Premature ejaculation: causes, symptoms and treatment
One day a couple came to the doctor. The wife immediately explained what the problem was: her husband was suffering from premature ejaculation. The man replied: “Is it me? I’m not suffering! She’s suffering!” Seriously speaking, premature ejaculation may not be a problem if a man is focused only on his own sexual pleasure.
Contents of the article:
If self-esteem suffers from premature ejaculation, a man wants to satisfy his partner, but reaches orgasm too quickly — the problem is identified. There are several ways to prolong sexual intercourse. This is discussed in this article.
Problematicism and statistics
The problem of premature ejaculation is usually more pronounced in regular partners. When a woman walks around unsatisfied and angry, it begins to drip into the man’s brain. His self-esteem falls, scandals and fights begin. For one-night stands, premature ejaculation may not be as painful, but it may earn the insulting nickname “quick gun.”
On the other hand, the problem is conditional. A man can have a constant partner for 5-10 years, achieve orgasm in 20 seconds or one minute of sex and be so satisfied that the woman cums quickly. In this case, the problem is solved spontaneously.
The normal duration of sexual intercourse is 3-7 minutes. The optimal time is 10-15 minutes. More than 30 minutes — sexual intercourse is too long. If a man cums before 2 minutes, we can talk about premature ejaculation. Just over 2 minutes is a relatively quick ejaculation. Time intervals are conditional. The main one is mutual satisfaction.
Sexual intercourse can last 40 minutes, and the man finishes, but the woman does not. In another case, sex lasted a minute and a half, and both reached orgasm. If the underlying condition is joint orgasm, the ideal interval is one and a half minutes. Therefore, the numbers are too average.
It is believed that all men have achieved orgasm ahead of schedule at least once in their lives. Statisticians have successfully deduced the average rate of premature ejaculation. This is a well-known problem for 25-40% of men in the United States. In Sweden, 9% of men are aware of this problem. The leadership of the European Urological Association in 2014 concluded that from 20 to 40% of the male population of the planet suffers from premature ejaculation. 78% of people suffering from PE do not seek help.
Causes of premature ejaculation
The reasons for this can be divided into two types: physiological and psychological. There may be several of them, and physiological and psychological ones may overlap.
Physiological reasons include
- Inflammation of the prostate gland.
- Long-term sexual abstinence.
- A short, small strip of foreskin on the penis. To solve this problem, surgery is performed. According to open sources, surgery is painless, and after the operation it becomes possible to enjoy sexual life.
- Excessively sensitive glans penis. Urologists treat this phenomenon with silicone rings. It allows you to keep the head of the penis open while maintaining the foreskin. The skin becomes rough and the nerve endings become dull, which leads to a decrease in sensitivity and prolongation of sexual intercourse.
- Hormonal imbalances in the body.
- Men eat foods deficient in magnesium.
- Problems associated with injuries to the spine, pelvis and spinal cord.
Psychological reasons include
- A relentless relationship with your partner. In this case, premature ejaculation can sometimes occur.
- Overload of the nervous system. These include depression, problems with money, work or school, and low self-esteem. In general, anything that bothers a person can affect their sexual health.
- Lack of experience. According to statistics, most men suffering from early ejaculation do not know how to control this process as a result of youth and inexperience. With age and the accumulation of knowledge about his body, a young man understands when he can “speed up” the situation and prolong the time of sexual intercourse.
- Interest in rapid ejaculation develops into a phobia. If a man systematically cums quickly, panic attacks may occur before sexual intercourse. Therefore, self-screwing may result in the formation of polyethylene.
- Level of excitability. The likelihood of rapid ejaculation increases when a man dates a more advanced and experienced partner. Or a man sleeps with a woman who has already achieved her goal a long time ago.
- Lack of self-esteem.
The effect of PE on men
Doctors believe that men who have problems with ejaculation are often significantly dissatisfied with sexual intercourse. Emotional relaxation during sex is problematic, which means the incentive to make love disappears.
Sexual dissatisfaction can extend beyond the intimate sphere. A person may feel like a self-deceived dout. Relationships with girls and wives are ruined. Motives for dating are decreasing. Premature ejaculation may be one of the stages in the development of a phobia.
Read also: Hypersexuality as a medical symptom: causes and consequences
Having an overactive sex drive is a real problem that can have a huge impact on both your personal life and your career. As.
However, not all men are negatively affected. As a joke at the beginning of the article, there are types that react to early ejaculation.
Diagnosis of premature ejaculation
To determine the cause of premature ejaculation, the urologist performs a physiological examination of the patient. Factors taken into account are the speed with which a man achieves orgasm, age, as well as the newness of the partner, the situation in which rapid ejaculation occurs.
