Premature Ejaculation: Causes, Treatment and Prevention

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Introduction

Timing can be everything in the room.

In case you’re climaxing sooner than you and your partner might want, sex may not be that enjoying for both of you. Leaving your spouse unsatisfied in bed isn’t something to be proud of, but sometime, you just can’t help it.

It’s an issue known as premature ejaculation discharge (PE). It tends to be frustrating and in any event, humiliating. It can hurt your relationship as well.

You don’t need to live with it. There are things you can do to last longer in bed.

For starters let’s have a general overview of what exactly premature ejaculation is and how one can combat is often an annoying situation…

 

How Does Ejaculation Work?

The Central Nervous System (CNS) plays a critical role here. So explaining it in the most basic way:

Ejaculation is usually held back by the central nervous system. At that point when a man is sexually aroused, signals are being sent to the brain and the spinal cord.

During intercourse, at the point when the man reached a particular level of excitement, signals are then sent from the brain to the reproductive organs. This causes some other stimulation which in turn causes semen to be discharged through the penis (a process known as ejaculation).

 

Stages of Ejaculation

Ejaculation has 2 stages: emission and expulsion.

Stage 1: Emission

Emission is that stage in the ejaculation process where the sperm moves from the testicles to the prostate and mixes with seminal fluid to make semen. The vasa deferentia are tubes that assist in the movement of the sperm from the testicles through the prostate to the base of the penis. (At the point when you are discussing only 1 of these tubes, it is known as a vas deferens.)

Stage 2: Expulsion

Expulsion is usually that point in the ejaculation process at which the muscles located at the base of the penis begin to contract. This powers semen out of the penis. Typically, ejaculation and climax (orgasm) occur simultaneously.

In rare cases, a few men orgasm without ejaculation. By and large, erections leave after this stage.

 

 

So What Exactly Is Premature Ejaculation?

Untimely premature ejaculation happens when a man discharges sooner during sex than he or his partner might want. Whether she tells you or not bro, untimely ejaculation is usually a cause of worry/sexual complaint.

The estimates may vary, however upwards of 1 out of 3 men state they experience this issue sooner or later.

Though there is no set time when a man should discharge during sex. In any case, it’s likely too early in the event that you have an orgasm before intercourse or not exactly up to a minute after you start.

Periodic premature ejaculation is otherwise called quick discharge, untimely peak or early discharge.

It’s an issue since when you discharge you lose your erection and can’t keep engaging in sexual relations. You and your partner may feel there’s insufficient time to appreciate it.

For whatever length of time that it happens, so far it rarely happens, it does not cause for concern. Notwithstanding, it can become a serious cause of concern if you:

  • Continuously or about consistently discharge inside one minute of penetration
  • Can’t delay discharge during intercourse all or almost constantly
  • Feel bothered and disappointed, and will in general stay away from sexual closeness consequently

A lot of psychological and biological factors can play a role in premature ejaculation. Since most men feel embarrassed discussing it, untimely discharge is a very common and treatable condition.

Prescriptions, guidelines and sexual strategies that delay discharge — or a combination of these — can help improve sex for you and your spouse.

 

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Symptom

The fundamental symptom of untimely ejaculation is the inability to delay discharge for about one moment after penetration. Be that as it may, the issue may happen in every single sexual circumstance.

Premature ejaculation can be classified  into the following:

  • Lifelong (primary). Lifelong premature ejaculation happens at all or nearly all of the times one has had any sexual relations, starting from your first sexual encounters.
  • Acquired (secondary). Unlike the primary, acquired premature ejaculation originates after you’ve had prior sexual occurrences without ejaculatory problems.

A lot of men feel that they have symptoms of this premature ejaculation, but the symptoms they are experiencing do not meet the diagnostic criteria for premature ejaculation.

Rather, these men may have characteristic variable untimely discharge, which incorporates times of quick discharge just as times of typical discharge.

Causes Of PE

The exact reason for premature ejaculation isn’t known. While it was once thought to be just mental, specialists currently realize premature ejaculation mind-boggling cooperation of mental and organic factors.

