Premature Ejaculating – How to Stop Premature Ejaculating
Premature ejaculation (PE) is a sexual condition in a man, where he ejaculates, during intercourse, much earlier than desired by his partner. Rapid ejaculation, early ejaculation, and premature climax are some of the other names this condition is referred to as. Some sex researchers term PE as a condition where the male partner ejaculates within just 2 minutes of intercourse of penetration, whereas others suggest that the ejaculation time is much lesser. Over 70% of men experience PE making it the most common sexual problem.
Causes of PE The causes of PE could be psychological or physical. Following are some of the causes of premature ejaculation.
1. Depression and Stress – Men can be affected by factors like depression, lack of confidence, financial troubles, and a tendency to over-expect during a sexual performance.
2. Expecting Failure- This is very common in men who are inexperienced at sex. In some cases, men who have had a rare instance of PE tend to expect it to happen again, leading to a long-term premature ejaculation problems.
3. Relationship Problems- Another major contributor is relationship problems between partners, which results in lack of communication, leading to men having problems with PE.
4. Feelings of Embarrassment and Guilt – Some men feel embarrassed about having to perform a sexual activity, as they might have been sexually repressed as a result of religious or cultural compulsions in their younger days. This might also result in episodes of rushed sex as a fear of getting caught, which might become a habit, resulting in PE.
5. Excessive Masturbation – This would lead to fatigued intercourse, leading to frequent premature ejaculation in men. In some men, abnormally excessive masturbation is treated as a psychological disorder.
6. Smoking and Alcohol - They are indirect causes of PE, as they result in a lot of stress.
7. A weak pubococcygeus (PC) Muscle- This leads to extremely decreased pelvic muscle control, resulting in severe PE. This is one of the major causes.
8. Urinary Tract Infection- In rare cases, urinary tract infections can also cause PE in the long run, if left untreated.
9. Extreme Arousal – This leads to an immediate urge to ejaculate during intercourse.
10. Other Medical Issues- Some of the other reasons for PE are diabetes, cardiovascular disease, neurological disorder or injury, urinary incontinence, polycythemia, prostatitis, and prostate cancer.
Premature Ejaculation Treatment Options
The treatment for PE can be a combination of medical therapy and behavioral methods. However, even until the 1970s, PE was considered as mainly a psychological disorder, with men mainly relying on sex therapists, clinical psychologists, and psychiatrists.
1. Selective Serotonin Reuptake Inhibitors (SSRIs): SSRIs like dapoxetine and citalopram (prescribed by physicians) are used. Although clinically proved effective to treat PE, they have certain side effects.
2. Mouthwash Spray: This anesthetic product is a spray used to numb the sexual stimulation effect just before sexual intercourse. This is a very inexpensive option and is considered very safe, as it quickly evaporates.
3. Desensitizing Creams: These creams also numb the stimulation effect and can be applied to the penis directly just before intercourse. However, some men have complained of their partners getting affected by clitoral or vaginal anesthesia, especially if the man is not using a condom.
4. Kegel Exercises: These exercises are useful for men in strengthening the PC muscle. However, men with a weak PC muscle should also talk to a urologist for treatment options.
5. The Start-Stop Technique: In this method, the man should continually try to bring himself as close as possible to orgasm before stopping, relaxing, and starting all over again. This should be done till the time the climactic condition can no longer be controlled. However, it is very difficult to learn this technique and would require the assistance of a sex therapist.
6. The Squeeze-Stop Technique: This is a method similar to the start-stop technique. The only difference is that just before climax, the man should squeeze the glans penis to delay the orgasm. To achieve good results, the man should have his hand encircling the penis head. This helps in decreased erection and avoiding early ejaculation.
Experts suggest a combination of the above-mentioned psychological and pharmacological interventions for the treatment of PE. Pharmacological intervention might help in the short run, and so it is suggested that men are also treated psychologically for a permanent solution to this problem.
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