An important fact remains PE or acquired homosexuality. Men at an early age could not suffer from sexual dysfunction, but over time they discovered this disease. Additionally, when diagnosing rapid ejaculation, a urologist may speak with the man”s partner to determine factors that may cause premature ejaculation.
Based on the diagnostic results, the doctor determines three possible outcomes:
- The person is not sick with early ejaculation.
- There is a possibility of early ejaculation.
- A person suffers from premature ejaculation and should be treated.
Based on the diagnostic results, the doctor makes a verdict that defines and systematizes the complaint. An assessment is made of the extent to which both partners suffer from dysfunction. The level of male control over ejaculation is determined. The average time of the beginning and end of sexual intercourse is calculated. Then a course of treatment is prescribed.
Important! Independent diagnosis is strongly recommended. It is best to consult a urologist for examination. The following guidelines help provide an overall picture of how the treatment process works. However, it is better to entrust this procedure to a specialist, since self-treatment can lead to deterioration of health.
How to treat premature ejaculation
To treat problems of sexual dysfunction, it is necessary to get a diagnosis so that you know which direction to go.
- Stop how to start
This is aimed at the method of action, i. e. physical control. Essentially, this is the cessation of sexual intercourse. As soon as a man feels that he is approaching the highest boiling point, he stops reciprocating and moves on to kissing the woman’s body. When he feels that the excitement has subsided, sexual intercourse resumes. Thus, the pleasure of making love can be extended several times.
The disadvantage of this method is that it is impossible for a person with early ejaculation to control the onset of orgasm. Cessation of initiation is suitable for non-physiological problems and anticipation of orgasm. It is not predictable in individuals with PE.
In the moments preceding the onset of orgasm, a woman must squeeze the penis in a special way. After some time, the sexual tension subsides and the man continues rubbing.
The squeeze method is not suitable for people with early ejaculation for the same reasons as the stop-start method. Men suffering from premature ejaculation feel the urge to cum immediately after vaginal penetration. Therefore, it is physically impossible to use the described method.
- Pelvic floor muscle training
Premature ejaculation. reasons. treatment
Physiological intervention
- Circumcision.
Some claim that circumcision helps increase the duration of sexual intercourse. The skin of the penis is rough, and the nerve endings are not as sensitive. This doesn”t work in all cases.
Adult men, even if they lost their foreskin in childhood, turn to a urologist for help with PE.
- Condoms with local anesthesia.
Analgin is applied to the inner surface of the condom. It completely blocks the sensitivity of the glans penis. A man can continue sexual intercourse for a long time.
This is an unconditional way of functioning, but because it blocks sensitivity, sexual pleasure is reduced, which means erections are reduced. Anesthetic condoms are sold in pharmacies under the names “Contex long Love”, “Durex long Play” and “Durex dual Extase”. This method works, but the appropriate treatment method is not accepted by the urologist.
Denial is the reduction of sensation in the penis through surgery. The essence of the operation is to cut the nerves that provide sensitivity to the head.
After surgery, sensitivity is restored within 4-6 months. The main complaint of patients during recovery is randomness. Sensation returns to one part of the head, but not to another. Prosthetics are possible. It is similar to goosebumps when a person places his hand on them and feels a tingling sensation in the circulatory system.
Dentures are always checked after surgery and until sensation returns. The disadvantage of the above methods is that they reduce the level of erection and pleasure from sexual activity.
Drug treatment
- Fluoxetine.
This drug is intended to treat depression. A side effect of the drug is loss of the ability to ejaculate. Therefore, it began to be used in urology. However, the chances of successful treatment with fluoxetine are only 5%.
Paxal is used by psychiatrists and neurologists. Most often this leads to ejaculation disorders. PE disorders are dose dependent. Urologists rarely prescribe it, as it is associated with the treatment of mental disorders.
Dapoxetine is a drug specifically designed to reduce premature ejaculation. Like Viagra, it is used immediately before sexual intercourse. The difference between dapoxetine and other drugs to control premature ejaculation is that it is taken immediately before sexual intercourse. Others must be taken daily for 3-6 months.
The disadvantage of treatment with antidepressants is a decrease in libido and erection.
Psychotherapy
If, during diagnosis, the doctor notices that a man suffers from premature ejaculation due to increased anxiety, then psychotherapy is the method of choice. The discomfort caused by premature ejaculation during sexual intercourse is caused by the patient”s fear.
Doctors can help relieve a man”s tension during intercourse. They can be treated with talking, compression, stop-start, etc. methods. Anti-anxiety medications may be prescribed.