Psychological causes

Some of these psychological factors that might play a role:

  • Early sexual practices
  • Sexual molestation
  • Lower body image
  • Depression
  • Worrying about premature ejaculation itself
  • Guilty feelings that increase your inclination to rush through sexual encounters

Other factors that can play a role include:

  • Erectile dysfunction. Men who are on edge about acquiring or keeping up an erection during sex may frame an example of racing to discharge, which can be hard to change.
  • Anxiety. A lot of men with premature ejaculation also have problems with stress — either especially about sexual performance or related to other issues.
  • Relationship problems. If you have had fulfilling sexual encounters with other partners in which premature ejaculation happened rarely or never even happened at all, it’s conceivable that relational issues among you and your present partner are adding to the issue.

Biological causes

Several biological factors might contribute to premature ejaculation, including:

  • Abnormal hormone levels
  • Abnormal levels of brain chemicals called neurotransmitters
  • Inflammation and infection of the prostate or urethra
  • Inherited traits

Risk factors

Various factors can increase your risk of premature ejaculation, including:

  • Erectile dysfunction. You may be at an expanded danger of untimely discharge on the off chance that you periodically or reliably experience difficulty getting or keeping up an erection. The dread of losing your erection may make you intentionally or unknowingly rush through sexual experiences.
  • Stress. Emotional or mental strain in any part of your life can play a vital role in untimely discharge, constraining your capacity to unwind and center during sexual experiences.

Complications

Premature ejaculation can cause problems in your personal life, including:

  • Stress and relationship problems. A well-known complication of premature ejaculation is stress in the relationship.
  • Fertility problems. Premature ejaculation can sometimes make fertilization difficult for couples who are trying to have a baby if ejaculation doesn’t occur intravaginally.

Treatment

There are common treatment options for premature ejaculation which include;

  • behavioral techniques,
  • topical anesthetics,
  • medications and
  • counseling.

Remember that it may require some time to discover the treatment or blend of medications that will work for you. Behavioral treatment plus drug therapy might be the most efficient way.

Behavioral techniques

Sometimes, treatment for premature ejaculation may include making straightforward strides, for example, stroking off an hour or two preceding intercourse with your wife. The goal is that you’re ready to postpone discharge during sex.

Your primary care physician likewise may suggest maintaining a strategic distance from intercourse for a while and concentrating on different sorts of sexual play with the goal that pressure is suspended from your sexual experiences.

 

Pelvic floor exercises

Weak pelvic floor muscles can weaken your capacity to delay ejaculation. Pelvic floor exercises (Kegel exercises) can assist in strengthening these muscles.

To perform these exercises:

  • Find the right muscles. To recognize your pelvic floor muscles, stop urination in midstream or tighten the muscles that prevent you from passing gas. These moves utilize your pelvic floor muscles. When you’ve distinguished your pelvic floor muscles, you can do the activities in any position, even though you may think that it’s simpler to do them resting from the start.
  • Perfect your technique. Tighten your pelvic floor muscles, hold the contraction for three seconds, and then relax for three seconds. Try it a few times in a row. When your muscles get stronger, try doing Kegel exercises while sitting, standing or walking.
  • Maintain your focus. For best results, focus on tightening only your pelvic floor muscles. Be careful not to flex the muscles in your abdomen, thighs or buttocks. Avoid holding your breath. Instead, breathe freely during the exercises.
  • Repeat 3 times a day. Aim for at least three sets of 10 repetitions a day.

The pause-squeeze technique

Your physician might instruct you and your spouse in the use of a method called the pause-squeeze technique. This method works as follows:

  1. Begin sexual activity as usual, including stimulation of the penis, until you feel almost ready to ejaculate.
  2. Have your spouse squeeze the tip of your penis, at the point where the head (glans) joins the shaft, and maintain the squeeze for several seconds, until the urge to ejaculate passes.
  3. Have your spouse repeat the squeeze process as often as possible.

