Premature ejaculation: Causes and treatments

Premature ejaculation is inability to delay ejaculation long enough to have a satisfactory sexual experience! It represents most common sexual dysfunction in men! By many experts -this could be definitely the best definition of this problem! Many doctors, psychologist and sexologist have tried to make a better definition because they tried to mention “how long” exactly does this mean, but I find this rather inappropriate!

 

This is definitely a problem for both sexual partners and it should be considered it like that!

 

For one couple, if male reaches climax in for example 10 minutes and his partner regularly climaxes in 5 minutes- this is not considered a premature ejaculation problem. However, sometimes, male can delay his ejaculation for 25 minutes and his partner isn’t satisfied because she or he usually needs 40 minutes of stimulation before reaching an orgasm.

 

So, we are really talking about a “problem” when both partners aren’t satisfied and there so- become unhappy and frustrated!!!

 

However, most scientists agreed to define premature ejaculation as a medical problem when man ejaculates within two minutes of penetration.

 

If one recognizes some of these problems, one doesn’t have to be embarrassed because it's definitely one of the commonest of all sexual problems at all and it is a condition that mostly affects males!

 

No one really knows how many men are suffering from this rather unpleasant condition because most men don’t like to talk about it and especially don’t like to talk with to their physician about it. But, according to some un-official sources- one in five men experience difficulty with uncontrolled or early ejaculation at some point in life and more then thirty percent of men suffer from premature ejaculation constantly!

 

To be honest with you- no one really knows what is causing it! Because the problem is present and evidenced among men since the beginning of sexual education and researches- many have tried to tell exactly what is the predominant cause! Therefore, there are many theories and many possible explanations!

There are two types of premature ejaculation- primary and secondary! We are talking about primary premature ejaculation when individuals recognize the problem since they became capable of functioning sexually, which means in puberty! Secondary premature ejaculation is a case when condition began later in life when an individual already had normal sex life and acceptable level of ejaculatory control.

For several years, scientists tried to figure out is there any organic disorder behind this unpleasant condition and all this with no success! Premature ejaculation is considered a psychological problem in most of the cases. In the case of individuals that have never had sexual intercourse before- excitement or anxiety may be present and this could definitely lead to a premature ejaculation.

 

Most of the young men that are about to have a first sexual experience have deep anxiety about sex because they planned it for a long time before it happens. Of course, it is a case that in great majority - traumatic experiences from the past can also affect man’s ability to have a normal sexual experience! This could caused by family incest, sexual assault, conflict with one or both parents and several other possible causes that are dating from the deep past!

 

Over time, most men will gradually learn to control their orgasm. When considering causes of secondary premature ejaculation, some things are different! In most cases, psychological problems such as stress, depression and other factors that can affect mental and emotional health are responsible for all ejaculation problems!

The commonest problems of a man in those years are financial problems, problems with avoiding unwanted pregnancy, about something stressful that happened to him that day on work or simply- fears about that he may not be pleasing his partner enough.

 

On the other hand, besides these psychological caused premature ejaculations- there are several medical conditions that really can affect person’s ability co control his ejaculation.  Some of those disorders are

Because this has been a problem for many years, there are many therapeutic approaches and some of them can really help a man!

The first step for treatment of premature ejaculation should be relieving any underlying performance pressure or anxiety on the male. For the last couple of years, sexual behavioral therapy has been improved and sexologist recommend several “exercises” to improve man’s ability to voluntary control over his ejaculation!

One of the most common methods is definitely masturbation. If person masturbates about two and a half hours before sexual intercourse, it will help him to have a stronger and longer-lasting erection! 

There is also one interesting technique called“The stop-and-start technique”!It is based on the practice of taking a break just before reaching the orgasm. It is also one of the most effective methods.

Everyone has heard about the famous “Squeeze method”! It is very similar to already described “The stop-and-start method” with only one difference: When a person feels that it is about to have an orgasm it should try squeezing the tip of his penis with a thumb and index finger and this all should last for several seconds. Then, he should continue with sexual intercourse!

Most of the experts suggest practicing “the lower sex position” as much as couples can because man could relax more and reduce sensitivity a bit on his penis!

Most of men have never heard about Kegel exercises. They consist of flexing the pelvic muscle, which could be exercised while urinating. The flow of urine should be stopped and then released couple of times a day! Several scientists claim that this also plays an extremely important role in achieving ejaculatory control.

 

According to scientific researches made in past- practicing any of these methods for at least couple of weeks will help about 95 percent of men to feel more in control of their ejaculation timing.

Beside these behavioral ways to reduce the sensitivity of your penis, there are also some, maybe more artificial, but equally effective ways to do this. Desensitizing creams, topical anesthetic creams containing Lidocaine and Prilocaine that are made to lessen the sensations felt by men during intercourse and numb a penis a bit! Even a simple use of condoms will definitely reduce the amount of stimulation and help you to “last longer”!

This condition can also be treated with certain medications. The optimal medical treatment for premature ejaculation has not been established yet but certain antidepressants such as Zoloft, Paxil, Prozac and several others could help treating premature ejaculation problem. Although these drugs aren't approved by the Food and Drug Administration for the treatment of premature ejaculation, it is proven that they are highly effective! Most of the men probably think about all those nasty side effects that could occur from using these antidepressants but good thing about all this is that one does not need to take these medications on a daily basis to prevent premature ejaculation. They should be used only in the beginning of practicing sexual intercourse and never again!

If nothing helps then a person should definitely start thinking about psychotherapy! This isn’t any of those “serious and frightening approaches” that many people think it is. It is based on so called counseling or talk therapy. It involves talking about your relationships and experiences with a mental health professional. Some doctors recommend avoiding intercourse entirely for a short time while you are on therapy!

 

Not only that it is highly effective, but it can also help you to overcome several other problems in you life, beside these sexual!

Before choosing any of these therapy methods, person should also think about prevention because it is possible and very effective. Man doesn’t have to recognize the problem and then start the prevention changes because this wouldn’t be prevention at all!

Man should start with some changes immediately- and enjoy in sex life for good! Major thing a man should remember is maintaining a healthy and relaxed attitude toward sex. If a man suffers from some form of anxiety, guilt or frustration about his sex life, he should consider seeking psychotherapy or sexual therapy because it is always the best way!

 

Speaking openly with your partner about it is always a helpful and smart thing to do.

Many people think that alcohol or some drugs could help them to slow their response! This is nonsense and it could lead to several much more serious problems because drugs and alcohol will also keep a man from developing the body awareness and make this problem permanent. Everyone should keep in mind that no one is perfect! Almost every couple has sex problems and only thing that could be abnormal about it -is a man’s attitude toward it! Many sexologists claim that master sex organ in a man’s body is definitely his brain, not his penis.