men often learn to delay orgasm. Premature ejaculation may occur with a new partner, only in certain sexual situations, or if it has been a long time since the last ejaculation. Psychological factors such as anxiety, guilt, or depression can cause premature ejaculation. In some cases, premature ejaculation may be related to an underlying medical cause such as hormonal problems, injury, or a side effect of certain medicines.
What are the symptoms?
The main symptom of premature ejaculation is an uncontrolled ejaculation either before or shortly after intercourse begins. Ejaculation occurs before the person wishes it, with minimal sexual stimulation.
Therapeutic Treatments
There are several options for a man who suffers from frequent premature ejaculation, with “frequent” being defined as affecting more than 50% of sexual encounters. Most of these treatment options deal with learning to control one’s body physically. The first recommendation a professional will recommend is relaxation techniques and practice. Practice can be done during masturbation as a man learns to control his own thoughts, delaying and controlling his climax.
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The couple may wish to try the “squeeze” method of preventing premature ejaculation. In this method, just before the man reaches climax, he pulls out, and either he or his partner squeezes the tip of his penis, at the point where the glans and shaft meet, and hold it for 30 seconds. Once they have stopped sexual activity for this amount of time, they can start again, giving him a chance to focus again.
Another method is the “stop and start” system. With this method, the couple enjoys their sexual encounter, but every time the man nears climax, they stop for 30 seconds, then start again. When they are ready, he can be allowed to go to climax. This can actually be enjoyable and tantalizing for both partners, and it gives his body practice controlling his orgasms.
Medical Treatments
Because premature ejaculation is generally not considered a physiological condition, a physician will seldom recommend or prescribe medications. However, doctors have found that antidepressants are sometimes effective because they treat potentially underlying issues. These medications, particularly Prozac and other SSRI’s, are doubly effective because a delayed orgasm is a side effect of the medication.
Your doctor may also recommend a local anesthetic to be applied to the penis. The idea is that the cream will diminish the stimulating sensations to the penis, thus delaying orgasm. For some men, simply using a condom will have the desired effect for the same reason. With less physical stimulation, men will find that it takes longer to reach orgasm.