By rehashing the same number of times as possible, you can arrive at the point of entering your spouse without discharging. After some practice sessions, the feeling of knowing how to delay ejaculation might become a habit that no longer requires the pause-squeeze technique.

On the off chance that the pause-squeeze technique causes you some form of discomfort or pain, another technique is to stop sexual stimulation just prior to ejaculation, wait until the level of arousal has gone down and then start again

This process is known as the stop-start strategy.

 

Condoms

Condoms might reduce penis sensation, which can assist in delay ejaculation. “Orgasm control” condoms are available over the counter.

These condoms comprise numbing agents such as benzocaine or lidocaine or are produced with thicker latex to prolong ejaculation. Examples include Trojan Extended, Durex Performax Intense and Lifestyles Everlast Intense.

With these basic strategies outlined here, around 95 out of 100 men will recover from PE. There is no real way to guarantee recovery, however, figuring out how to loosen up makes a difference. In the event that the issue remains, keep on working with your health care provider to discover other solutions.

 

Medications

Topical anesthetics

Anesthetic creams and sprays that contain a numbing agent, such as benzocaine, lidocaine or prilocaine, are sometimes used to treat premature ejaculation. These products are applied to the penis 10 to 15 minutes before sex to reduce sensation and help delay ejaculation.

A lidocaine-prilocaine cream for premature ejaculation (EMLA) is available by prescription. Lidocaine sprays for premature ejaculation are available over-the-counter.

Although topical anesthetic agents are viable and well-endured, they have potential reactions and side effects. For instance, a few men report transitory loss of affectability and diminished sexual delight. At times, female partners additionally have revealed these side effects.

 

Oral medications

Numerous prescriptions may delay orgasm. Though none of these medications are explicitly affirmed by the Food and Drug Administration to treat untimely discharge, some are utilized for this reason, including antidepressants, analgesics, and phosphodiesterase-5 inhibitors.

These drugs may be endorsed for either on-request or day by day use and may be recommended alone or in blend with different medicines.

  • Antidepressants. A side effect of certain antidepressants is delayed orgasm. For this reason, selective serotonin reuptake inhibitors (SSRIs), such as escitalopram (Lexapro), sertraline (Zoloft), paroxetine (Paxil) or fluoxetine (Prozac, Sarafem), are used to help delay ejaculation.

Of those endorsed for use in the United States, paroxetine is by all accounts the best. These meds, as a rule, take five to 10 days to start working. Be that as it may, it may take half a month of treatment before you’ll see the full impact.

If SSRIs don’t improve the planning of your discharge, your primary care physician may endorse the tricyclic upper clomipramine (Anafranil). Undesirable reactions of antidepressants may incorporate sickness, sweat, languor and diminished charisma.

  • Analgesics. Tramadol (Ultram) is a medication commonly used to treat pain. It also has side effects that delay ejaculation. Unwanted side effects might include nausea, headache, sleepiness, and dizziness.

It may be recommended when SSRIs haven’t been effective. Tramadol can’t be used in combination with an SSRI.

  • Phosphodiesterase-5 inhibitors. Some medications used to treat erectile dysfunction, such as sildenafil (Viagra, Revatio), tadalafil (Cialis, Adcirca) or vardenafil (Levitra, Staxyn), also might help premature ejaculation. Unwanted side effects might include headache, facial flushing, and indigestion. These medications might be more effective when used in combination with an SSRI.

Potential future treatment

Research recommends that few medications that may be useful in treating untimely discharge, yet further investigation is required. These medications include:

  • Dapoxetine. This is an SSRI that’s frequently used as the first medication for premature ejaculation in other countries. It’s currently in clinical trials in the United States.
  • Modafinil (Provigil). This drug is a treatment for the sleeping disorder narcolepsy.
  • Silodosin (Rapaflo).This medication is normally a treatment for prostate gland enlargement (benign prostatic hyperplasia).

