Premature Ejaculation
Premature ejaculation is that which occurs when it is not intended and can come before or shortly after sexual
penetration. It takes place with minimal sexual stimulation and before the man wishes to do so. It can result
in an unsatisfactory sexual experience for both partners involved. This can escalate anxiety which can add to
the issue. It is one of the most commonly experienced types of male sexual dysfunction.
What Causes Premature Ejaculation?
For most men dealing with premature ejaculation, there is not an obvious cause. With sexual experience
and age, men usually learn techniques to delay an orgasm to prevent it from occurring before they want it to.
Premature ejaculation can take place with a new partner, in only particular sexual circumstances, or if it
has been a prolonged time since a prior ejaculation. Psychological factors such as anxiety, depression, or
guilt can also add to it. Occasionally, it is the result of a medical condition like a hormonal imbalance,
injury, or a side effect of medication.
How is it Addressed?
For most individuals, premature ejaculation will get better gradually by utilizing lifestyle changes.
Using relaxation techniques or distraction methods can help a man to prolong ejaculation. For some men,
cutting down on or entirely ending the use of tobacco, alcohol, or other types of drugs can improve
ejaculation control.
The physician can recommend specific techniques for you and your partner
to help with prolonging ejaculation as well. For example, men can learn to identify and regulate the
sensations which signal the start of the ejaculation process and how to speak with your partner to
decrease or discontinue stimulation. Men can also use a condom to reduce the sensations transmitted
to the penis.
Different positions can also be beneficial. Counseling or behavioral therapy can
help to lessen stress-related premature ejaculation. There are also creams, gels, and sprays which can
be employed to address premature ejaculation by dimming sensation. These are applied to the penis
before sexual activity. They include lidocaine and lidocaine-prilocaine, though some may affect the
sexual partner and lessen sensation for him or her as well.