Counseling

This methodology includes speaking with a mental health provider about your concerns and encounters. Sessions can assist you with decreasing execution nervousness and discover better methods for adapting to pressure. Guiding is well on the way to help when it’s utilized in blend with medicate treatment.

With untimely discharge, you may feel you lose a portion of the closeness imparted to your spouse. You may even feel furious, embarrassed and upset, and get some distance from your spouse.

Your spouse likewise may be annoyed with the change in sexual intimacy.

Untimely discharge can make a spouse feel less associated or hurt. Discussing the issue is a significant step, and relationship guiding or sex treatment may be useful.

When to see a doctor

Converse with your primary care physician if you discharge sooner than you wish during most sexual experiences. It’s regular for men to feel humiliated about examining sexual wellbeing concerns, yet don’t let that prevent you from conversing with your PCP. Untimely discharge is a typical and treatable issue.

For certain men, a discussion with a specialist may help reduce worries about untimely discharge.

For instance, it may be consoling to hear that intermittent untimely discharge is ordinary and that the normal time from the earliest starting point of intercourse to discharge is around five minutes.

Alternative medicine

A few elective drug medicines have been considered, including yoga, reflection, and needle therapy. Be that as it may, more research is expected to assess the viability of these treatments.

Preparing for your appointment

It’s not unexpected to feel humiliated when discussing sexual issues, yet you can believe that your primary care physician has had comparative discussions with numerous other men. Untimely discharge is a typical — and treatable — condition.

Being prepared to discuss untimely discharge will assist you with getting the treatment you have to put your sex life back on track. The data underneath should assist you in getting ready to take advantage of your arrangement.

Information to note down in advance

  • Pre-appointment restrictions. When you make your meeting, inquire if there are any restraints you may need to follow in the time leading up to your visit.
  • Symptoms. How often do you ejaculate compared to how you or your spouse would wish? How long after you begin having intercourse do you typically ejaculate?
  • Sexual history. Recall back on your relationships and sexual relations ever since you became sexually engaged. Have you had issues with premature ejaculation in the past? With whom, and under what conditions?
  • Medical history. Note down any other medical issues which you’ve been diagnosed previously, including mental health conditions. Also note the names and intensities of all medications you’re currently taking or have recently taken, including prescription and over-the-counter drugs.
  • Questions to ask your doctor. You may also want to write down in advance the information you may want to get from your specialist to make the most of your time with him or her.

 

Basic questions to ask your doctor

The list below recommends inquiries to pose to your primary care physician about the condition. Feel free to add more inquiries during your arrangement.

  • What may the cause of your premature ejaculation?
  • What are the recommended tests?
  • What treatment approach do you recommend?
  • How soon after I begin treatment can I expect improvement?
  • How much improvement can I reasonably expect?
  • Am I at risk of this problem recurring?
  • Is there a generic alternative to the medicine you’re prescribing?
  • Are there any brochures or other printed material that I can take home with me? What websites do you recommend visiting?

What to expect from your doctor

Your doctor may ask very personal questions and might also want to talk to your spouse. To assist your doctor to determine the cause of your issue and the best pattern of treatment, be ready to answer questions such as:

  • How often do you have premature ejaculation?
  • When did you first experience premature ejaculation?
  • Do you have premature ejaculation only with a specific partner or partners?
  • Do you experience premature ejaculation when you masturbate?
  • Do you have premature ejaculation every time you have sex?
  • How often do you have sex?
  • How much are you bothered by premature ejaculation?
  • How much is your partner bothered by premature ejaculation?
  • How satisfied are you with your current relationship?
  • Are you also having trouble getting and maintaining an erection (erectile dysfunction)?
  • Do you take prescription medications? If so, what medications have you recently started or stopped taking?
  • Do you use recreational drugs?

Conclusion

What you can do in the meantime

Choosing to speak with your primary care physician is a significant step.

Implementing the steps outlined above can also go a long way toward solving the issue.

Meanwhile, consider studying different manners by which you and your spouse can relate to each other. Although premature ejaculation can cause strain and worry in a relationship, you need not worry because it is a completely treatable condition.

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